Drug Interactions with Vardenafil Dapoxetine Combination

This applies to test results from other clinics as well.

Safety advice

Patients who purchase PrEP at our clinic can contact us 24/7 via LINE with any questions about PrEP interactions with other medications, how to take PrEP, and more. Please don’t hesitate to reach out. Always ensure that you undergo appropriate tests when starting and/or continuing PrEP. Prescriptions from facilities that do not conduct various tests, or personal imports without testing, carry the significant risk of HIV resistance and worsening of hepatitis B. – 1 bottle of PrEP (30 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – 3 bottles of PrEP (90 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – 6 bottles of PrEP (180 tablets), Descovy – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) – Extra test kit to use 3 months after (HIV, hepatitis B, syphilis and renal function) If you underwent HIV and hepatitis B testing within the past week, we can prescribe PrEP at the prices below.

Discreet Packaging

Please bring documentation of your test results. You must undergo appropriate testing before initiating or continuing PrEP. Obtaining PrEP from facilities that do not perform the required tests, or through personal imports without testing, carries serious risks including HIV resistance and worsening hepatitis B. Tests conducted outside our clinic also qualify. If you use our three-exam regular package, it already includes HIV and hepatitis B tests, so you may receive your prescription on the day of testing. If you are using our 3-test regular package, Doxy-PEP can be prescribed

on the day of testing, as it includes syphilis, gonorrhea and chlamydia.

If you are requesting Doxy-PEP as a medication-only

ED Treatment Medication

Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous. To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all dapoxetine 30mg tablet potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP. Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee. option, please bring documentation of your test results.

• These tablets should be stored securely out of reach of children.
• Never exceed the recommended dose to prevent serious health risks.
• If you experience chest pain, seek emergency medical treatment immediately.
• The effect duration varies but typically lasts up to 4-6 hours.
• Dapoxetine may cause temporary nausea or dizziness at the start of treatment.
• The medication can be part of a broader sexual health treatment plan.
• Men with liver problems require careful evaluation before use.
• Always report any unusual or prolonged side effects to your healthcare provider.
• Abstinence from alcohol and recreational drugs is advised during treatment.
• Do not use this medication to enhance sexual performance beyond prescribed guidelines.
• Use in combination with psychological therapy can improve outcomes.
• Follow the instructions for use carefully to ensure safety and effectiveness.

Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported

What if you forget to take Varda Super Power?

Please consult with our doctor for more details. Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. medications without testing are risky and may lead to antimicrobial resistance.

We also offer a discounted vaginal discharge test (for

Should you choose the combo tablet or separate generics?

Available only to those who bring HIV and hepatitis B test results from within the past week – Renal function test (email results): additional 500 JPY upon request Available only to those who bring HIV and hepatitis B test results from within the past week – Renal function test (email results): additional 500 JPY upon request For those who import PrEP on their own, we have a package of routine check-ups. for those importing PrEP on their own – Syphilis test (results notified via e-mail) – Renal function test (results notified via e-mail) Gonorrhea and Chlamydia (genitals, throat, anus): 3,000 JPY (20,000 JPY) Discharge test (vaginal candida, vaginal trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing. For patients using PrEP who wish to start Doxy-PEP, same-day prescription is available by adding the gonorrhea and chlamydia test (genital, throat and rectal). This option also offers a 2,000 JPY discount compared to the standard price. We offer a comprehensive package that includes mental buy cheap dapoxetine support for those taking PEP all the way until HIV negativity is confirmed.

What should I do if I accidentally take too much vardenafil?

Depending on the circumstances of the potential exposure, necessary additional tests are also provided within this package at no extra cost. For urgent PEP prescriptions, such as when more than 72 hours have passed since exposure which is beyond the usual consultation hours, please contact us via our official LINE account. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – A doctor’s consultation is required for PrEP prescriptions. – 1 bottle of PEP (30 tablets of Taffic) * Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use. vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP.

• Vardenafil with dapoxetine improves spontaneity in sexual activities.
• It does not affect libido but improves performance and ejaculation control.
• Always read the patient information leaflet before starting treatment.
• The combination is designed for on-demand use not daily.
• Men with cardiovascular risk factors should be evaluated before use.
• Dapoxetine can cause mild side effects like headache or dizziness.
• Vardenafil's effect depends on adequate sexual arousal.
• Alcohol and certain foods can diminish medication efficacy.
• Store medication at room temperature away from moisture, heat, and light.
• Never take leftover medications without consulting your doctor.
• Impotence and premature ejaculation can both be managed with this combination.
• Proper medical consultation maximizes safety and therapeutic benefit.

Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500

JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY*

• Vardenafil with dapoxetine may cause flushing and nasal congestion as side effects.
• Patients should monitor blood pressure levels if they have hypertension.
• The medication is generally safe when used as directed under medical supervision.
• It is essential not to combine these tablets with other ED or PE treatments without consulting.
• An initial dose should be conservative, especially in older adults.
• The combo tablet should be used only with a doctor's approval.
• Avoid recreational drugs, which can interfere with efficacy and safety.
• The medication does not cure underlying conditions causing ED or PE.
• Follow up appointments help adjust dosage for optimal results.
• Men with eye disorders should inform their healthcare provider before use.
• Discontinue medication and seek medical attention if unusual symptoms appear.
• Maintain open communication with your healthcare provider during treatment.

(25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication

• Vardenafil with dapoxetine is a rapid-onset treatment option for sexual dysfunction.
• It is important to follow dosing instructions carefully to prevent adverse effects.
• The drug may be less effective if taken with high-fat foods.
• Side effects in some cases include diarrhea or indigestion.
• Men should wait at least 24 hours before taking another dose.
• The medication should not be used with medications containing similar active ingredients.
• Sexual stimulation is necessary for the medication to produce an erection.
• Avoid taking the medication if you have been advised against sexual activity.
• The combination therapy offers a dual approach to ED and PE management.
• Men with psychiatric conditions should consult their doctor prior to use.
• Always complete the prescribed course unless advised otherwise by your doctor.
• Proper medical guidance ensures the safe and effective use of vardenafil with dapoxetine.

for the prevention of vaginal candida from us, we can offer special pricing.

How does it work?

Please note that the doctor will explain the results of the discharge test, so an additional consultation fee will be charged. ** Only those with symptoms can be tested. If you do not have symptoms but are worried about infection, we recommend a herpes antibody test. ***Results of the drug reaction test will be explained by a doctor, hence a separate consultation fee applies. Recommended for: Individuals who undergo regular STI testing or seek multiple tests at a discounted price.

Safety Measures

Test Results: sent via e-mail on a later date. We offer a set menu of periodic tests at a very reasonable price for three sessions for everyone’s convenience. The set price will be charged at the time of the first test. No additional payment is required for the second and third tests. You can take the second and third tests at a time of your choice. Vaginitis (vaginal candida and bacterial vaginosis) can be

Clinic-Exclusive Cosmetics

Note that it is valid for a year. For those who purchase the three-session package, we also offer a special discount for PrEP. The price shown in parentheses is the price per dose for a set of three doses. *The results of the discharge test will be explained by the doctor, so a separate consultation fee will apply. Patients who purchase Screening Premium, Screening Premium Plus, Ladies Bridal, or Full Set can add an HPV test at the special prices below.

Access medical and health information

– HPV Genotyping (Basic): 5,000 JPY (Regular price: 7,000 JPY) – HPV Genotyping (Full): 19,000 JPY (Regular price: 23,000 JPY) We also offer package menus without HIV tests. The prices for STI treatments provided at our clinic are as follows: Currently, the injectable syphilis treatment “Sterelyze® (potassium penicillin G for IV infusion)” is under recall by the manufacturer, Pfizer, due to a formulation dapoxetine spain issue, and its supply has been temporarily suspended. Oral medications and testing remain available as usual. Our clinic offers PrEP at package prices, which include all the necessary blood tests for the use and continuation of PrEP. * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that PrEP prescription requires doctor’s consulation. managed with an option focused on preventing recurrence.

What are the Vardenafil and Dapoxetine Tablets used for?

Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP. We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase. Gonorrhea & Chlamydia (Genital, Throat, Anal – 3 sites): 3,000 JPY (20,000 JPY) Vaginal Discharge Test (Vaginal Candida, Trichomonas, Bacterial Vaginosis): 3,000 JPY (4,500 JPY) These options are valid for one month after purchasing PEP. A follow-up test one month after completing PEP is available at a special discounted price. If you wish to use doxy-PEP in addition to PEP, adding the “Gonorrhea and chlamydia (genital, throat and rectum; 3 sites)” test (3,000 JPY) allows same-day doxy-PEP prescription.

In Treatment of Worm infections

We offer gonorrhea, chlamydia and syphilis testing at a special price for everyone who starts or continues doxy-PEP. HIV, Hepatitis B & Kidney function: 3,000 JPY HIV, Hepatitis B, Kidney function & Syphilis: 5,000 JPY This method involves taking medication within 72 hours after sexual activity to prevent syphilis, gonorrhea, and chlamydia. The reported effectiveness of prevention is 87% for syphilis, 88% for chlamydia, and 55% for gonorrhea (International AIDS Society, July 2022). These STIs have a high transmission rate when having sexual contact with an infected person—around 30% for syphilis and 50% for chlamydia and gonorrhea—making this prevention method highly effective and globally recognized. We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient.