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Interactions with common anaesthetic agents

Dapoxetin > dapoxetine 5mg


Our study shows that DH and PLGA contribute to premature ejaculation in normal and diabetic animals. This will affect several proteins (serotonin and FOX receptors).

Question Answer Additional Notes
Is dapoxetine safe for long-term use? Generally safe under medical supervision Long-term effects still under study
Can women take dapoxetine? No, it is not indicated for women Designed specifically for men
What should I do if I miss a dose? Usually, skip and resume normal schedule Do not double dose

Pharmacokinetic analysis study will be performed in both serum and brain for detailed kinetic parameters and bioavailability percentages reach to the brain in future; respective will be estimated in addition to the safety systematic evaluation. All source data for this work (or generated in this study) are available upon reasonable request. Abdelkader D et al (2016) Characterisation and in vitro stability of low-dose, lidocaine-loaded poly (vinyl alcohol)-tetrahydroxyborate hydrogels. Int J Pharm 500(1–2):326–335 Abdelkader D et al (2016) Characterisation and in vitro stability of low-dose, lidocaine-loaded poly (vinyl alcohol)-tetrahydroxyborate hydrogels. J Drug Deliv Sci Technol 43:160–171 Abdelkader DH et al (2018) Effect of process variables on formulation, in-vitro characterisation and subcutaneous delivery of insulin PLGA nanoparticles: an optimisation study. J Drug Deliv Sci Technol 43:160–171 Abdelrahman FE et al (2017) Response surface optimization, ex vivo and in vivo investigation of nasal spanlastics for bioavailability enhancement and brain targeting of risperidone. Int J Pharm 530(1–2):1–11 Abdelrahman FE et al (2017) Response surface optimization, ex vivo and in vivo investigation of nasal spanlastics for bioavailability enhancement and brain targeting of risperidone.

Use Case Description Recommended Dosage Common Side Effects
Premature Ejaculation Used to delay ejaculation in men 30 mg taken 1-3 hours before sex, sometimes 5 mg for maintenance Nausea, dizziness, headache
Erectile Dysfunction Occasionally combined with other therapies Varies per prescription Dizziness, dry mouth
Anxiety-Related Erectile Issues Helps reduce performance anxiety 5 mg before activity Mild nausea, fatigue

Aboelwafa AA, El-Setouhy DA, Elmeshad AN (2010) Comparative study on the effects of some polyoxyethylene alkyl ether and sorbitan fatty acid ester surfactants on the performance of transdermal carvedilol proniosomal gel using experimental design. Abou-Taleb HA et al (2024) In vitro and in vivo evaluation of isoxsuprine loaded invasomes for efficient treatment of diabetes‐accelerated atherosclerosis. J Drug Deliv Sci Technol 96:105686 Abou-Taleb HA et al (2024) In vitro and in vivo evaluation of isoxsuprine loaded invasomes for efficient treatment of diabetes‐accelerated atherosclerosis. J Drug Deliv Sci Technol 96:105686 Ahmed YM et al (2019) Effects of ticagrelor, empagliflozin and tamoxifen against experimentally-induced vascular reactivity defects in rats in vivo and in vitro. Ahmed YM et al (2019) Effects of ticagrelor, empagliflozin and tamoxifen against experimentally-induced vascular reactivity defects in rats in vivo and in vitro. Ahmed YM et al (2022) Sustainable release of propranolol hydrochloride laden with biconjugated-ufasomes chitosan hydrogel attenuates cisplatin-induced sciatic nerve damage in in vitro/in vivo evaluation. Allémann E, Gurny R, Doelker E (1992) Preparation of aqueous polymeric nanodispersions by a reversible salting-out process: influence of process parameters on particle size. Int J Pharm 87(1–3):247–253 Allémann E, Gurny R, Doelker E (1992) Preparation of aqueous polymeric nanodispersions by a reversible salting-out process: influence of process parameters on particle size. Int J Pharm 87(1–3):247–253 Althof SE et al (2014) An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE). J Sex Med 11(6):1392–1422 Althof SE et al (2014) An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE).

