Sildenafil and Dapoxetine combination tablets have become a trusted treatment option for men dealing with both erectile dysfunction (ED) and premature ejaculation (PE). This dual-action therapy not only helps you achieve a firm erection but also allows you to maintain control over ejaculation, improving overall sexual performance and satisfaction.
Below, you’ll find detailed information on how Sildenafil + Dapoxetine combination works, who can take it, common and rare side effects, precautions, and frequently asked questions.
What Is Sildenafil + Dapoxetine?
This combination medicine contains:
Sildenafil citrate:
It is a phosphodiesterase type-5 (PDE5) inhibitor that improves blood flow to the penis during sexual arousal.
Dapoxetine hydrochloride:
It is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain to delay ejaculation.
By targeting two aspects of sexual function in one tablet, this combination is often preferred over taking two separate medications.
Key Benefits
- Achieve and maintain a strong erection during sexual activity
- Improve control over ejaculation and prolong intercourse
- Enhance confidence and satisfaction for both partners
- Simplify treatment by combining two actions in a single dose
Common Medicines and Brands
Some popular brands containing Sildenafil + Dapoxetine include:
- Super P Force contains Sildenafil 100 mg combined with Dapoxetine 60 mg.
- Extra Super P Force
- Poxet 60 + Sildenafil
- Manforce Staylong
- Duratia Plus
- Double Power Tablets
These medicines require a doctor’s prescription and should only be used under medical guidance.
How It Works
1. Sildenafil Action (Erectile Dysfunction)
- Relaxes smooth muscles and widens blood vessels in the penis.
- Increases blood flow when sexually stimulated.
- Helps achieve and sustain erection.
2. Dapoxetine Action (Premature Ejaculation)
- Delays the ejaculation reflex.
- It works by increasing serotonin activity in specific parts of the brain.
- Improves control over the timing of ejaculation.
This dual mechanism ensures better performance and extended duration of intercourse.
Uses and Indications
Doctors may prescribe Sildenafil + Dapoxetine for:
Erectile Dysfunction (ED)
Difficulty achieving or maintaining erection sufficient for sexual activity.
Premature Ejaculation (PE)
Ejaculation that always or nearly always occurs within 1-2 minutes of penetration.
Combined Sexual Performance Issues
Men who struggle with both ED and PE simultaneously.
How to Take Sildenafil + Dapoxetine
Timing
Take 1 tablet 1 to 3 hours before planned sexual activity.
Administration
- Swallow whole with water.
- Do not split, crush, or chew.
- Avoid high-fat meals before dosing, as they can reduce effectiveness.
Frequency
- Not for daily use.
- Do not exceed one dose within a 24-hour period.
Missed Dose
-
Since this medication is taken when needed, missing a dose is not typically a concern.
Overdose
- Taking more than recommended increases the risk of severe side effects.
- Seek emergency medical help if overdose occurs.
Recommended Dosage
Adults (18–65 years)
- Sildenafil: 50–100 mg per tablet
- Dapoxetine: 30–60 mg per tablet
- The doctor may adjust your dose based on tolerability and effectiveness.
Older Adults (>65 years)
- Lower starting doses may be recommended due to increased sensitivity.
Side Effects
Common Side Effects (Mild to Moderate):
- Headache
- Dizziness
- Nausea
- Diarrhoea
- Heartburn
- Nasal congestion
- Facial flushing
- Mild vision disturbances (blue tinge)
Less Common but Serious Side Effects:
- Chest pain or pressure
- Sudden vision loss
- Sudden hearing loss
- Fainting
- Severe dizziness
- Seek immediate medical help if you experience a prolonged erection lasting over 4 hours (priapism).
Note: Seek immediate medical help if you experience severe or worrying symptoms.
Who Should Not Take This Medicine?
Contraindications include:
- Known allergy to Sildenafil or Dapoxetine
- Severe heart problems (recent heart attack, unstable angina)
- Uncontrolled high or low blood pressure
- History of stroke
- Severe liver or kidney impairment
- Retinitis pigmentosa (rare genetic eye disease)
- Severe depression or mental health conditions without medical supervision
- Use of nitrates for chest pain
- Concurrent use of other PDE5 inhibitors
Interactions with Other Medicines
Avoid using with:
- Nitrates (e.g., nitroglycerin, isosorbide)
- Certain antidepressants (MAO inhibitors, SSRIs, SNRIs)
- Strong CYP3A4 inhibitors (ketoconazole, ritonavir)
- Alpha-blockers (for prostate enlargement)
- Alcohol and recreational drugs containing nitrates (“poppers”)
Note: Always tell your doctor about all medications you are taking.
Precautions Before Use
- Avoid alcohol, may increase dizziness and lower blood pressure.
- Avoid driving or operating heavy machinery until you understand how this medication affects you.
- Inform your doctor if you have ever had heart disease, liver or kidney issues, eye problems, or mental health disorders.
- Not intended for women, pregnant women, or breastfeeding mothers.
- Use cautiously if you are older or in a weakened state.
Special Lifestyle Recommendations
- Avoid alcohol before taking the tablet.
- Limit high-fat meals near dosing time.
- Stay hydrated.
- Engage in open communication with your partner.
- Use condoms if recommended, some men have delayed sensation that requires extra precaution.
Frequently Asked Questions (FAQs)
Q1. Can I take Sildenafil + Dapoxetine daily?
A: No. This medicine is used as needed and should not be taken daily.
Q2. How long does the effect last?
A: Sildenafil effects last about 4–6 hours. Dapoxetine may delay ejaculation during intercourse for several hours after dosing.
Q3. Will this medicine cure my condition permanently?
A: No. It helps manage symptoms during use but does not cure ED or PE permanently.
Q4. Can I take it with food?
A: Yes, but avoid heavy or high-fat meals to prevent reduced absorption.
Q5. Is it addictive?
A: No, there is no evidence that it causes addiction or dependence.
When to See a Doctor
- If you experience chest pain, severe dizziness, fainting, or vision/hearing changes.
- if erection persists beyond 4 hours.
- If you feel severely depressed or anxious after taking it.
Summary
Sildenafil + Dapoxetine combination tablets provide a safe and effective solution for men struggling with both erectile dysfunction and premature ejaculation. When used correctly under medical supervision, they can significantly improve sexual performance, intimacy, and self-confidence.
Remember to follow your doctor’s advice carefully, avoid alcohol and contraindicated medicines, and never exceed the recommended dose.