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Poxet

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Poxet (dapoxetine) is a potent selective serotonin reuptake inhibitor (SSRI) specifically designed to treat premature ejaculation in adult men. It works by increasing serotonin activity in the nervous system, helping to improve control over climax and extending the duration of physical intimacy.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Dapoxetine
Reference Brand
Priligy
Manufacturer
Sunrise Remedies
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Sexual Health
Product Category
Other Urologicals, Drugs used in erectile dysfunction
Pharmacological Class
Selective Serotonin Reuptake Inhibitor (SSRI)
Clinical Indications
Manufacturer Description
A treatment specifically designed to help men manage premature ejaculation.
Mechanism of Action
It works by increasing the levels of serotonin in the nervous system. This delay in serotonin reuptake increases the time it takes to ejaculate and improves control over ejaculation.
Route of Administration
Oral
Onset Time
1-3 hours before activity
Duration
Up to 24 hours
Contraindications
Heart failure, Severe liver disease, Use of MAOIs, Heart rhythm problems
Severe Adverse Events
Fainting, Seizures, Mood changes, Serotonin syndrome
Common Side Effects
Dizziness, Headache, Nausea
Uncommon Side Effects
Insomnia, Fatigue, Increased sweating
Drug Interactions
Tramadol, St John's Wort, Antidepressants, Ketoconazole
Pregnancy Safety Warnings
Not applicable to women.
Age Restrictions
Men aged 18 to 64
Storage Guidelines
Store at room temperature in a dry place.
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Poxet FAQ

Can Poxet be taken with food?

Yes, Poxet can be taken with or without food, but a high-fat meal may delay its absorption and reduce the on-demand effect. Taking the tablet with a light snack is generally acceptable.

Only one tablet should be taken within a 24-hour period. A second dose before the interval elapses is not recommended and may increase side-effect risk.

How does dapoxetine differ from other SSRIs used for depression?

Dapoxetine has a rapid onset and a short half-life, making it suitable for on-demand use in premature ejaculation, whereas most antidepressant SSRIs have longer half-lives and are intended for daily dosing.

Is a prescription required for Poxet in the UK?

Yes, Poxet is classified as prescription-only medicine (POM) and must be prescribed by a qualified prescriber.

What should I do if I experience severe dizziness after taking Poxet?

Sit or lie down immediately, avoid driving or operating machinery, and contact your healthcare provider if the dizziness persists or is accompanied by other concerning symptoms.

Can I use Poxet if I am currently taking an antidepressant?

Concurrent use with other serotonergic antidepressants (e.g., fluoxetine, sertraline) increases the risk of serotonin syndrome and is generally contraindicated. Discuss alternative options with your prescriber.

Does alcohol consumption affect the efficacy of Poxet?

Alcohol does not directly interfere with dapoxetine’s mechanism, but excessive drinking can worsen dizziness or other side effects and may reduce sexual performance, indirectly affecting efficacy.

Are there specific storage conditions for Poxet tablets?

Store the tablets at room temperature, protected from moisture and light. Do not refrigerate unless instructed on the label.

Is Poxet suitable for men over 65 years old?

Age alone is not a contraindication, but older adults may be more sensitive to side effects such as dizziness or hypotension. Dose selection should be individualized.

When traveling abroad, carry the original prescription label, keep the medication in its original packaging, and be aware of the destination country’s regulations regarding prescription drugs. In the UK, a valid prescription is required to obtain Poxet from a pharmacy.

Poxet: Dapoxetine Overview

Poxet contains dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of premature ejaculation (PE) in adult males. It is supplied as oral tablets in strengths of 30 mg, 60 mg, and 90 mg. In the United Kingdom, Poxet is a prescription-only medicine regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Dapoxetine Works in the Body

Dapoxetine increases the concentration of serotonin in the synaptic cleft by inhibiting its reuptake into presynaptic nerve terminals. The heightened serotonergic activity prolongs the latency to ejaculation by modulating sensory input from the genital tract and central pathways involved in ejaculatory control. Because dapoxetine has a rapid onset of action (peak plasma concentrations within 1-2 hours) and a short elimination half-life (approximately 1.5 hours), its effects are confined to the period surrounding sexual activity, allowing on-demand use rather than daily dosing.

Conditions Treated by Poxet

The MHRA has approved Poxet for the on-demand treatment of premature ejaculation in men aged 18 years and older. Premature ejaculation is defined as ejaculation that occurs within one minute of vaginal penetration (lifelong) or a clinically significant reduction in latency time after a previously adequate period (acquired). Dapoxetine is intended for use in men who have a persistent or recurrent pattern of PE that causes personal distress or interpersonal difficulty.

Who Should Not Use Poxet?

