Purpose and aims
Dapoxetine is a short-acting selective serotonin reuptake inhibitor developed to treat premature ejaculation in men. By temporarily elevating serotonin activity in neural pathways linked to ejaculatory control, it often helps men delay ejaculation, improve perceived control and increase sexual satisfaction for both partners.
Main points at a glance:
- Primary use: on-demand treatment of premature ejaculation (PE), not for erectile dysfunction (ED).
- Active molecule: dapoxetine hydrochloride; check the leaflet for excipients if you have allergies.
- Common UK brand: Priligy; generic versions and licensed generics may be available.
- Typical tablet strengths licensed in the UK: 30 mg and 60 mg.
For related topics, jump to substitute therapies and analogous medications or the law and regulatory framework guidance the document section.
Manifestations and likely benefits
Dapoxetine is indicated for adult men with persistent or recurrent premature ejaculation characterised by rapid ejaculation, inability to delay ejaculation and distress or relationship difficulties resulting from the condition.
When used correctly, reported benefits include:
- Longer intravaginal ejaculatory latency time (IELT).
- Greater perceived control during sexual activity.
- Reduced anxiety about timing and improved sexual satisfaction for some couples.
How to take efficiently dapoxetine today
Follow the directions given by your prescriber and the patient information leaflet. Typical UK practice notes:
- Swallow the tablet without chewing, with water. Do not break or crush the tablet.
- Take the dose 1 to 3 hours before planned sexual activity.
- Only one dose should be taken in any 24 hour period.
- Avoid alcohol close to the time of dosing because it can increase dizziness along with the risk of fainting.
- If timing, dose or combination with other medicines is unclear, consult your clinician or pharmacist.
If you need further information about effective contact and responses require clear communication. with other medicines, see drug and substance a mutual exchange of ideass across departments improve alignment..
Strengths available coupled with the dosage amounts
In the United Kingdom the usual initial dose is 30 mg taken as needed. If 30 mg gives inadequate benefit and is tolerated, a prescriber may increase to 60 mg. Higher doses are not recommended.
- Typical starting dose: 30 mg, taken 1 to 3 hours before sex.
- Dose adjustment: increase to 60 mg if required and tolerated; do not exceed 60 mg.
- Frequency: single on-demand dosing, maximum once in 24 hours.
- Review: clinicians commonly reassess effectiveness and tolerability after about four weeks or after approximately six uses.
Special populations: avoid use in severe liver impairment. Use caution and seek individual advice for moderate hepatic or renal impairment.
Keeping and handling advice
- Store at room temperature away from direct heat, strong light and high humidity.
- Keep tablets in the original blister pack or container to protect them from moisture.
- Always keep medicines out of reach and sight of children and pets.
- Do not dispose of medicines down the drain or in household waste; ask your pharmacist about take-back schemes for safe disposal.
Attributes of the active ingredient
The active substance is dapoxetine hydrochloride. Formulations include excipients that differ between manufacturers; these may contain lactose or other compounds. If you have a known intolerance or allergy to any excipientkindly check this. the leaflet or speak to your pharmacist.
Who cannot use dapoxetine?
Do not take dapoxetine if any of the following apply. If you are unsure, get medical advice.
- Allergy to dapoxetine or any tablet component.
- Severe impairment of hepatic function.
- Current or recent use of monoamine oxidase inhibitors (MAOIs) or treatment with thioridazine or linezolid within the last 14 days.
- Concurrent use of strong CYP3A4 inhibitors (for example ketoconazole, itraconazole, ritonavir).
- A history of fainting, uncontrolled low blood pressure or conditions that make sexual activity unsafe.
- Use of recreational inhaled nitrates or amyl/butyl nitrites (poppers).
Where these exclusions apply, discuss a different possibility approaches with your healthcare professional. See broadened options and drugs similar in effect in the options list.
Drug and substance the interaction between participants considerations
Many medicines and substances can alter dapoxetine's effects or increase risk. Always list all medicines, herbal remedies and supplements when you consult a prescriber or pharmacist.
- Blood pressure drugs and vasodilators including alpha-blockers and nitrates: risk of pronounced hypotension, dizziness or fainting.
- CYP3A4 inhibitors: drugs that strongly inhibit CYP3A4 can raise dapoxetine levels and are often contraindicated.
- Enzyme inducers: substances such as rifampicin, carbamazepine, phenytoin or Hypericum perforatum may reduce dapoxetine exposure.
- Other serotonergic medicines: SSRIs, SNRIs, tricyclics, triptans, tramadol and lithium increase the risk of serotonin syndrome if combined.
- CNS depressants and alcohol: concurrent use may increase drowsiness and impair coordination; avoid alcohol near dosing.
Prior to the process starting or stopping any medication, seek medical advice. For safety when driving or operating machinery, refer to danger alerts and protective measures.
Notice: important information of warning announcements and safety health and safety measures you should observe
- Orthostatic effects: dapoxetine can cause dizziness and fainting. Stand up slowly from sitting or lying positions and sit or lie down if lightheaded.
- Avoid alcohol when taking the tablet because of increased risk of sedation and low blood pressure.
- Heart health: men with cardiovascular disease should discuss the risks of sexual activity and medication effects with their clinician. Seek urgent help for chest pain, sudden weakness or difficulty breathing.
- Priapism: seek emergency care for erections lasting more than 4 hours to prevent permanent injury.
- Mood and behaviour: SSRIs can rarely trigger agitation, worsening mood or suicidal thoughts. Contact a healthcare professional if new psychiatric symptoms appear.
- Vision: report persistent visual changes, blurred sight or color disturbances to a clinician.
