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Generic Cialis 20 mg 360 pills
$402.52
$423.70
Generic Viagra with Dapoxetine 100 mg / 60 mg 10 pills
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Characteristics:
- SKU: 638469011188001125
- Availability: In Stock
- dosage mg 100 mg / 60 mg
- Ingredient Sildenafil + Duloxetine
- pills 10 pills
Select product:
dosage mg 100 mg / 60 mg
dosage mg 50 mg / 30 mg
dosage mg 100 mg / 60 mg
dosage mg 50 mg / 30 mg
Description
This combined medication contains:
- Sildenafil Citrate (50-100mg): PDE5 inhibitor for erectile dysfunction
- Dapoxetine (30-60mg): SSRI for premature ejaculation
Dual Action:
- Improves erectile function
- Enhances ejaculatory control
- Extends sexual performance duration
Dosage & Administration
- Standard dose: 1 tablet daily (as prescribed)
- Onset: Within 60 minutes
- Duration: 4-6 hours
- Administration guidelines:
- Take with 240ml water
- Avoid high-fat meals before use
- Do not exceed recommended dosage
- Maximum frequency: Once per 24 hours
Important Precautions
Common side effects:
- Facial flushing
- Headache
- Gastrointestinal discomfort
- Nasal congestion
- Mild dizziness
Serious adverse reactions (require immediate medical attention):
- Priapism (>4 hour erection)
- Sudden hearing/vision changes
- Severe hypotension
- Syncope
- Serotonin syndrome symptoms
Absolute Contraindications
- Concurrent nitrate therapy (including recreational nitrites)
- MAOI use within past 14 days
- Severe hepatic impairment
- History of unstable angina
- Recent stroke/MI (<6 months)
- Hereditary retinal disorders
Drug Interactions
Prohibited combinations:
- All nitrate preparations
- Other PDE5 inhibitors
- Strong CYP3A4 inhibitors (ketoconazole, ritonavir)
- Serotonergic agents:
- SSRIs/SNRIs
- Triptans
- Tramadol
- Lithium
Require dose adjustment:
- Alpha-blockers
- Antihypertensives
- Moderate CYP3A4 inhibitors
Missed Dose Protocol
- Skip missed dose
- Resume normal schedule
- Never double dose
Overdose Management
Symptoms:
- Severe hypotension
- Prolonged erection
- Cardiac arrhythmias
- Serotonin toxicity
Action:
- Immediate medical attention required
- Supportive care essential
- No specific antidote available
Storage Requirements
- Temperature: 15-30°C (59-86°F)
- Protection from:
- Moisture
- Light
- Heat
- Keep securely closed
- Out of children's reach
Patient Counseling Points
- Requires sexual stimulation for effect
- Does not prevent STDs/pregnancy
- Alcohol consumption not recommended
- Report any erection >4 hours immediately
- Discontinue if visual/hearing disturbances occur
- Allow 7-day washout before taking serotonergic drugs
Note: This combination therapy requires medical supervision. Regular cardiovascular assessment recommended. Not for use in women or pediatric populations.
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