Disclosure statement

Allémann E, Gurny R, Doelker E (1992) Preparation of aqueous polymeric nanodispersions by a reversible salting-out process: influence of process parameters on particle size. Int J Pharm 87(1–3):247–253 Allémann E, Gurny R, Doelker E (1992) Preparation of aqueous polymeric nanodispersions by a reversible salting-out process: influence of process parameters on particle size. Int J Pharm 87(1–3):247–253 Althof SE et al (2014) An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE). J Sex Med 11(6):1392–1422 Althof SE et al (2014) An update of the International Society of Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation (PE). Asran AS, Henning S, Michler GH (2010) Polyvinyl alcohol–collagen–hydroxyapatite biocomposite nanofibrous scaffold: mimicking the key features of natural bone at the nanoscale level.

Biosci. Biotechnol. Biochem.

Bacon CG et al (2002) Association of type and duration of diabetes with erectile dysfunction in a large cohort of men. Ballon JS, Feifel D (2006) A systematic review of modafinil: potential clinical uses and mechanisms of action. J Clin Psychiatry 67(4):554–566 Ballon JS, Feifel D (2006) A systematic review of modafinil: potential clinical uses and mechanisms of action. J Clin Psychiatry 67(4):554–566 Bancroft JD, Gamble M (2008) Theory and practice of histological techniques. Bancroft JD, dapoxetine sex Gamble M (2008) Theory and practice of histological techniques.

Neurocognitive safety

Beck-Broichsitter M et al (2010) Preparation of nanoparticles by solvent displacement for drug delivery: a shift in the “ouzo region” upon drug loading. Eur J Pharm Sci 41(2):244–253 Beck-Broichsitter M et al (2010) Preparation of nanoparticles by solvent displacement for drug delivery: a shift in the “ouzo region” upon drug loading. Eur J Pharm Sci 41(2):244–253 Belliveau F, Richter L (1970) Understanding human sexual inadequacy, by Fred Belliveau and Lin Richter. Foreword by William H. Masters and Virginia E. Asran AS, Henning S, Michler GH (2010) Polyvinyl alcohol–collagen–hydroxyapatite biocomposite nanofibrous scaffold: mimicking the key features of natural bone at the nanoscale level.

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Bacon CG et al (2002) Association of type and duration of diabetes with erectile dysfunction in a large cohort of men. Ballon JS, Feifel D (2006) A systematic review of modafinil: potential clinical uses and mechanisms of action. J Clin Psychiatry 67(4):554–566 Ballon JS, Feifel D (2006) A systematic review of modafinil: potential clinical uses and mechanisms of action. J Clin Psychiatry 67(4):554–566 Bancroft JD, Gamble M (2008) Theory and practice of histological techniques.

Bancroft JD, dapoxetine sex Gamble M (2008) Theory and practice of histological techniques. Beck-Broichsitter M et al (2010) Preparation of nanoparticles by solvent displacement for drug delivery: a shift in the “ouzo region” upon drug loading. Eur J Pharm Sci 41(2):244–253 Beck-Broichsitter M et al (2010) Preparation of nanoparticles by solvent displacement for drug delivery: a shift in the “ouzo region” upon drug loading.

Step Action Notes
Consultation Confirm diagnosis with healthcare provider Not for use in women or children
Dose Initiation Begin with 30 mg, adjust to 5 mg or 60 mg as prescribed Follow healthcare guidance
Timing Take 1-3 hours before intended sexual activity Do not take more than once daily

Eur J Pharm Sci 41(2):244–253 Belliveau F, Richter L (1970) Understanding human sexual inadequacy, by Fred Belliveau and Lin Richter.

Optimized DH–PLGA–NP characterization

El-Nabarawi MA et al (2016a) Transbuccal delivery of betahistine dihydrochloride from mucoadhesive tablets with a unidirectional drug flow: in vitro, ex vivo and in vivo evaluation. El-Nabarawi MA et al (2016b) Transbuccal delivery of betahistine dihydrochloride from mucoadhesive tablets with a unidirectional drug flow: in vitro, ex vivo and in vivo evaluation. Feng S-S, Huang G (2001) Effects of emulsifiers on the controlled release of paclitaxel (Taxol®) from nanospheres of biodegradable polymers. J Control Release 71(1):53–69 Feng S-S, Huang G (2001) Effects of emulsifiers on the controlled release of paclitaxel (Taxol®) from nanospheres of biodegradable polymers. Foreword by William H.

