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Duraplus Tablet 4'S

Patanjali Pharma (15.9 km)

₹330

INTRODUCTION DURAPLUS 10/30MG TABLET is a combination of Dapoxetine and Tadalafil, which belong to the group of medicines called Selective serotonin reuptake inhibitors and Phosphodiesterase type 5 (PDE5) inhibitors, respectively. It is used in adult men to help improve blood flow to the penis...

INTRODUCTION

DURAPLUS 10/30MG TABLET is a combination of Dapoxetine and Tadalafil, which belong to the group of medicines called Selective serotonin reuptake inhibitors and Phosphodiesterase type 5 (PDE5) inhibitors, respectively. It is used in adult men to help improve blood flow to the penis and to manage early ejaculation by balancing certain chemicals in the brain.

Before taking DURAPLUS 10/30MG TABLET, inform your doctor if you have any previous history of fainting or dizziness due to low blood pressure. You must also inform your doctor if you have epilepsy, lung problems, mental health problems, or bleeding disorders before taking DURAPLUS 10/30MG TABLET as a precaution. DURAPLUS 10/30MG TABLET is not recommended for use in patients with liver or heart problems. It is also not suitable for use with children under the age of 18. Avoid taking DURAPLUS 10/30MG TABLET with grapefruit juice.

The most common side effects of taking DURAPLUS 10/30MG TABLET are flushing, headache, dizziness, blurred vision, muscle pain, nausea, tiredness, increased sweating, restlessness, and a decrease in sex drive. Consult your doctor if any of these side effects trouble you.

Also, inform your doctor immediately if you experience any prolonged painful penile erections without sexual stimulation (priapism), experience dizziness upon standing up suddenly, or if you have sudden mood changes or suicidal thoughts after taking DURAPLUS 10/30MG TABLET.

USES OF DURAPLUS 10/30MG TABLET

It is used by adult men to:

  • Help improve blood flow to the penis
  • Manage early ejaculation

HOW DURAPLUS 10/30MG TABLET WORKS

DURAPLUS 10/30MG TABLET contains two medicines called dapoxetine and tadalafil. Dapoxetine delays ejaculation by blocking the reuptake of a chemical messenger called serotonin between the nerve cells. This increases the activity of serotonin within the brain, which therefore increases the time taken to release the semen (ejaculate) during sexual intercourse.

Tadalafil works by improving the blood supply to the penis. It works by blocking the effects of certain enzymes (PDE5) in the body that limit blood flow to the penis. As a result, it relaxes the blood vessels supplying the penis and improves blood flow.

DIRECTIONS FOR USE

Take DURAPLUS 10/30MG TABLET as advised by your physician. Swallow DURAPLUS 10/30MG TABLET with a glass of water. Do not chew or crush the medicine. DURAPLUS 10/30MG TABLET can be taken with or without meals. Take DURAPLUS 10/30MG TABLET at least 30 minutes to 1 hour before planning to have sexual intercourse. Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight, and health condition.

SIDE EFFECTS OF DURAPLUS 10/30MG TABLET

COMMON

  • dizziness, headache
  • back pain, muscle pain, and pain in the arms and legs
  • nausea, vomiting
  • feeling irritable, anxious, agitated, or restless
  • sensation of numbness, tingling, or prickling
  • increased sweating
  • hot flushes
  • diarrhea, constipation, wind, stomach pain, and indigestion
  • problems sleeping or having strange dreams; difficulty concentrating
  • tiredness or sleepiness
  • blocked nose
  • a rise in blood pressure
  • decrease in sex drive
  • ringing in the ears
  • blurred vision, colour tinge to vision, visual disturbance
  • dry mouth

UNCOMMON

  • fainting
  • change in mood, feeling overly excited, or feelings of paranoia (feeling threatened)
  • feeling confused, disoriented, or unable to think clearly
  • abnormal heartbeat (slow or fast heart rate)
  • feeling depressed or nervous
  • feeling hot, jittery, abnormal, or drunk
  • eye problems (eye irritation, pain or redness, watery eyes, double vision, abnormal sensation in the eye, seeing light flashes)
  • low blood pressure
  • feeling itchy or cold sweats
  • spinning sensation
  • abnormal taste
  • skin rash
  • reduced sense of touch
  • signs of inflammation of the lining of the nose, such as a runny nose or sneezing
  • upper abdominal pain
  • signs of gastroesophageal reflux disease, such as heartburn
  • presence of blood in urine or semen
  • pain in the arms or legs
  • nosebleed

RARE

  • penile bleeding
  • dry nose
  • throat tightness, numbness of the mouth
  • temporary decrease in blood flow to the brain
  • sudden decrease or loss of hearing
  • sudden onset of sleep (Ex. narcolepsy)
  • urge to empty the bowel
  • memory loss

Stop taking DURAPLUS 10/30MG TABLET and contact your doctor if you experience any of the following side effects:

  • severe allergic reaction (such as wheeziness, difficulty breathing or dizziness, swelling of the face, lips, eyelids, or throat)
  • prolonged or painful erection (priapism)
  • chest pain, especially during or after sexual intercourse
  • severe skin reactions (blistering of skin around the mouth, genitals, or eyes; severe peeling and swelling of skin along with fever)
  • sudden decline or loss of vision
  • fits or seizures
  • fainting or light-headedness while standing
  • mood changes, suicidal thoughts, or a tendency for self-harming

HOW TO MANAGE SIDE EFFECTS

Diarrhea

Hydrate yourself by drinking plenty of fluids, such as water or fruit juices. Consuming ORS can also be beneficial. Do not self-treat diarrhea on your own. Consult your doctor if your diarrhea becomes uncontrollable.

Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens or if you feel dizzy upon standing up suddenly.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids, such as water or electrolytes. Applying a pain-relieving balm to your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Nausea And Vomiting

Take DURAPLUS 10/30MG TABLET with or just after meals. Stick to simple meals. Avoid eating oil-rich or spicy foods. Consult your doctor if your vomiting worsens.

WARNING & PRECAUTIONS

PREGNANCY
Contraindicated

DURAPLUS 10/30MG TABLET is not intended for use by women.

BREASTFEEDING
Contraindicated

DURAPLUS 10/30MG TABLET is not intended for use by women.

DRIVING AND USING MACHINES
Contraindicated

Do not drive or operate any machines if you experience dizziness or blurred vision after taking DURAPLUS 10/30MG TABLET.

ALCOHOL
Contraindicated

Avoid consumption of alcohol while taking DURAPLUS 10/30MG TABLET, as it may cause dizziness or sleepiness.

KIDNEY
Use with Caution

DURAPLUS 10/30MG TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.

LIVER
Contraindicated

DURAPLUS 10/30MG TABLET is not recommended for use in patients with moderate or severe liver diseases. Therefore, consult your doctor before taking it.

ALLERGY
Contraindicated

Do not take DURAPLUS 10/30MG TABLET if you are allergic to dapoxetine or tadalafil.

LUNGS
Use with Caution

DURAPLUS 10/30MG TABLET should be used with caution in patients with pulmonary arterial hypertension. Therefore, consult your doctor before taking it.

HEART DISEASE
Contraindicated

DURAPLUS 10/30MG TABLET is not recommended for use in patients with heart problems (such as heart failure, low blood pressure, or problems with the heart rhythm). Therefore, consult your doctor before taking it.

USE IN PEDIATRICS
Contraindicated

DURAPLUS 10/30MG TABLET is not recommended for use in children and adolescents (below 18 years). Therefore, consult your doctor before taking it.

USE IN GERIATRICS
Contraindicated

DURAPLUS 10/30MG TABLET is not recommended for use in elderly patients (aged 65 years or older). Therefore, consult your doctor before taking it.

OTHERS

DURAPLUS 10/30MG TABLET is not recommended for use if you:

  • have a history of fainting
  • have or ever had signs of mania, such as feeling overexcited, irritable, or not being able to think clearly
  • have severe depression
  • have recently had a stroke
  • have low blood pressure
  • have signs of retinitis pigmentosa (a rare inherited eye disease) such as decreased vision at night or in low light and loss of side vision

Before taking DURAPLUS 10/30MG TABLET, inform your doctor if you:

  • have a history of feeling dizzy due to low blood pressure
  • have schizophrenia (a psychiatric disease)
  • have epilepsy
  • have a history of bleeding or blood clotting problems
  • have or are at risk of developing glaucoma
  • have sickle cell anemia (an abnormality of red blood cells)
  • have leukemia (cancer of blood cells)
  • have multiple myeloma (cancer of the bone marrow)
  • have a deformity in your penis
  • have Peyronie’s disease (the development of fibrous scar tissue in the penis that causes painful erection)
  • currently have a stomach ulcer
  • have bleeding problems such as hemophilia
  • are alcoholic
  • had any pelvic surgery or surgery in your prostate gland

