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The sildenafil component may remain effective for approximately 4–6 hours, while dapoxetine manages the neurological and psychological elements related to pe. Recommended for adults and children above 12 years, for further information see ‘frequently asked questions’.

• Ringing in the ears (tinnitus)
• Drowsiness
• Joint inflammation or severe muscle pain
• Yellowing of the skin or eyes (jaundice)
• Altered sense of taste
• Extreme drowsiness or difficulty waking up
• Significant hearing changes
• Stomach discomfort

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