Dapoxetine is a selective serotonin reuptake inhibitor (SSRI).
The mechanism of action of Dapoxetine in premature ejaculation is presumed to
be linked to the inhibition of neuronal reuptakeof serotonin and the subsequent
potentiation of the neurotransmitter's action at preand post-synaptic
receptors.
INDICATIONS
Dapoxetine is indicated for the treatment of premature
ejaculation (PE) in men 18 to 64 years of age, who have one or all of the
following:
>> Persistent or recurrent ejaculation with minimal sexual
stimulation before, on, or shortly after penetration and before the patient
wishes.
>>Marked personal
distress or interpersonal difficulty as a consequence of PE.
>>Poor control
over ejaculation.
DOSAGE & ADMINISTRATION
1. Starting dose
is 30 mg (approximately 1 to 3 hours prior to sexual activity).
2. Maximum
recommended dose is of 60 mg.
3. Maximum dosing
frequency is one dose every 24 hours.
CONTRAINDICATIONS
>>Patients with
known hypersensitivity to Dapoxetine hydrochloride.
>>Patients with significant pathological cardiac conditions (such
as heart failure (NYHA class II-IV), conduction abnormalities (second- or
third-degree AV block or sick sinus syndrome) not treated with a permanent
pacemaker, significant ischemic heart disease or significant valvular disease.
>>Concomitant treatment with monoamine oxidase inhibitors (MAOIs),
thioridazine,
or within 14 days of discontinuing treatment with MAOIs,
thioridazine. Similarly,
MAOIs, thioridazine should not be administered within 7 days
after Dapoxetine has been discontinued.
>>Concomitant treatment with serotonin reuptake inhibitors
[selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine
reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs)] or other
medicinal/herbal products with serotonergic effects or within 14 days of
discontinuing treatment with these medicinal/herbal products.
SIDE EFFECTS
>>Hypertension >>Dizziness >>Headache >>Somnolence>>Tremor
USE IN PREGNANCY & LACTATION
Dapoxetine is not indicated for use by women.
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