

Brand(s):
- Cenforce-D Super Filagra Super P-Force
Manufacturer:
- Centurion Laboratories / Fortune Healthcare Pvt Ltd / Sunrise Remedies Pvt. Ltd.
Disease(s):
- Erectile Dysfunction / Impotence / Premature Ejaculation
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Viagra Super Force
sildenafil citrate + dapoxetine
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Brand(s):
- Cenforce-D Super Filagra Super P-Force
Manufacturer:
- Centurion Laboratories / Fortune Healthcare Pvt Ltd / Sunrise Remedies Pvt. Ltd.
Disease(s):
- Erectile Dysfunction / Impotence / Premature Ejaculation
Sildenafil Citrate and Dapoxetine Tablets
What is this medication?
Sildenafil and Dapoxetine tablets are a combination medication used to treat both erectile dysfunction (impotence) and premature ejaculation. Sildenafil works by increasing blood flow to the penis, aiding in achieving and maintaining an erection. Dapoxetine, an SSRI (selective serotonin reuptake inhibitor), helps delay orgasm. While SSRIs have been used off-label for this purpose for some time, this combination product became available in the early 2010s, offering a convenient treatment for both conditions.
What should my healthcare provider know before I take this medication?
It's crucial to inform your doctor about any of the following health conditions before starting this medication:
- Bipolar disorder or mania
- Diabetes
- Eye or vision problems, including retinitis pigmentosa (a rare inherited eye disease)
- Heart disease, angina, high or low blood pressure, history of heart attack, or other heart problems
- Kidney disease
- Liver disease
- Psychosis
- Seizures
- Stroke
- Any unusual reaction to sildenafil citrate, dapoxetine, other medications, foods, dyes, or preservatives
How should I use this medication?
Take this medication orally with a glass of water. The typical dose is taken 1-2 hours before anticipated sexual activity. It can be taken with or without food, but should not be taken more than once per day. Do not abruptly stop taking the medication if you have been using it regularly. In case of an overdose, immediately contact a poison control center or emergency room.
Important Note: This medication is for personal use only. Do not share it with others.
What may interact with this medication?
Avoid taking this medication with the following:
- Cisapride
- Methscopolamine nitrate
- Nitrates (such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin)
- Nitroprusside
- Other sildenafil products (like Revatio)
This medication may also interact with:
- Certain high blood pressure medications
- Certain medications for HIV infection or AIDS
- Certain antifungal medications (like fluconazole, itraconazole, ketoconazole, and voriconazole)
- Cimetidine
- Erythromycin
- Rifampin
This interaction list may not be exhaustive. Provide your healthcare provider with a complete list of all medications, herbs, over-the-counter drugs, and dietary supplements you are using. Also, disclose any alcohol, tobacco, or illegal drug use, as these substances can affect the medication's efficacy and potentially cause adverse interactions. While current data suggests no significant interactions between dapoxetine and tadalafil or sildenafil, or ethanol, more research is needed to fully understand all potential drug interactions.
What should I watch for while taking this medication?
Report any changes in vision to your doctor immediately. Seek immediate medical attention if an erection lasts longer than 4 hours or becomes painful; this could indicate a serious condition requiring prompt treatment to prevent permanent damage. If you experience nausea, dizziness, chest pain, or arm pain during sexual activity after taking this medication, stop immediately and contact your doctor. If you have diabetes, monitor your blood sugar levels closely as this medication may affect them. Drowsiness or dizziness are possible side effects; avoid driving or operating machinery until you know how the medication affects you. Avoid sudden changes in posture (sitting or standing) to minimize dizziness or fainting. Alcohol can increase drowsiness and dizziness; limit alcohol consumption. Dry mouth may occur; chewing sugarless gum or sucking hard candy, and drinking plenty of water can help. This medication does not protect against HIV or other sexually transmitted infections.
What side effects may I notice from this medication?
Side effects requiring immediate medical attention:
- Allergic reactions (skin rash, itching, hives, facial swelling)
- Breathing problems
- Hearing changes
- Vision changes (blurred vision, difficulty distinguishing blue and green)
- Chest pain
- Rapid or irregular heartbeat
- Prolonged or painful erection (lasting more than 4 hours)
- Seizures
Side effects that usually do not require medical attention (but report to your doctor if they persist or are bothersome):
- Headache
- Dizziness
- Diarrhea
- Dry mouth
- Flushing
- Indigestion
- Insomnia
- Nausea
- Stuffy or runny nose
This is not an exhaustive list of all possible side effects.
Where can I keep my medication?
Keep out of reach of children. Store at room temperature (15-30°C or 59-86°F), away from heat and direct light. Do not freeze. Discard any unused medication after the expiration date.