How long have you been experiencing premature ejaculation?

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How often does it happen?

Have you been diagnosed with premature ejaculation by a doctor before?

Do you usually ejaculate within 1–2 minutes of penetration?

Have you used any treatments for premature ejaculation before?

e.g. dapoxetine, delay sprays, creams?

Are you currently using any medicines for erectile dysfunction?

e.g. sildenafil, tadalafil, vardenafil

Do you have any of the following?

Are you taking any prescribed, over-the-counter, or herbal medicines?

Including antidepressants or medicines for mood, sleep, or pain

Do you have any allergies to medicines, especially dapoxetine or similar drugs?

Do you drink alcohol or use recreational drugs?

Do you understand and agree to the following:

  • The treatment works best with lifestyle changes and should not be combined with alcohol or certain medications
  • You must seek medical advice immediately if you experience fainting, severe dizziness, or mood changes while using this medicine

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