Information about Longus
Composition:
Each film coated tablet contains: 30mg , 60mg Dapoxetine.
Description:
Longus contains an active substance called 'Dapoxetine'. This belongs to a group of medicines called 'selective serotonin reuptake inhibitors' (SSRIs).
Indications:
Longus is used to treat premature ejaculation, in men between 18 and 64 years old.
Premature ejaculation is a common sexual problem.
It is when a man ejaculates with little sexual stimulation and before the man wants to.
This can cause problems for the man and may cause problems in sexual relationships.
Mechanism of action:
Longus increases the time it takes you to ejaculate and can improve your control over when you ejaculate. This should reduce your frustration or worry about how fast you ejaculate.
Longus may also improve your satisfaction with sexual intercourse.
Contra-indications:
You are allergic (hypersensitive) to dapoxetine or any of the other ingredients of Longus .You have heart problems, such as heart failure or problems with the heart rhythm
You are taking:
Medicines for depression called 'monoamine oxidase inhibitors' (MAOIs)
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 - an herbal-medicine
Tramadol - used to treat serious pain
NSAIDs
Medicines used to treat migraines.
Do not take Longus 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 Longus. Once you have stopped taking Longus, 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 Longus.(see Contra-Indication section).
Certain medicines for fungal infection, including ketoconazole and itraconazole (see Contra-Indication section).
Certain medicines for HIV, including ritonavir, saquinavir, nelfinavir and atazanavir (see Contra-Indication section).
Certain antibiotics for treating infection, including telithromycin (see Contra-Indication section).
Nefazodone - an antidepressant (see Contra-Indication section).
You have moderate or severe liver problems.
Do not take Longus if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Longus.
Warnings:
Check with your doctor or pharmacist before taking your medicine if:
You drink alcohol (see section "Taking Longus with food and drink")
You have not been diagnosed with premature ejaculation
You use recreational drugs such as ecstasy, LSD, narcotics or benzodiazepines
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 a history of bleeding or blood clotting problems
You have kidney problems
You have epilepsy
You have a history of dizziness from low blood pressure.
If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before taking Longus.
Before you start taking Longus, 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.
Taking Longus with food and drink
Longus can be taken with or without food.
You should take Longus with at least one full glass of water.
Avoid alcohol when taking Longus.
The effects of alcohol such as feeling dizzy, sleepy and having slow reactions, may be increased if taken with Longus.
Drinking alcohol while taking Longus may increase your risk of injury from fainting or from other side effects.
Pregnancy and breast-feeding
Longus should not be taken by women.
Driving and using machines
You may feel sleepy, dizzy, faint, have difficulty concentrating and blurred vision while taking Longus. If you experience any of these or similar effects, you should avoid driving or operating hazardous machinery. The effects of alcohol may be increased if taken with Longus and you may be more at risk of injury from fainting or from other side effects if you take Longus with alcohol.
Important information about some of the ingredients of Longus:
Longus contains lactose (a type of sugar). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
How to take Longus:
the usual dose is 30 mg. Your doctor may increase the dose to 60 mg.
Take the medicine 1 to 3 hours before sexual activity.
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 (see 'Fainting and low blood pressure' ).
Longus can be taken with or without food.
Do not take Longus more than once every 24 hours
Longus should not be used by either men under the age of 18 or men 65 years or older.
Overdosage:
Tell your doctor or pharmacist if you have taken more tablets than you should. You may feel sick or be sick.
Side effects
Like all medicines, Longus can cause side effects, although not everybody gets them. The following side effects may occur with this medicine:
Stop taking Longus and see your doctor straight away if:
You have fits (seizures)
You faint or feel light headed when you stand up
You notice any changes in your mood
You have any thoughts of suicide or harming yourself.
If you notice any of the above, stop taking this medicine and see your doctor straight away.
Fainting and low blood pressure:
Longus can make you faint or make your blood pressure drop when you stand up. To help lower the chance of this happening:
Take Longus with at least one full glass of water.
Do not take Longus if you are dehydrated (you do not have enough water in your body). This can happen if:
You have not had anything to drink in the past 4 to 6 hours
You have been sweating for a long time
You have an illness where you have a high temperature, diarrhoea or being sick.
If you feel like you might faint (such as feeling sick, feeling dizzy, light headed, confused, sweaty or an abnormal heart beat), or feel light headed when you stand up, immediately lie down so your head is lower than the rest of your body or sit down with your head between your knees until you feel better. This will stop you from falling and hurting yourself if you do faint.
Do not stand up quickly after you have been sitting or lying down for a long time.
Do not drive or use any tools or machines if you feel faint when taking this medicine.
Tell your doctor if you faint when taking this medicine.
Very common side effects:
Feeling dizzy , Headache.
Common side effects:
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.
Diarrhoea, 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.
Storage:
• This medicinal product does not require any special storage conditions.
• Keep out of the reach and sight of children.
• Do not use Longus after the expiry date.
• Store at room temperature 25°C.
Package:
Packs of 4 film-coated tablets for the two strengths 30 & 60 mg.