Sildenafil / Tadalafil / Vardenafil + Dapoxetine

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Sildenafil citrate/Tadalafil/Vardenafil citrate + Dapoxetine is a combination of two medicines: Sildenafil citrate/Tadalafil/Vardenfil Citrate and Dapoxetine, which treats male erectile dysfunction and premature ejaculation. The three medicines – Sildenafil citrate, Tadalafil and Vardenfil citrate are alternatives for each other, and any of the three can be used in combination with Dapoxetine.

 When is it used?

You can buy Sildenafil citrate, tadalafil, vardenafil citrate and dapoxetine online in the USA when prescribed as a combination.

This combination is used in the treatment of erectile dysfunction and premature ejaculation.

What are the major Side Effects?

  • A headache, dizziness;
  • Nasal congestion;
  • Nausea, diarrhea. 

What is the usual dosage?

For most of the patients, the recommended dose is 50 mg, as needed, about 1 hour before sexual activity. Still, it can also be taken anywhere from 4 hours to 0.5 hour before sexual activity. Depending on certain factors, the dose may be increased to a maximum dose of 100 mg or decreased to 25 mg. The maximum dosing frequency is once per day.

Missed If you buy Sildenafil citrate, tadalafil, vardenafil citrate and dapoxetine online in the USA and miss a dose upon consumption, it won't harm unless you want to indulge in sexual activity.

Overdose Seek emergency medical attention in the case of an overdose.

How Does it Work?

This medicine is a phosphodiesterase type 5 (PDE 5) inhibitor, that works by increasing blood flow to the penis during sexual stimulation and enables its erection succeeding sexual arousal. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) and increases the level of serotonin in nerves to improve control over ejaculation and increase the time taken to ejaculate.

Warnings and Precautions  

  • Take it 1 to 3 hours before anticipated sexual activity.
  • Do not take it more than once every 24 hours or every day.
  • Do not drive or do anything requiring concentration until you know how the combination affects you when you buy Sildenafil/Tadalafil/Vardenafil + Dapoxetine online in the USA.
  • It may cause a sudden drop in your blood pressure. Get up slowly if you have been lying down or sitting.
  • Inform your doctor if the erection persists for more than 4 hours after sexual intercourse.
  • Do not take Sildenafil/Tadalafil/Vardenafil + Dapoxetine if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.


There have been found no clinically important pharmacokinetic interactions with the combination of tadalafil/sildenafil/Vardenafil + Dapoxetine, and the combinations are well tolerated.

Frequently Asked Questions:

Q. Can I drive while I am taking Sildenafil+Dapoxetine?

No, you must avoid driving after taking it after you buy Sildenafil citrate, tadalafil, vardenafil citrate and dapoxetine online in the USA  as it may make you feel sleepy and dizzy. So, do not drive or use machines while taking this medicine.

Q. What are the precautions that need to be taken while taking Sildenafil/Tadalafil/Vardenafil + Dapoxetine?

Before you start taking Sildenafil+Dapoxetine tell your doctor if you have or have had heart problems, such as a heart attack, irregular heartbeat, angina, chest pain. Inform your doctor if you have undergone a heart surgery within the past 6 months or if you have uncontrolled low or high blood pressure.

Q. Can the use of this combination cause dryness in the mouth?

Yes, after you buy  Sildenafil/Tadalafil/Vardenafil+Dapoxetine online, it’s use can cause dry mouth. If your mouth becomes dry, drink plenty of water. Have regular sips during the day and remember to keep some water next to your bed at night. You can also use lip balm if your lips feel dry.

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