Author information

Our study shows that DH and PLGA contribute to premature ejaculation in normal and diabetic animals. This will affect several proteins (serotonin and FOX receptors). Pharmacokinetic analysis study will be performed in both serum and brain for detailed kinetic parameters and bioavailability percentages reach to the brain in future; respective will be estimated in addition to the safety systematic evaluation. All source data for this work (or generated in this study) are available upon reasonable request. Abdelkader D et al (2016) Characterisation and in vitro stability of low-dose, lidocaine-loaded poly (vinyl alcohol)-tetrahydroxyborate hydrogels.

Quality Segment

Int J Pharm 500(1–2):326–335 Abdelkader D et al (2016) Characterisation and in vitro stability of low-dose, lidocaine-loaded poly (vinyl alcohol)-tetrahydroxyborate hydrogels. J Drug Deliv Sci Technol 43:160–171 Abdelkader DH et al (2018) Effect of process variables on formulation, in-vitro characterisation and subcutaneous delivery of insulin PLGA nanoparticles: an optimisation study. J Drug Deliv Sci Technol 43:160–171 Abdelrahman FE et al (2017) Response surface optimization, ex vivo and in vivo investigation of nasal spanlastics for bioavailability enhancement and brain targeting of risperidone. Int J Pharm 530(1–2):1–11 Abdelrahman FE et al (2017) Response surface optimization, ex vivo and in vivo investigation of nasal spanlastics for bioavailability enhancement and brain targeting of risperidone. Aboelwafa AA, El-Setouhy DA, Elmeshad AN (2010) Comparative study on the effects of some polyoxyethylene alkyl ether and sorbitan fatty acid ester surfactants on the performance of transdermal carvedilol proniosomal gel using experimental design.

Limitations and future respective

Abou-Taleb HA et al (2024) In vitro and in vivo evaluation of isoxsuprine loaded invasomes for efficient treatment of diabetes‐accelerated atherosclerosis. J Drug Deliv Sci Technol 96:105686 Abou-Taleb HA et al (2024) In vitro and in vivo evaluation of isoxsuprine loaded invasomes for efficient treatment of diabetes‐accelerated atherosclerosis. J Drug Deliv Sci Technol 96:105686 Ahmed YM et al (2019) Effects of ticagrelor, empagliflozin and tamoxifen against experimentally-induced vascular reactivity defects in rats in vivo and in vitro. Ahmed YM et al (2019) Effects of ticagrelor, empagliflozin and tamoxifen against experimentally-induced vascular reactivity defects in rats in vivo and in vitro. Ahmed YM et al (2022) Sustainable release of propranolol hydrochloride laden with biconjugated-ufasomes chitosan hydrogel attenuates cisplatin-induced sciatic nerve damage in in vitro/in vivo evaluation. Masters and Virginia E. Johnson. Belliveau F, Richter L (1970) Understanding human sexual inadequacy, by Fred Belliveau and Lin Richter. Blanco R et al (1990) Dysfunctional penile cholinergic nerves in diabetic impotent men. Borgia SL et al (2005) Lipid nanoparticles for skin penetration enhancement—correlation to drug localization within the particle matrix as determined by fluorescence and parelectric spectroscopy. J Control Release 110(1):151–163 Borgia SL et al (2005) Lipid nanoparticles for skin penetration enhancement—correlation to drug localization within the particle matrix as determined by fluorescence and parelectric spectroscopy.

J Control Release 110(1):151–163 Busato W, Galindo C (2004) Topical anaesthetic use for treating premature ejaculation: a double-blind, randomized, placebo-controlled study. Busato W, Galindo C (2004) Topical anaesthetic use for treating premature ejaculation: a double-blind, randomized, placebo-controlled study. Callens C et al (2003) Rheological study on mucoadhesivity of some nasal powder formulations. Eur J Pharm Biopharm 55(3):323–328 Callens C et al (2003) Rheological study on mucoadhesivity of some nasal powder formulations. Eur J Pharm Biopharm 55(3):323–328 Carani C et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo-and hyperthyroid patients. J Clin Endocrinol Metab 90(12):6472–6479 Carani C et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo-and hyperthyroid patients.

