POXET 90

What is POXET 90?

POXET 90 is a medication for men containing 90 mg of dapoxetine, used to control premature ejaculation. The drug belongs to the class of short-acting selective serotonin reuptake inhibitors, which affect the neural mechanisms of ejaculation. It is not a treatment for erectile dysfunction and does not enhance erection on its own. Its use is appropriate only after a medical evaluation of the causes of the sexual disorder.

POXET 90 is available in the form of oral tablets. The manufacturer of the drug is the pharmaceutical company Sunrise Remedies. The 90 mg dosage is high and exceeds the usual maximum dose of dapoxetine specified in many official clinical guidelines, which most often consider 30–60 mg. Therefore, starting treatment with POXET 90 on your own or increasing the dose to 90 mg is dangerous.

Dapoxetine differs from long-acting antidepressants by its rapid absorption and relatively fast elimination from the body. Due to this, it is usually taken on an as-needed basis rather than daily. The expected result is an increase in time to ejaculation, improved control over it, and reduced psychological distress. Individual body response may vary, so efficacy and tolerability are evaluated separately for each patient.

What is POXET 90 prescribed for?

The primary indication is premature ejaculation in adult men, where ejaculation regularly occurs before or shortly after penetration. Other important criteria include poor control over ejaculation and the associated marked psychological distress. The diagnosis is established not only by the duration of intercourse but also taking into account the frequency of episodes, medical history, and the impact of the problem on the quality of life. POXET 90 is not intended for the arbitrary prolongation of sexual intercourse in the absence of a medical indication.

The drug may be considered when non-pharmacological methods or lower doses of dapoxetine have not provided a sufficient result. At the same time, 90 mg is not a standard starting dose, and increasing the amount of the drug can exacerbate dizziness, nausea, fainting, and other adverse reactions. The decision regarding such dosage must be made by a doctor after evaluating cardiovascular health, liver function, and potential drug interactions. Self-administration of a high dose does not guarantee better control.

Before prescription, it is important to rule out inflammatory diseases of the genitourinary system, thyroid dysfunction, anxiety disorders, and other possible causes of sexual dysfunction. In the presence of erection problems, separate diagnostics are required, as dapoxetine does not address them directly. Consultation with a doctor before taking POXET 90 is mandatory, especially in the presence of chronic diseases. A comprehensive approach may include psychosexual counseling and behavioral techniques.

Composition and Active Components of POXET 90

The active component of POXET 90 is dapoxetine at a dose of 90 mg, usually presented in the form of dapoxetine salt. The substance temporarily inhibits the reuptake of serotonin by nerve cells, increasing its activity in synapses—the sites of nerve signal transmission. This helps delay the ejaculation reflex and improve subjective control. Dapoxetine is not a hormonal agent and does not increase testosterone levels.

Excipients provide the shape, stability, disintegration of the tablet, and release of the active substance. Their exact list must be verified in the instructions and on the packaging of the specific batch, as the composition of the coating and fillers may vary. Patients with allergies, lactose intolerance, or intolerance to other excipients should inform their doctor. Excipients have no therapeutic effect on premature ejaculation.

Dosage of POXET 90

In many instructions for dapoxetine, the recommended starting dose for adult men is 30 mg, and if efficacy is insufficient and tolerability is good, a doctor may consider 60 mg. The 90 mg dose is elevated and should not be used without a direct prescription from a specialist. Do not divide the tablet unless it has a corresponding score line and the manufacturer permits such a method of dosing. Dosage selection is based on the ratio of expected benefit and risk.

Dapoxetine is usually taken as needed, no more than once within 24 hours. This is not a drug for continuous daily treatment unless a different regimen is specifically determined by a doctor. After several doses or during the first weeks, the efficacy, tolerability, and appropriateness of continuing therapy are evaluated. Increasing the frequency of administration to enhance the effect is prohibited.

Dose adjustment may be required in cases of liver or kidney disease, a tendency to low blood pressure, or the concurrent use of other drugs. Older men require a particularly careful assessment of the risk of fainting and cardiovascular complications. If a lower dose does not help, this does not mean that POXET 90 will automatically be a safe solution. The duration of use and the need for repeated courses are determined by a doctor.

How to take POXET 90 correctly?

The tablet is swallowed whole with a full glass of water, approximately one to three hours before anticipated sexual activity. It can be taken with or without food, although fatty food may slightly delay absorption. Drinking enough fluid helps reduce the risk of dehydration and orthostatic reaction—dizziness when standing up quickly. After taking the medication, one should change body positions slowly.