- Bleeding: SSRI-type medicines may increase bleeding risk, especially when taken with NSAIDs, aspirin or anticoagulants.
- Driving and machinery: do not drive or use heavy machinery until you know how dapoxetine affects you.
- Protection: using dapoxetine does not prevent sexually transmitted infections or pregnancy; use condoms or other appropriate contraception as needed.
Possible drug treatment side effects
Many users have only mild side effect risks or none at all. If you experience severe or persistent symptoms, seek medical attention.
Everyday or mild effects:
- Nausea, abdominal pain or diarrhoea.
- Feeling lightheaded, cranial ache, drowsiness, sleep problems, fatigue, tremor or increased anxiety.
- I have a dry mouth, excessive salivation or skin reactions such as rash.
Serious drug side effects requiring immediate medical help:
- Loss of consciousness, fainting or prolonged severe dizziness.
- Severe allergic reactions with facial or throat swelling and breathing difficulty.
- Symptoms of serotonin syndrome: high temperature, severe muscle stiffness, sweating, rapid heartbeat and confusion.
- Prolonged or painful erections lasting over 4 hours (priapism).
This listing does not claim to be exhaustive. To report suspected adverse events in the UK, see reporting to the MHRA Yellow Card.
Alternative drugs and similar pharmaceutical options
If dapoxetine is unsuitable or you prefer non-systemic options, discuss these substitute options with your clinician:
- Topical desensitisers: lidocaine or prilocaine creams or sprays lower penile sensitivity. Examples include licensed products such as Fortacin or pharmacy-compounded preparations.
- Other SSRIs used off-label: paroxetine, sertraline, fluoxetine or citalopram have been used to delay ejaculation, usually with daily dosing and different side effect profiles.
- Behavioural and psychosexual therapies: stop-start and squeeze methods, pelvic floor exercises and counselling can be effective alone or combined with medicines.
- PDE5 inhibitors: sildenafil, tadalafil or vardenafil may help men with both ED and PE when used alongside other strategies.
- The drug tramadol hydrochloride: may delay ejaculation in some men but is generally not recommended long term due to dependence risk and after effects.
Choice depends on individual circumstances, cost, convenience and side effect risk. See usual price bands in Britain to form a rough cost picture.
Usual prices in Britain
Private and online clinic charges vary with brand, pack size and whether a consultation fee applies. Approximate UK retail ranges (GBP):
- Dapoxetine 30 mg: about GBP 20 to 30 for 3 tablets; GBP 35 to 55 for 6 tablets; GBP 65 to 95 for 12 tablets.
- 60 mg dapoxetine tablet: about GBP 25 to 40 for 3 tablets; GBP 45 to 70 for 6 tablets; GBP 80 to 120 for 12 tablets.
- Topical anaesthetic sprays or creams: roughly GBP 8 to 30 per pack depending on brand and pack size.
- Off-label SSRIs (generic): monthly costs on private prescription vary; NHS prescriptions may be cheaper for eligible patients.
Notes on cost and supply:
- Many PE treatments are provided privately rather than routinely via the NHS; check local NHS practice and eligibility.
- Private clinic consultation and prescribing fees will add to the medication cost.
- Purchasing from UK-registered prescribers and pharmacies reduces safety and legal risks compared with importing from overseas suppliers.
Guidance regarding UK law and regulation
- Prescription status: dapoxetine (for example Priligy) is prescription-only in the UK. A valid prescription is required for lawful supply.
- Where to obtain: dispensed by community pharmacies or registered online drug selling points. Legitimate online sellers should display their General Pharmaceutical Council (GPhC) registration.
- Remote prescribing: UK prescribers who assess patients remotely must be registered with the relevant professional body such as the General Medical Council (GMC) and follow MHRA and GPhC standards.
- Import rules: importing medicines can present legal and safety risks. Personal importation is tightly regulated and subject to HMRC and MHRA rules; using UK-licensed supply routes is generally safer.
- Advertising: prescription-only medicines must not be promoted to the public in the UK; public-facing information should be factual and non-promotional.
- Age guidance: licensed for adult men; not recommended for those under 18.
Always ensure any online pharmacy or clinic is UK registered and confirm the results professional registration details before sharing personal data or payment informational content.
Use the MHRA Yellow Card to report long term effects.
If you suspect an adverse reaction to dapoxetine or any other medicine, report it to the Medicines and Healthcare products Regulatory Agency via the Yellow Card scheme. Reports can be submitted online at the Yellow Card website or by using the Yellow Card mobile app. Reporting supports ongoing safety health monitoring in the UK.
Rapid FAQ Section
- How fast does dapoxetine work? Many men notice an effect from the first dose when taken 1 to 3 hours before sex; a fuller assessment is made after several uses.
- Can it be combined with ED medicines? It may be used with PDE5 inhibitors under medical supervision due to potential additive blood pressure effects; consult your prescriber first.
- Are higher strengths available? In UK practice only 30 mg and 60 mg tablets are used; higher strengths are not recommended.
- Will it cure premature ejaculation? Dapoxetine treats symptoms while taken. Combining pharmacological treatment with behavioural therapy may provide more sustained improvements for some men.
Clinical alerts and reminders
Always give a full medical history to your prescriber, including liver or kidney disease, history of seizures, blood disorders, glaucoma or previous episodes of prolonged erection. If you experience new or worsening symptoms on treatment, contact your healthcare provider promptly. For reporting any suspected adverse reactions, use the MHRA Yellow Card scheme referenced above.
For quick navigation return to the a lay of the land for the highest pointic or examine legality guidance if you are considering an online supplier.
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