Togoro®

Patient information

Togoro^® contains an active substance called ‘dapoxetine’. This belongs to a group of medicines called ‘selective serotonin reuptake inhibitors’ (SSRIs). Togoro^® may also be known as a ‘urological’ medicine.

What Dapoxetine is used for:

Dapoxetine increases the time it takes to ejaculate and can improve the control over the ejaculation. This may reduce the frustration or worry about fast ejaculation.

Tell your doctor or pharmacist before using Dapoxetine if:

• You have not been diagnosed with premature ejaculation
• You also have another sexual problem, such as erectile dysfunction
• You have a history of dizziness from low blood pressure
• You use recreational drugs such as ecstasy, LSD, narcotics or benzodiazepines
• You drink alcohol
• You have ever had a mental health problem such as depression, mania (symptoms include feeling over−excited, irritable or not being able to think clearly), bipolar disorder (symptoms include serious mood swings between mania and depression) or schizophrenia (a psychiatric disease)
• You have epilepsy
• You have a history of bleeding or blood clotting problems
• You have kidney problems
• You have, or are at risk of, high pressure in the eye (glaucoma).

If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before taking this medicine.

Before you start taking this medicine, your doctor should perform a test to make sure that your blood pressure doesn’t drop too much when you stand up from lying down.

Who should not take Dapoxetine:

 you are taking:

Medicines for depression called ‘monoamine oxidase inhibitors’ (MAOIs)2

• Thioridazine used for schizophrenia
• Other medicines for depression
• Lithium − a medicine for bipolar disorder
• Linezolid − an antibiotic used to treat infections
• Tryptophan − a medicine to help you sleep
• St John’s wort − a herbal medicine
• Tramadol − used to treat serious pain

Medicines used to treat migraines.

Do not take Dapoxetine at the same time as any of the medicines listed above. If you have taken any of these medicines, you will need to wait 14 days after you stop taking it before you can start taking Dapoxetine. Once you have stopped taking Dapoxetine, you will need to wait 7 days before taking any of the medicines listed above. If you are not sure about what to do, talk to your doctor or pharmacist before taking this medicine.

How to take your Dapoxetine:

• The recommended dose is 30 mg. Your doctor may increase the dose to 60 mg.
• Only take the medicine 1 to 3 hours before sexual activity is anticipated.
• Do not take this medicine more than once every 24 hours or every day.
• Swallow the tablets whole to avoid a bitter taste, with at least one full glass of water. This may help lower your chance of fainting.
• This medicine can be taken with or without food.
• This medicine should not be used by men under 18 or over 65 years of age.
• Discuss your Dapoxetine treatment with your doctor after the first 4 weeks or after 6 doses to see whether you should continue treatment. If treatment is continued, you should see your doctor again to discuss this at least every six months.

Pregnancy, breast−feeding and fertility:

This medicine should not be taken by women.

what to do if you take too many tablets:

Tell your doctor or pharmacist if you have taken more tablets than you should. You may feel sick or be sick.

Side effects:

Very common:

Feeling dizzy, Headache, feeling sick.

Common:

Feeling irritable ,anxious , agitated or restless –feeling numb or having pins and needles –Difficulty getting or keeping an erection –sweating more than normal or flushing – Diarrhea , constipation or having wind – stomach pain ,bloating or being sick – problems sleeping or strange dreams – feeling tired or sleepy , yawning –blocked nose ( nasal congestion ) – A rise in blood pressure – difficulty concentrating – shaking or trembling – lower interest in sex – Ringing in the ears – blurred vision –Indigestion –Dry mouth .

Uncommon:

Fainting or feeling dizzy upon standing –change in mood , feeling overly excited or feelings of paranoia – feeling confused , disoriented or unable to think clearly –slow or irregular heart beat or  increase in heart rate –loss of sexdrive , problems reaching orgasm- feeling weak , sedated, lethargic or fatigued –feeling depressed , nervous or indifferent – feeling hot , jittery, abnormal or drunk – vision problems , eye pain or dilated puplis – low or high blood pressure – feeling itchy or cold sweat – spinning sensation – abnormal taste – teeth grinding.

Rare: Feeling dizzy following exertion – sudden onset of sleep – urgency of bowel action.

Reporting of side effects:

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed here. You can also report side effects directly via the Yellow Card Scheme at: www.dorsapharma.com/ (ADR form) By reporting side effects, you can help provide more information on the safety of this medicine.