Since POXET 90 is used as needed, the concept of a missed dose usually has no practical significance. Do not take a double dose or repeat the tablet if sexual intercourse did not take place. If nausea, weakness, darkening of the eyes, or cold sweat occurs, you should immediately sit or lie down, preferably with your head lower than your torso. Do not stand up abruptly until the symptoms have completely disappeared.

Before the first dose, it is necessary to discuss with your doctor all medications, supplements, and herbal remedies being used. You should not combine dapoxetine with other drugs for prolonging intercourse without medical supervision. If a tablet is damaged, has an unusual color, or comes from packaging without proper labeling, it should not be used. The individual response of the body can be unpredictable even in the absence of previous side effects.

Side Effects of POXET 90

The most common adverse reactions of dapoxetine include nausea, headache, dizziness, diarrhea, dry mouth, and insomnia. Increased fatigue, anxiety, tremors, sweating, and decreased concentration are possible. The likelihood and intensity of side effects may increase with higher doses. The high concentration of POXET 90 requires a particularly cautious attitude toward any symptoms.

Uncommonly, a drop in blood pressure upon standing, rapid heartbeat, visual disturbances, decreased libido, or erectile difficulties may occur. A rare but important reaction is fainting, which may be preceded by nausea, sweating, weakness, and darkening of the eyes. Immediate medical attention is required for seizures, loss of consciousness, chest pain, pronounced palpitations, facial swelling, or difficulty breathing. You should also consult a doctor urgently in case of sudden mood changes or suicidal thoughts.

Contraindications of POXET 90

POXET 90 is contraindicated in case of allergy to dapoxetine or tablet components, severe heart diseases, significant heart rhythm disorders, and a history of fainting episodes. It is not used in severe liver impairment, manic states, or severe depression without specialized supervision. An absolute restriction is incompatible treatment with monoamine oxidase inhibitors, thioridazine, and certain strong inhibitors of liver enzymes. A washout period determined by a doctor is required between incompatible drugs.

Relative caution is necessary in epilepsy, bleeding disorders, glaucoma, kidney diseases, low blood pressure, and a tendency to dehydration. Patients with psychiatric disorders require monitoring due to the potential influence of serotonergic agents on mood and behavior. Before prescribing, a doctor may check blood pressure and pulse in lying and standing positions. With a significant drop in pressure, use can be dangerous.

The drug is not intended for women, so it is not used during pregnancy or breastfeeding. POXET 90 is contraindicated in children and adolescents under 18 years of age. Data on the safety of dapoxetine in men over 65 years old are limited, and high dosage may increase the risk of adverse reactions. For elderly patients, the decision is made only after an individual health assessment.

Interaction of POXET 90 with other drugs and alcohol

Dapoxetine must not be combined with monoamine oxidase inhibitors, thioridazine, other serotonergic antidepressants, tramadol, St. John's wort preparations, and certain migraine medications without a doctor's permission. Such combinations can cause serotonin syndrome—a dangerous condition with agitation, fever, tremors, sweating, and impaired coordination. Strong inhibitors of the CYP3A4 enzyme can increase the concentration of dapoxetine in the blood. Erectile dysfunction drugs, blood pressure medications, and anticoagulants also require caution due to the risk of hypotension or bleeding.

Alcohol during the use of POXET 90 must be avoided, as it exacerbates dizziness, drowsiness, impaired reflexes, and the risk of fainting. The drug can negatively affect the ability to drive vehicles and operate machinery. In the presence of dizziness, visual impairment, drowsiness, or decreased attention, driving is prohibited. Even without pronounced symptoms, the first individual reaction to the drug cannot be predicted.

Where to buy POXET 90 in Ukraine

Individual pharmacy chains and specialized online pharmacies may offer to buy POXET 90 in Ukraine, but the availability and legal status of the specific product must be verified. Before ordering, you should ensure the presence of Ukrainian labeling, instructions, batch number, expiration date, and information about the manufacturer Sunrise Remedies. A reliable seller ensures proper delivery conditions and does not hide information about the origin of the drug. Purchasing from unverified sources increases the risk of receiving counterfeit tablets with unknown composition.

POXET 90 must be stored in its original packaging, in a dry place protected from light and out of reach of children, adhering to the temperature specified by the manufacturer. During delivery, the drug must be protected from overheating, moisture, and damage to the packaging. Do not use the tablets after the expiration date or if the integrity of the blister is compromised. Before buying and taking, consultation with a doctor is mandatory, as the 90 mg dosage is not suitable for everyone and may require choosing a safer alternative.