What is Dapoxetine 60mg Dapotime® | Generic Priligy
Dapotime tablets are used to treat premature ejaculation (PE), which is one of the most common causes of sexual dysfunction in men. It is defined as early ejaculation with minimal sexual stimulation before or soon after penetration and can cause distress and problems with relationships. Dapotime is used to improve control over ejaculation and increase the time interval before ejaculation occurs during intercourse, for men with persistent or recurrent PE.
Dapoxetine, marketed as Priligy and Westoxetin among others, is a medication used for the treatment of premature ejaculation (PE) in men 18–64 years old. Dapoxetine works by inhibiting the serotonin transporter, increasing serotonin’s action at the postsynaptic cleft, and as a consequence promoting ejaculatory delay. As a member of the selective serotonin reuptake inhibitor (SSRI) family, dapoxetine was initially created as an antidepressant. However, unlike other SSRIs, dapoxetine is absorbed and eliminated rapidly in the body. Its fast-acting property makes it suitable for the treatment of PE but not as an antidepressant.
Originally created by Eli Lilly pharmaceutical company, dapoxetine was sold to Johnson & Johnson in 2003 and submitted as a New Drug Application to the Food and Drug Administration (FDA) for the treatment of PE in 2004. Dapoxetine is sold in several European and Asian countries, and in Mexico. In the US, dapoxetine has been in phase III development since 2003. However, it is expected to be marketed soon. In 2012, Menarini acquired the rights to commercialize Dapoxetine in Europe, most of Asia, Africa, Latin America, and the Middle East.
Premature ejaculation is defined as ejaculating with minimal sexual stimulation before, or soon after penetration, and can cause distress, and problems with relationships. It is one of the most common causes of sexual dysfunction in men. Dapotime is effective at increasing the time it takes before ejaculation occurs along with improving control over ejaculation.
Brand name: Prejac, Priligy
Randomized, double-blind, placebo-controlled trials have confirmed the efficacy of dapoxetine for the treatment of PE. The different dosage has different impacts on different types of PE. Dapoxetine 60 mg significantly improves the mean intravaginal ejaculation latency time (IELT) compared to that of dapoxetine 30 mg in men with lifelong PE, but there is no difference in men with acquired PE.
Dapoxetine, given 1–3 hours before sexual episode, prolongs IELT and increases the sense of control and sexual satisfaction in men of 18 to 64 years of age with PE. Since PE is associated with personal distress and interrelationship difficulty, dapoxetine provides help for men with PE to overcome this condition. With no drug approved specifically for treatment for PE in the US and some other countries, other SSRIs such as fluoxetine, paroxetine, sertraline, fluvoxamine, and citalopram have been used off-label to treat PE.
Waldinger’s meta-analysis shows that the use of these conventional antidepressants increases IELT two- to nine-fold above baseline, compared to three- to eight-fold when dapoxetine is used. However, these SSRIs may need to be taken daily in order to achieve meaningful efficacy, and their comparatively longer half-lives increase the risk of drug accumulation and a corresponding increase of adverse effects such as reduced libido. Dapoxetine, on the other hand, is generally categorized as a fast-acting SSRI. It is more rapidly absorbed and mostly eliminated from the body within a few hours. These pharmacokinetics are more favorable in that they might minimize drug accumulation in the body, habituation, and side effects.
How does Dapoxetine 60mg Dapotime® | Generic Priligy work
Dapotime tablets contain dapoxetine 60mg, a selective serotonin reuptake inhibitor (SSRI) that is used specifically for premature ejaculation (PE), as it has a rapid onset of action, with maximum effect within 1-2 hours and a short half-life, which means that it is rapidly eliminated from the body within 24 hours. Ejaculation is a reflex that is mediated by the sympathetic nervous system.
When sexual stimulation has reached a certain threshold, sensory nerve cells in the spinal cord are activated and nerve impulses are sent to the brain, which then sends messages back to motor neurons controlling the muscles in the penis that contract to effect ejaculation. The ejaculation reflex is thought to be mediated by serotonin, a specific brain chemical or neurotransmitter that is involved is transmitting nerve signals, which enables brain cells to communicate.
Low levels of serotonin in certain areas of the brain are thought to be responsible for causing PE. Dapoxetine in Dapotime blocks the reuptake of serotonin from the synapse, which is the gap between nerve cells across which chemical messages are sent from one nerve cell to another. If the reuptake of serotonin by the first nerve cell (pre-synaptic) is blocked, this means that there is more serotonin remaining for the receiving nerve cell (post-synaptic), which allows nerve cells to communicate with each other for longer. This action of dapoxetine in Dapotime 60 helps prolong the ability to maintain sexual activity without premature ejaculation and maintain control over ejaculation for longer. Dapoxetine in Dapotime helps improve control over ejaculation and increase the time interval before ejaculation occurs during intercourse, for men with persistent or recurrent PE.
What are the side effects of Dapoxetine 60mg Dapotime® Priligy Alternative
The most commonly reported side effects when taking Dapotime tablets include, headache, gastrointestinal upset (nausea, diarrhea, dry mouth, abdominal discomfort), dizziness, drowsiness, tremor, difficulty sleeping, increased blood pressure, erectile dysfunction, reduced libido.
When should Dapoxetine 60mg Dapotime® not be used?
You should not use Dapotime-60 tablets if you: are allergic to dapoxetine or any ingredients in Dapotime, have severe liver or kidney disease, have a heart condition or heart failure, have a bleeding disorder, have a history of orthostatic hypotension (dizziness when standing up), without discussion with your doctor, have depression, bipolar disorder, unstable epilepsy or schizophrenia, are taking any monoamine oxidase inhibitor medications as these can cause serious reactions if taken with Dapotime or within 14 days, are taking medicines that interact with Dapotime, including thioridazine for schizophrenia, monoamine oxidase inhibitors (MAOIs) for depression, migraine medicines like sumatriptan, the analgesic tramadol, SSRI antidepressants like paroxetine or citalopram, SNRI antidepressants like venlafaxine, lithium for mood disorders, calcium channel blockers like diltiazem for hypertension, the anticoagulant warfarin, HIV treatments like ritonavir and atazanavir, antifungals like ketoconazole, antibiotics like erythromycin, NSAIDs like aspirin or ibuprofen, herbal remedies containing St. John´s Wort
What medications interact with Dapoxetine 60mg Dapotime ®?
Several medications interact with Dapotime tablets and should either not be taken while you are taking Dapotime 60mg or only after discussion and instruction from your doctor:
- Drugs that cause a serious reaction with Dapotime: monoamine oxidase inhibitors for depression, thioridazine for schizophrenia, the anticoagulant warfarin increases risk of bleeding, NSAIDs like aspirin or ibuprofen St. John´s Wort, migraine medicines like sumatriptan, the analgesic tramadol, SSRI antidepressants like paroxetine or citalopram, SNRI antidepressants like venlafaxine, lithium for mood disorders.
- Drugs that affect Dapotime: thioridazine for schizophrenia, antifungals like ketoconazole, antibiotics like erythromycin, HIV treatments like ritonavir and atazanavir, calcium channel blockers like diltiazem for hypertension.
How should Dapoxetine 60mg Dapotime be taken?
You should take your Dapotime tablets swallowed whole with a glass of water with or without food. You should take your Dapotime 1-3 hours before planned sexual activity. You should not take more than one tablet of Dapotime Dapoxetine 60 in 24 hours and avoid alcohol.