INTERACTIONS

A. Drug-Drug Interactions:

Before taking DURAPLUS 10/30MG TABLET, inform your doctor if you are taking any of the following medicines, such as:

  • nitrates or amyl nitrites (used for reliving chest pain) Ex. nitroglycerin, isosorbide dinitrite
  • other medicines used to manage prostate problems or blood pressure, such as alpha blockers (Ex. silodosin and doxazosin)
  • riociguat (a medicine used to manage increased pressure in the lungs)
  • medicines used to manage depression (Ex. fluoxetine, sertraline, citalopram, escitalopram, amitriptyline, isocarboxazid, selegiline, nefazodone, and St. john’s wort)
  • thioridazine (a medicine used to manage a mental disorder called schizophrenia)
  • lithium (a medicine used to manage bipolar disorder)
  • tryptophan (a medicine used to induce sleep)
  • medicines used to manage migraines (Ex. almotriptan, sumatriptan)
  • non-steroidal anti-inflammatory drugs (used to manage pain and inflammation) Ex. ibuprofen and aspirin
  • tramadol (a medicine used to relieve pain)
  • antibiotics (used to manage bacterial infections) Ex. telithromycin, linezolid, erythromycin, and clarithromycin
  • medicines used to manage HIV infection (Ex. ritonavir, saquinavir, nelfinavir, atazanavir, amprenavir, and fosamprenavir)
  • medicines used to manage fungal infections (such as ketoconazole, itraconazole, and fluconazole)
  • warfarin (a medicine used to manage blood clotting)
  • other medicines used to manage erectile dysfunction (such as sildenafil or vardenafil)
  • medicines used to manage high blood pressure or chest pain (such as verapamil and diltiazem)
  • aprepitant (a medicine that is used to manage nausea)
  • medicines used to reduce anxiety and alter mental stability (Ex. morphine, pethidine, alprazolam, midazolam, clonazepam, MDMA (ecstasy), or lysergic acid diethylamide)

B. Drug-Food Interactions:

Avoid drinking grapefruit juice within 24 hours prior to taking DURAPLUS 10/30MG TABLET, as it may increase the level of DURAPLUS 10/30MG TABLET in the body.

Overdosage:

If you or anyone else accidentally took more DURAPLUS 10/30MG TABLET, consult your doctor immediately or visit the nearby hospital. The symptoms of an overdose are nausea and vomiting.

SYNOPSIS

Drug : Dapoxetine, Tadalafil
Pharmacological Category : Selective serotonin reuptake inhibitors (SSRI), Phosphodiesterase type 5 inhibitors
Therapeutic Indication : Problems in erection, to manage early ejaculation
Dosage Forms : Tablet

MORE INFORMATION

  • Keep DURAPLUS 10/30MG TABLET out of reach of children
  • Store DURAPLUS 10/30MG TABLET at room temperature

FAQs ABOUT DURAPLUS 10/30MG TABLET

Q: What is DURAPLUS 10/30MG TABLET used for?

A: DURAPLUS 10/30MG TABLET is used in adult men to help improve blood flow to the penis and to manage early ejaculation by balancing certain chemicals in the brain.

Q: How do I take DURAPLUS 10/30MG TABLET?

A: Take DURAPLUS 10/30MG TABLET for at least 30 minutes to 1 hour before having sexual intercourse. Swallow the medicine with a glass of water. Do not crush or chew the medicine.

Q: Can I take DURAPLUS 10/30MG TABLET daily?

A: DURAPLUS 10/30MG TABLET is generally prescribed as one dose per day. However, your doctor will decide whether you can take this medicine daily or not, depending on your health condition. Do not take DURAPLUS 10/30MG TABLET more than once a day without consulting your doctor.

Q: How long does it take for DURAPLUS 10/30MG TABLET to start working?

A: It may take around 30 minutes to 1 hour for DURAPLUS 10/30MG TABLET to start working; therefore, take this medicine at least one hour before planning to have sex. This time may vary from person to person depending upon their health condition.

Q: What happens if I consume a higher dose of DURAPLUS 10/30MG TABLET than prescribed by my doctor?

A: Do not consume a higher dose of DURAPLUS 10/30MG TABLET than the one prescribed by your doctor, as it may lead to unwanted side effects. Your doctor will decide the correct dose for you, depending on your age and disease condition. If the prescribed dose does not help you, contact your doctor.

Q: Can men be taking DURAPLUS 10/30MG TABLET father a child?

