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Cenforce D (Dapoxetine; Sildenafil) Buyer and Patient Handbook in Singapore

Cenforce D (Dapoxetine; Sildenafil) is a combined oral tablet that treats both Premature Ejaculation and Erectile Dysfunction, belonging to the sexual health category. It contains dapoxetine, a short-acting selective serotonin reuptake inhibitor, and sildenafil, a phosphodiesterase-5 inhibitor. The product is approved by the Singapore Health Sciences Authority (HSA) and is supplied as a 100 mg/60 mg tablet.

Who Should Use Cenforce D?

• Men diagnosed with premature ejaculation who also experience erectile difficulties.
• Adults aged 18 years and older who are in stable sexual relationships.
• Individuals seeking a single-dose solution for both conditions (no need for separate medications).

How Does It Work?

Cenforce D combines two mechanisms: dapoxetine increases serotonin activity in the central nervous system, which prolongs ejaculation latency, while sildenafil enhances nitric oxide signaling in the penile tissue, improving blood flow for erection. Think of dapoxetine as a “brake” that slows ejaculation and sildenafil as a “pump” that fills the penis with blood. The drug does not cause dependence, but it should not be used recreationally or more frequently than prescribed.

Why Choose Cenforce D?

• Convenience: One tablet addresses two common male sexual concerns, reducing pill burden.
• Rapid onset: Dapoxetine works within 1-3 hours, and sildenafil typically produces an erection within 30-60 minutes.
• Cost-effective: Purchasing a single combination is often cheaper than buying two separate brands.
• Off-label uses (e.g., for Pulmonary Hypertension) are not recommended without specialist advice.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• One tablet containing 100 mg dapoxetine and 60 mg sildenafil, taken as needed no more than once per day.

How to Take

• Swallow the tablet whole with a glass of water.
• For dapoxetine: take 1-2 hours before anticipated sexual activity.
• For sildenafil: take 30-60 minutes before activity; food (especially high-fat meals) may delay onset.

Missed Dose

• If the planned activity does not occur, do not take an extra tablet later. Simply wait for the next occasion.

Overdose

• Seek immediate medical attention if you experience chest Pain, severe dizziness, or prolonged erection (>4 hours).

Special Populations

• Elderly (≥65 years): start with a lower dose (50 mg/25 mg) and adjust cautiously.
• Kidney or liver impairment: dosage reduction may be required; consult a pharmacist.
• Children and adolescents: not approved.

Lifestyle & Diet

• Avoid excessive alcohol, which can impair sildenafil’s effectiveness.
• Grapefruit juice can increase sildenafil levels; limit consumption.

Precautions and Warnings

• Do not use if you have taken nitrates (e.g., nitroglycerin) within the past 24 hours.
• Caution in men with uncontrolled Hypertension, severe heart disease, or recent stroke.
• Dapoxetine may cause mild dizziness; avoid driving or operating heavy machinery until you know how you react.

Drug Interactions

Potential Side Effects

Common Side Effects

• Headache, flushing, nasal congestion, dizziness, Nausea.

Less Common Side Effects

• Visual disturbances (blurred vision, blue-tinted vision), Back Pain, dyspepsia.

Serious Side Effects

• Sudden loss of vision, hearing loss, priapism (erection > 4 hours), severe chest pain or palpitations. Seek urgent medical care if any occur.

Who Should Avoid This Medication?

• Men using nitrates or nitric oxide donors.
• Individuals with severe uncontrolled hypertension (≥180/110 mmHg).
• Patients with a known hypersensitivity to dapoxetine, sildenafil, or any excipients.

Storage Instructions

• Keep the tablets in the original blister pack, away from moisture.
• Store at room temperature (15-30 °C); do not refrigerate.
• Keep out of reach of children and pets.

Cenforce D Alternatives

Frequently Asked Questions

How long does Cenforce D stay effective after taking it?

• Dapoxetine’s effect lasts about 3 hours, while sildenafil remains active for up to 4-6 hours.

Can I take Cenforce D with alcohol?

• Small amounts are usually tolerated, but excessive drinking can reduce efficacy and increase dizziness.

Is it safe to use Cenforce D if I have high blood pressure?

• If your blood pressure is well-controlled and below 180/110 mmHg, the medication is generally safe; uncontrolled hypertension is a contraindication.

What should I do if I experience a prolonged erection?

• Try taking a cold compress and avoid sexual stimulation; if it persists beyond 4 hours, seek emergency care.

Can I take Cenforce D daily?

• The product is intended for as-needed use, not daily dosing, to avoid tolerance and side-effect buildup.

Does food affect how Cenforce D works?

• High-fat meals can delay sildenafil’s onset; taking the tablet on an empty stomach yields faster results.

Will Cenforce D interact with my antidepressant?

• Dapoxetine is an SSRI; combining it with other SSRIs may raise the risk of serotonin syndrome. Discuss with a healthcare professional.

Is a lower dose available for beginners?

• A 50 mg/30 mg version exists in some markets, but in Singapore the standard 100 mg/60 mg tablet is the approved strength.

Can I purchase Cenforce D through your online pharmacy?

• Yes, our platform allows you to order the medication securely, with delivery to a Singapore address.

What should I do if I miss a dose because my activity was postponed?

• Do not take an extra tablet later; simply wait for the next occasion when you plan to be sexually active.

Glossary

• Selective serotonin reuptake inhibitor (SSRI): A drug class that increases serotonin levels in the brain, helping to delay ejaculation.
• Phosphodiesterase-5 inhibitor (PDE-5 inhibitor): A medication that relaxes blood vessels in the penis, facilitating erection.
• Serotonin syndrome: A potentially life-threatening condition caused by excess serotonin activity, marked by Agitation, rapid heart rate, and high temperature.

Disclaimer

The information provided here is for educational purposes only and does not replace professional medical advice. Off-label uses require consultation with a qualified healthcare provider. Our service offers a convenient online platform to purchase medicines that are legally approved in Singapore; however, the ultimate responsibility for safe use rests with the individual. Always read the product’s full labeling and seek medical guidance if you have any concerns.