Kutub 60mg Tablet 4'S

Introduction About KUTUB 60MG TABLET

KUTUB 60MG TABLET contains Dapoxetine, which belongs to the group of medicines
called Selective serotonin reuptake inhibitors. It is used in adult men to
manage early ejaculation by balancing certain chemicals in the brain.

Prior to the management, your doctor would perform certain tests to determine
whether you have or are at risk of developing severe low blood pressure while
standing up.

Take KUTUB 60MG TABLET at least 1-3 hours before anticipated sexual activity.
Avoid the consum
TABLET. Before taking KUTUB 60MG TABLET, inform your doctor if you have any
history of bleeding disorders or mental disorders.

KUTUB 60MG TABLET is not recommended for use in patients with liver or heart
problems. It is also not suitable for use in children or adolescents (below 18
years old). Inform your doctor immediately if you experience dizziness upon
standing up suddenly or if you experience sudden mood changes or suicidal
thoughts after taking KUTUB 60MG TABLET. The most common side effects of taking
KUTUB 60MG TABLET are dizziness, nausea, tiredness, increased sweating,
restlessness, and a decrease in sex drive. Consult your doctor if any of the
side effects trouble you.

Uses Of KUTUB 60MG TABLET

• To manage early ejaculation in adult men (18–64 years of age)

How KUTUB 60MG TABLET Works

KUTUB 60MG TABLET delays ejaculation by blocking the reuptake of a
neurotransmitter called serotonin between the nerve cells. This increases the
activity of serotonin within the brain, which increases the time taken to
release semen (ejaculate) and can improve control over ejaculation during sexual
intercourse.

How to use KUTUB 60MG TABLET

Take KUTUB 60MG TABLET as advised by your physician. It can be taken with or
without food. Swallow the medicine with a glass of water. Do not crush or chew
the medicine. Take this medicine at least 1–3 hours before anticipated sexual
activity. Your doctor will decide the suitable dose and duration of therapy for
you, depending upon your age, body weight, and health condition.

Side Effects Of KUTUB 60MG TABLET

Common

• dizziness, headache
• feeling irritated and restlessness, difficulty in concentration
• low sex drive and erectile difficulties
• feeling tired, sick, and sleepy
• problems with sleeping or unwanted dreams
• involuntary shaking and trembling
• numbness of body parts
• blurred vision
• ringing in the ears
• nasal block
• indigestion, stomach pain and bloating, diarrhoea, and constipation
• excessive sweating
• increased blood pressure

Uncommon

• mood changes, feeling overly excited, or feeling threatened for no reason
• confusion, disorientation, or being unable to think clearly
• abnormal heart rate
• depression, nervousness
• feeling hot, abnormal, or drunk
• vision problems, eye pain, or dilated pupils
• low blood pressure
• feeling itchy or cold sweats
• spinning sensation
• abnormal taste
• teeth grinding

Rare

• sudden onset of sleep (Ex. narcolepsy)
• urge to empty the bowel

Stop taking KUTUB 60MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• seizures (fits)
• fainting or light-headedness while standing
• mood changes
• suicidal thoughts or a tendency for self-harming

How To Manage Side Effects

!### Constipation

Eat a lot of fiber-rich foods, such as fresh fruits, vegetables, and cereals.
Drink plenty of fluids. Exercise more regularly. Consult your doctor if this
side effect bothers you.

!### Diarrhea

Hydrate yourself by drinking plenty of fluids, such as water or fruit juices.
Consuming ORS can also be beneficial. Do not self-manage 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.

Warning & Precautions

!### Pregnancy

ContraindicatedKUTUB 60MG TABLET is not intended for use by women.

!### Breastfeeding

ContraindicatedKUTUB 60MG TABLET is not intended for use by women.

!### Driving and Using Machines

ContraindicatedDo not drive or operate any heavy tools or machines if you experience dizziness,
fainting, or blurred vision after taking KUTUB 60MG TABLET.

Alcohol

ContraindicatedAvoid consum
you feel dizzy or drowsy, which can affect your daily activities.

!### Kidney

Use with CautionKUTUB 60MG TABLET should be used with caution in patients with kidney diseases.
Therefore, consult your doctor before taking.

!### Liver

ContraindicatedKUTUB 60MG TABLET is not recommended for use in patients with moderate to severe
liver diseases. Therefore, consult your doctor before taking.

!### Allergy

ContraindicatedDo not take KUTUB 60MG TABLET if you are allergic to dapoxetine.

!### Heart Disease

ContraindicatedKUTUB 60MG TABLET is not recommended for use in patients with heart problems
(such as a heart attack or abnormal heart rhythm). Therefore, consult your
doctor before taking.

!### Use In Pediatrics

ContraindicatedKUTUB 60MG TABLET should not be used in children and adolescents (below 18
years). Therefore, consult your doctor before taking.

!### Use In Geriatrics

Use with CautionKUTUB 60MG TABLET should be used with caution in elderly patients (aged above 65
years). Therefore, consult your doctor before taking.

