First of all, thank you for choosing Numan. If your prescription request for Priligy has been accepted, or if you considering whether this treatment may be suitable for you, we'd like to help you learn how to use it to its best effect, and give you some important information before you start taking it.
Do understand what Priligy is and what it is used for
Priligy contains an active substance called ‘dapoxetine’. This belongs to a group of medicines called ‘selective serotonin reuptake inhibitors’ (SSRIs). Priligy may also be known as a ‘urological’ medicine.
Priligy increases the time it takes to ejaculate and can improve control over ejaculation. This may help to reduce the frustration or worry about ejaculating too fast.
Priligy is used to treat premature ejaculation in adult men aged 18 to 64 years.
Premature ejaculation is when a man ejaculates with little sexual stimulation and/or too quickly during sex. The time it takes to ejaculate varies between men, and it is up to the couple to decide how quickly is too quickly.
Don’t take it if…
you are allergic to dapoxetine or any of the other ingredients of this medicine (listed in the Patient Information Leaflet)
you have heart problems, such as heart failure or problems with the heart rhythm
you have a history of fainting
you have ever been diagnosed with a mental health condition, including depression or anxiety
you have moderate or severe liver problems
Or if you are taking:
Medicines for depression called ‘monoamine oxidase inhibitors’ (MAOIs)
Thioridazine used for schizophrenia
Other medicines for depression
Lithium – a medicine for bipolar disorder
Linezolid – an antibiotic used to treat infections
Tryptophan – a medicine to help you sleep
Triptans used to treat migraines, such as sumatriptan, rizatriptan and zolmitriptan
St John’s wort – a herbal medicine
Tramadol – used to treat serious pain
Ketoconazole or itraconazole, used for fungal infections, or ritonavir, saquinavir, nelfinavir or atazanavir, used for HIV
Do not take Priligy at the same time as any of the medicines listed above. We can’t prescribe Priligy while you are taking one of them.
If you have recently stopped one of these medicines, wait 14 days before starting Priligy.
If you are prescribed one of these medicines while you are taking Priligy, let us know straight away and stop taking Priligy. Speak to whoever prescribed the new medicine about when to start it; our general guidance is to leave 7 days after your last dose of Priligy.
If you take a medicine for erectile dysfunction called a PDE5 inhibitor, such as sildenafil or tadalafil, we can’t prescribe Priligy, because together they can lower your blood pressure too far. Do not stop your erectile dysfunction treatment in order to take Priligy. Paroxetine may be suitable instead, so contact us if you’d like to discuss it.
If you are not sure about what to do, talk to your doctor or pharmacist before taking this medicine.
Do take it correctly
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The recommended dose is 30 mg, but can be increased to 60 mg if 30 mg hasn’t been effective.
Only take the medicine 1 to 3 hours before sexual activity is anticipated.
Do not take this medicine more than once every 24 hours or every day.
Swallow the tablets whole to avoid a bitter taste, with at least one full glass of water. This may help lower your chance of fainting.
This medicine can be taken with or without food.
This medicine should not be used by men under 18 or over 65 years of age.
Discuss your Priligy treatment with a clinician after the first 4 weeks or after 6 doses to see whether you should continue treatment. If treatment is continued, you should see your doctor again to discuss this at least every six months.
Do be aware of the possible side effects
A small number of people taking Priligy notice changes in their mood, including feeling low or agitated, or having thoughts of harming themselves or of suicide. Be alert to this after taking a dose, and if your dose is increased from 30 mg to 60 mg. If it happens, stop taking Priligy and get medical advice. You can call NHS 111 at any time, day or night.
Very common side effects (may affect more than 1 in 10 men):
Feeling dizzy
Headache
Feeling sick
Common side effects (may affect up to 1 in 10 men):
Feeling irritable, anxious, agitated or restless
Numbness or having ‘pins and needles’
Difficulty getting or keeping an erection
Sweating more than normal or flushing
Diarrhoea, constipation or flatulence (wind)
Stomach pain, bloating or being sick
Problems sleeping or strange dreams
Feeling tired or sleepy, yawning
Blocked nose (nasal congestion)
A rise in blood pressure
Difficulty concentrating
Shaking or trembling
Lower interest in sex
Ringing in the ears
Blurred vision
Indigestion
Dry mouth.
Uncommon side effects (may affect up to 1 in 100 men):
Fainting or feeling dizzy upon standing (see advice above)
Change in mood, feeling overly excited or feelings of paranoia
Feeling confused, disoriented or unable to think clearly
Slow or irregular heartbeat or increase in heart rate
Loss of sex drive, problems reaching orgasm
Feeling weak, sedated, lethargic or fatigued
Feeling depressed, nervous or indifferent
Feeling hot, jittery, abnormal or drunk
Vision problems, eye pain or dilated pupils
Low or high blood pressure
Feeling itchy or cold sweat
Spinning sensation
Abnormal taste
Teeth grinding.
Rare side effects (may affect up to 1 in 1,000 men):
Feeling dizzy following exertion
Sudden onset of sleep
Urgency of bowel action.
In case of an urgent medical problem, please contact NHS 111 via 111.nhs.uk or by calling 111. NHS 111 is available 24 hours a day, 7 days a week.