The clinical studies and between dapoxetine and placebo

Clark JT, Stanford University Department of Physiology (1983) Monoaminergic modulation of copulation in male rats Clark JT, Stanford University Department of Physiology (1983) Monoaminergic modulation of copulation in male rats Coolen LM (2005) Neural control of ejaculation. J Comp Neurol 493(1):39–45 Coolen LM (2005) Neural control of ejaculation. J Comp Neurol 493(1):39–45 Crotts G, Park tadalafil dapoxetine TG (1995) Preparation of porous and nonporous biodegradable polymeric hollow microspheres. J Control Release 35(2–3):91–105 Crotts G, Park TG (1995) Preparation of porous and nonporous biodegradable polymeric hollow microspheres. J Control Release 35(2–3):91–105 Crowe TP et al (2018) Mechanism of intranasal drug delivery directly to the brain.

Molecular docking simulation

Crowe TP et al (2018) Mechanism of intranasal drug delivery directly to the brain. Cui F et al (2005) Preparation and characterization of melittin-loaded poly (DL-lactic acid) or poly (DL-lactic-co-glycolic acid) microspheres made by the double emulsion method. J Control Release 107(2):310–319 Cui F et al (2005) Preparation and characterization of melittin-loaded poly (DL-lactic acid) or poly (DL-lactic-co-glycolic acid) microspheres made by the double emulsion method. J Control Release 107(2):310–319 De Jong T et al (2005) Effects of chronic paroxetine pretreatment on (±)-8-hydroxy-2-(di-n-propyl-amino) tetralin induced c-fos expression following sexual behavior. De Jong T et al (2005) Effects of chronic paroxetine pretreatment on (±)-8-hydroxy-2-(di-n-propyl-amino) tetralin induced c-fos expression following sexual behavior. J Clin Endocrinol Metab 90(12):6472–6479 Cheng Y-H et al (2002) Development of a novel nasal nicotine formulation comprising an optimal pulsatile and sustained plasma nicotine profile for smoking cessation. J Control Release 79(1–3):243–254 Cheng Y-H et al (2002) Development of a novel nasal nicotine formulation comprising an optimal pulsatile and sustained plasma nicotine profile for smoking cessation. J Control Release 79(1–3):243–254 Cho HJ, Park JW, Yoon IS, Kim DD (2014) Surface-modified solid lipid nanoparticles for oral delivery of docetaxel: enhanced intestinal absorption and lymphatic uptake. Cho HJ, Park JW, Yoon IS, Kim DD (2014) Surface-modified solid lipid nanoparticles for oral delivery of docetaxel: enhanced intestinal absorption and lymphatic uptake. Clark JT, Stanford University Department of Physiology (1983) Monoaminergic modulation of copulation in male rats Clark JT, Stanford University Department of Physiology (1983) Monoaminergic modulation of copulation in male rats Coolen LM (2005) Neural control of ejaculation.

Transparency document

de Jong TR et al (2006) Serotonin and the neurobiology of the ejaculatory threshold. Neurosci Biobehav Rev 30(7):893–907 de Jong TR et al (2006) Serotonin and the neurobiology of the ejaculatory threshold. Neurosci Biobehav Rev 30(7):893–907 Dinsmore WW, Wyllie MG (2009) PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation: results of a phase III, multicentre, double-blind, placebo-controlled study. Dinsmore WW, Wyllie MG (2009) PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation: results of a phase III, multicentre, double-blind, placebo-controlled study. El Menshawe SF et al (2019) Transdermal delivery of fluvastatin sodium via tailored spanlastic nanovesicles: mitigated Freund’s adjuvant-induced rheumatoid arthritis in rats through suppressing p38 MAPK signaling pathway. J Comp Neurol 493(1):39–45 Coolen LM (2005) Neural control of ejaculation. J Comp Neurol 493(1):39–45 Crotts G, Park tadalafil dapoxetine TG (1995) Preparation of porous and nonporous biodegradable polymeric hollow microspheres. J Control Release 35(2–3):91–105 Crotts G, Park TG (1995) Preparation of porous and nonporous biodegradable polymeric hollow microspheres. J Control Release 35(2–3):91–105 Crowe TP et al (2018) Mechanism of intranasal drug delivery directly to the brain.

Crowe TP et al (2018) Mechanism of intranasal drug delivery directly to the brain. Cui F et al (2005) Preparation and characterization of melittin-loaded poly (DL-lactic acid) or poly (DL-lactic-co-glycolic acid) microspheres made by the double emulsion method. J Control Release 107(2):310–319 Cui F et al (2005) Preparation and characterization of melittin-loaded poly (DL-lactic acid) or poly (DL-lactic-co-glycolic acid) microspheres made by the double emulsion method. J Control Release 107(2):310–319 De Jong T et al (2005) Effects of chronic paroxetine pretreatment on (±)-8-hydroxy-2-(di-n-propyl-amino) tetralin induced c-fos expression following sexual behavior.