Absolute Contraindications

  • Known hypersensitivity to dapoxetine or any tablet excipient
  • Concomitant use of monoamine oxidase inhibitors (MAOIs) or other SSRIs (risk of serotonin syndrome)
  • Severe hepatic impairment (Child-Pugh class C)

Relative Contraindications

  • Moderate hepatic dysfunction (Child-Pugh class B) - dose adjustment may be required
  • Severe renal impairment (creatinine clearance < 30 mL/min) - limited data, use with caution
  • History of cardiac arrhythmia, especially prolonged QT interval
  • Current major depressive episode or other psychiatric conditions requiring antidepressant therapy

Special Populations

  • Pregnancy & lactation: Not recommended; dapoxetine is excreted in breast milk and its safety has not been established.
  • Elderly: No specific age limit, but be vigilant for increased sensitivity to side effects.

Patients with any of the above conditions should discuss alternative management strategies with their healthcare provider.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Nausea (commonly reported)
  • Dizziness or light-headedness
  • Headache
  • Diarrhoea or abdominal discomfort
  • Dry mouth

These effects are usually mild, transient, and resolve without medical intervention. Taking the tablet with food may reduce gastrointestinal upset.

Serious Adverse Events

  • Syncope or severe hypotension
  • Cardiac arrhythmias, including QTc prolongation (rare)
  • Mood changes such as anxiety, agitation, or depressive symptoms
  • Serotonin syndrome when combined with other serotonergic agents (characterised by hyperthermia, tremor, hyperreflexia)

Any sudden or severe symptom warrants immediate medical assessment.

Drug Interactions

  • Major: Concurrent MAOIs (e.g., phenelzine, tranylcypromine) - contraindicated; other SSRIs, SNRIs, or serotonergic agents increase risk of serotonin syndrome.
  • Moderate: CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) can raise dapoxetine plasma levels; dosage may need adjustment.
  • Minor: Antihypertensives may have additive hypotensive effects when combined with dapoxetine-induced vasodilation.

Patients should provide a full medication list, including over-the-counter products and herbal supplements, before initiating Poxet.

Food and Lifestyle Interactions

  • High-fat meals can delay dapoxetine absorption, reducing its on-demand efficacy.
  • Alcohol does not directly interact with dapoxetine but excessive intake may worsen dizziness or sexual performance concerns.
  • No known impairment of driving or machinery, though individuals experiencing dizziness should exercise caution.

How to Take Poxet

  • Timing: Take one tablet 1-3 hours before anticipated sexual activity.
  • Dosage Options: Available strengths are 30 mg, 60 mg, and 90 mg. Initiation generally begins with 30 mg; if tolerability is adequate, the dose may be increased to 60 mg. The 90 mg strength is reserved for patients who have demonstrated tolerance to the 60 mg dose.
  • Frequency: Do not exceed one dose per 24 hours. Repeated dosing within a short interval is unnecessary and may increase adverse effects.
  • Administration: Swallow the tablet whole with a glass of water. Do not split, crush, or chew the tablet.
  • Missed Dose: If a dose is forgotten and the scheduled activity window has passed, do not take an additional tablet. Resume the next dose as planned.
  • Overdose: Symptoms may include severe nausea, vomiting, dizziness, and cardiac arrhythmia. Seek emergency medical care; supportive measures and gastric decontamination are the primary treatments.
  • Discontinuation: No tapering is required for on-demand use. If switching to daily antidepressant therapy, a wash-out period of at least 14 days is advised to avoid serotonin syndrome.

Monitoring and Follow-Up

Routine laboratory monitoring is not required for most patients using on-demand dapoxetine. However, clinicians may consider:

  • Baseline ECG in patients with known cardiac disease or risk factors for QT prolongation.
  • Liver function tests in individuals with existing hepatic impairment or those taking CYP2D6 inhibitors.

Patients should report any persistent dizziness, syncope, or mood alterations promptly.

Storage and Handling

  • Store tablets at a controlled room temperature (15 °C-30 °C) away from moisture and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the package.
  • Unused tablets should be disposed of according to local pharmacy take-back schemes or the instructions on the patient information leaflet.

Medication-Specific Glossary

Selective Serotonin Reuptake Inhibitor (SSRI)
A class of drugs that block the reabsorption of serotonin into neurons, increasing its availability in the brain.
On-Demand Dosing
Administration of a medication shortly before the intended activity, rather than on a fixed daily schedule.
QTc Prolongation
An extension of the corrected QT interval on an ECG, indicating a higher risk for certain types of cardiac arrhythmia.
Therapeutic Window
The dosage range that provides clinical efficacy without unacceptable side effects.

Medical Disclaimer

This article provides educational information about Poxet and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Poxet is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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