Do not use dapoxetine without consulting a specialist in the following cases:
- If you are allergic to dapoxetine, or any of the other active ingredients in this medicine.
- If you have heart problems, such as heart failure or heart rhythm problems.
- If you suffer from moderate or severe liver problems.
- People with heart problems, such as heart failure and heart valve problems.
People with sinus syndrome , angina pectoris.
- People with a history of bipolar affective disorder, mania, major depression, or some other mental illness such as schizophrenia.
- People with uncontrolled epilepsy.
- People with impaired kidney function and liver function.