Others

KUTUB 60MG TABLET is not recommended for use if you:

• have ever had m
• have a history of fainting in the past

Before taking KUTUB 60MG TABLET, inform your doctor if you:

• have or are at risk of developing glaucoma
• have a history of bleeding or blood clotting disorders
• have fits
• have not been diagnosed with any sexual problems
• have a history of feeling dizzy from low blood pressure
• are alcoholic
• have mental problems such as schizophrenia (a disorder of thinking)

Interactions

A. Drug-drug interactions:

• 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 (medicine used to induce sleep)
• medicines used to manage migraines Ex. almotriptan, sumatriptan
• NSAIDs (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)
• medicines used to manage erectile dysfunction (such as sildenafil, tadalafil, 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 interaction:

Avoid drinking grapefruit juice within 24 hours prior to taking KUTUB 60MG
TABLET, as it may increase the level of KUTUB 60MG TABLET in the body.

Overdosage:

If you or anyone else accidentally took more KUTUB 60MG TABLET, consult your
doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Dapoxetine
Pharmacological Category	:	Selective serotonin reuptake inhibitors (SSRI)
Therapeutic Indication	:	To manage early ejaculation
Dosage Forms	:	Tablet, Injection

More Information

• Keep KUTUB 60MG TABLET out of reach of children
• Store at room temperature

FAQs About KUTUB 60MG TABLET

Q: Does KUTUB 60MG TABLET cause erectile dysfunction?

A: KUTUB 60MG TABLET may cause difficulties in erection in some individuals.
Talk to your doctor if you are facing any erection difficulties while taking
KUTUB 60MG TABLET.

Q: Is KUTUB 60MG TABLET a Viagra?

A: No. KUTUB 60MG TABLET contains dapoxetine, which is a selective serotonin
reuptake inhibitor. It is used to manage early ejaculation by balancing certain
chemicals in the brain. Whereas Viagra sildenafil, which is a phosphodiesterase
type 5 (PDE 5) inhibitor, is used to improve blood flow to the penis. They are
not the same.

Q: Can I take KUTUB 60MG TABLET along with sildenafil or tadalafil?

A: Inform your doctor before taking KUTUB 60MG TABLET along with sildenafil or
tadalafil. Your doctor would prescribe a combination of sildenafil or tadalafil
with dapoxetine if you have both erection and ejaculation problems. Since the
use of sildenafil or tadalafil with dapoxetine can increase the risk of
orthostatic hypotension (feeling dizzy while standing up), you should consult
your doctor before taking them together. Your doctor would also check whether
you have any heart problems or are taking medicines to lower your blood
pressure.

Q: Will taking a higher dose of KUTUB 60MG TABLET be more beneficial?

A: No. KUTUB 60MG TABLET should be taken only as advised by your physician.
Taking a higher dose of KUTUB 60MG TABLET may cause more harm rather than being
beneficial. If you feel that the prescribed dose is less effective for you,
consult your doctor. Your doctor would analyse your condition and prescribe a
dose that suits you.

Q: Will taking KUTUB 60MG TABLET affect my sexual life?

A: Long-term use of KUTUB 60MG TABLET may negatively impact your sexual life. It
may cause sexual problems such as decreased libido, problems with erection, etc.
Talk to your doctor if you are facing any sexual problems while taking KUTUB
60MG TABLET.

Q: Can KUTUB 60MG TABLET be taken daily?

A: KUTUB 60MG TABLET should be taken only as prescribed by your physician. Do
not take KUTUB 60MG TABLET on a regular basis without consulting your doctor.

Q: How does KUTUB 60MG TABLET work?

A: KUTUB 60MG 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 to hold sperm for a longer duration of time.

Q: How long will it take for KUTUB 60MG TABLET to start acting?

A: KUTUB 60MG TABLET should be taken about 1–3 hours before anticipated sexual
activity. Therefore, do not forget or miss taking your dose at the right time.

Q: Can I stop taking KUTUB 60MG TABLET on my own without consulting a
doctor?

A: Do not stop taking KUTUB 60MG TABLET without consulting your physician, as
sudden discontinuation of KUTUB 60MG TABLET can cause withdrawal symptoms like
sleeping problems or dizziness.

Q: What are the precautionary steps to be followed before taking KUTUB 60MG
TABLET?

A: Before taking KUTUB 60MG TABLET, you must inform your doctor about your
problems, apart from premature ejaculation. You should also inform your doctor
if you have any previous history of low blood pressure, which might make you
feel dizzy, or mental problems (such as bipolar disorder or schizophrenia). Take
the dose suggested by your doctor and do not consume a higher dose than
prescribed. KUTUB 60MG TABLET must be taken 1-3 hours before sexual intercourse
to achieve better results. Consult your doctor if you experience sudden mood
changes or low blood pressure. Periodically consult your doctor for progress in
your health condition. Contact your doctor if you remain unresponsive to the
therapy.

Q: Can I consume alcohol while taking KUTUB 60MG TABLET?

A: No. Avoid consum
make you feel dizzy or drowsy, which can affect your daily activities.