De Jong T et al (2005) Effects of chronic paroxetine pretreatment on (±)-8-hydroxy-2-(di-n-propyl-amino) tetralin induced c-fos expression following sexual behavior. de Jong TR et al (2006) Serotonin and the neurobiology of the ejaculatory threshold. Neurosci Biobehav Rev 30(7):893–907 de Jong TR et al (2006) Serotonin and the neurobiology of the ejaculatory threshold. Neurosci Biobehav Rev 30(7):893–907 Dinsmore WW, Wyllie MG (2009) PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation: results of a phase III, multicentre, double-blind, placebo-controlled study. Dinsmore WW, Wyllie MG (2009) PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation: results of a phase III, multicentre, double-blind, placebo-controlled study.

Ex vivo permeability study

Johnson. Belliveau F, Richter L (1970) Understanding human sexual inadequacy, by Fred Belliveau and Lin Richter. Blanco R et al (1990) Dysfunctional penile cholinergic nerves in diabetic impotent men. Borgia SL et al (2005) Lipid nanoparticles for skin penetration enhancement—correlation to drug localization within the particle matrix as determined by fluorescence and parelectric spectroscopy. J Control Release 110(1):151–163 Borgia SL et al (2005) Lipid nanoparticles for skin penetration enhancement—correlation to drug localization within the particle matrix as determined by fluorescence and parelectric spectroscopy.

15. Does Taj Pharma offer registration support?

J Control Release 110(1):151–163 Busato W, Galindo C (2004) Topical anaesthetic use for treating premature ejaculation: a double-blind, randomized, placebo-controlled study. Busato W, Galindo C (2004) Topical anaesthetic use for treating premature ejaculation: a double-blind, randomized, placebo-controlled study. Callens C et al (2003) Rheological study on mucoadhesivity of some nasal powder formulations. Eur J Pharm Biopharm 55(3):323–328 Callens C et al (2003) Rheological study on mucoadhesivity of some nasal powder formulations. Eur J Pharm Biopharm 55(3):323–328 Carani C et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo-and hyperthyroid patients.

16. Is Dapoxetine used for depression?

J Clin Endocrinol Metab 90(12):6472–6479 Carani C et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo-and hyperthyroid patients. J Clin Endocrinol Metab 90(12):6472–6479 Cheng Y-H et al (2002) Development of a novel nasal nicotine formulation comprising an optimal pulsatile and sustained plasma nicotine profile for smoking cessation. J Control Release 79(1–3):243–254 Cheng Y-H et al (2002) Development of a novel nasal nicotine formulation comprising an optimal pulsatile and sustained plasma nicotine profile for smoking cessation. J Control Release 79(1–3):243–254 Cho HJ, Park JW, Yoon IS, Kim DD (2014) Surface-modified solid lipid nanoparticles for oral delivery of docetaxel: enhanced intestinal absorption and lymphatic uptake. Cho HJ, Park JW, Yoon IS, Kim DD (2014) Surface-modified solid lipid nanoparticles for oral delivery of docetaxel: enhanced intestinal absorption and lymphatic uptake. El Menshawe SF et al (2019) Transdermal delivery of fluvastatin sodium via tailored spanlastic nanovesicles: mitigated Freund’s adjuvant-induced rheumatoid arthritis in rats through suppressing p38 MAPK signaling pathway. El-Nabarawi MA et al (2016a) Transbuccal delivery of betahistine dihydrochloride from mucoadhesive tablets with a unidirectional drug flow: in vitro, ex vivo and in vivo evaluation. El-Nabarawi MA et al (2016b) Transbuccal delivery of betahistine dihydrochloride from mucoadhesive tablets with a unidirectional drug flow: in vitro, ex vivo and in vivo evaluation. Feng S-S, Huang G (2001) Effects of emulsifiers on the controlled release of paclitaxel (Taxol®) from nanospheres of biodegradable polymers. J Control Release 71(1):53–69 Feng S-S, Huang G (2001) Effects of emulsifiers on the controlled release of paclitaxel (Taxol®) from nanospheres of biodegradable polymers.

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