A: There is no confirmed proof that DURAPLUS 10/30MG TABLET could affect fertility in men. However, it is better to consult your doctor before taking DURAPLUS 10/30MG TABLET if you are planning to father a child.

Q: Is DURAPLUS 10/30MG TABLET safe?

A: Yes. DURAPLUS 10/30MG TABLET is safe to use. But inform your doctor immediately if you experience painful, prolonged erections or chest pain after taking DURAPLUS 10/30MG TABLET. It can also cause headache dizziness, flushing, or muscle pain in some individuals. Contact your doctor if they bother you.

Q: Can I consume alcohol while taking DURAPLUS 10/30MG TABLET?

A: Avoid consumption of alcohol while taking DURAPLUS 10/30MG TABLET, as it could reduce the effectiveness of DURAPLUS 10/30MG TABLET.

Q: How long will the effects of DURAPLUS 10/30MG TABLET last?

A: The effects of DURAPLUS 10/30MG TABLET would normally last for 4 hours. However, this time may vary from person to person depending on their age and health condition. Consult your doctor if the effects of DURAPLUS 10/30MG TABLET do not last until sexual intercourse.

Q: Can DURAPLUS 10/30MG TABLET make you last longer?

A: Yes. DURAPLUS 10/30MG TABLET delays the release of sperm (ejaculation) in patients suffering from premature ejaculation.

Q: Will taking DURAPLUS 10/30MG TABLET affect my sexual life?

A: Long-term use of DURAPLUS 10/30MG TABLET may negatively impact your sexual life. It may cause sexual problems, such as a decrease in sex drive. Talk to your doctor if you are facing any sexual problems while taking DURAPLUS 10/30MG TABLET.

Q: How does DURAPLUS 10/30MG TABLET work?

A: DURAPLUS 10/30MG TABLET delays the ejaculation (release of semen) by increasing the activity of a particular chemical called serotonin in the brain. This promotes control over ejaculation and helps your body hold sperm for a longer period. It also improves penile functions by improving blood supply to the penis.

Q: Can I stop taking DURAPLUS 10/30MG TABLET on my own without consulting a doctor?

A: Do not stop taking DURAPLUS 10/30MG TABLET without consulting your physician, as sudden discontinuation of DURAPLUS 10/30MG TABLET may cause withdrawal symptoms like sleeping problems or dizziness.

Q: Can DURAPLUS 10/30MG TABLET cause bipolar disorder?

A: DURAPLUS 10/30MG TABLET may cause mood changes in some individuals. Inform your doctor immediately if you experience any sudden changes in mood. Also, it is important to inform you doctor if you already have bipolar disorder as a precaution before starting treatment with DURAPLUS 10/30MG TABLET.

REFERENCES

1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction & Drugs Used in Mental Illness: Antidepressant and Antianxiety Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 304 & 464.

2. Aykut Bugra Sentürk, Ali Haydar Yilmaz, Basri Çakiroglu, Muhammet Yaytokgil, Cemil Aydin, Musa Ekici, Serdar Aykan, Mustafa Sungur. Combination or alone? Which one is the Best in Premature Ejaculation Treatment? HAYDARPASA NUMUNE MEDICAL JOURNAL. October 2018. [Accessed on 7th July 2022]. https://jag.journalagent.com/hnhjournal/pdfs/HNHJ-87699-RESEARCH_ARTICLE-SENTURK.pdf

3. Hamed Mohseni Rad, Telma Zahirian Moghadam, Ali Hosseinkhani and Nima Nima Soluki. Comparison of Dapoxetine /Tadalafil and Paroxetine/Tadalafil Combination Therapies for the Treatment of the Premature Ejaculation: A Randomized Clinical Trial. ScienceDirect. November 2021. [Accessed on 7th July 2022]. https://www.researchgate.net/publication/360618767_Comparison_of_Dapoxetine_Tadalafil_and_ParoxetineTadalafil_Combination_Therapies_for_the_Treatment_of_the_Premature_Ejaculation_A_Randomized_Clinical_Trial

4. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in January 2021] [Accessed 7th July 2022]. https://www.medicines.org.uk/emc/files/pil.8636.pdf

5. Menarini - Von Heyden GmbH. Electronic Medicines Compendium (EMC). [Revised in June 2021] [Accessed 7th July 2022]. https://www.medicines.org.uk/emc/files/pil.1269.pdf

AUTHOR DETAILS

Written By Dr. N. Sai Swaroop, Pharm.D
Last updated on 12 Dec 2023 | 05:33 PM(IST)

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