Understanding Vardenafil and Dapoxetine Combination Therapy

It can develop even in individuals without sexual experience,

Complete Guide to Levitra Super Force vs Generic Vardenafil/Dapoxetine in Los Angeles

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. 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 potentially exposed sites) is required.

What should I tell my healthcare provider before taking vardenafil?

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. This applies to test results from other clinics as well. 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 option, please bring documentation of your test results.

Will higher doses improve effectiveness?

Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to buy cheap dapoxetine antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. 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* (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. Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. and many women may experience it at least once.

Condition	Patient Profile	Usage Recommendation
Erectile Dysfunction (ED)	Men aged 40-65	1 tablet prior to sexual activity
Premature Ejaculation (PE)	Men experiencing early ejaculation	Dapoxetine component benefits
Comorbid ED and PE	Men with both conditions	As directed by a healthcare provider

While it usually does not cause severe symptoms, it

• Vardenafil with dapoxetine can improve sexual satisfaction for men with combined issues.
• The combination may also help reduce performance anxiety.
• Patients should avoid sharing medication with others to prevent misuse.
• Proper hydration and a healthy lifestyle can support medication effectiveness.
• The tablets should be taken on an empty stomach or after a light meal.
• Do not take this medication if you have a history of allergic reactions.
• The medication used can sometimes cause back pain or muscle aches.
• Regular blood tests might be recommended for certain health conditions.
• Notify your doctor if you experience blurred vision or ringing in ears.
• Combining this medication with certain herbal supplements may increase side effects.
• The medication is not intended for continuous daily use.
• Use the medication responsibly to enhance sexual health safely.

may increase the risk of HIV infection and other STIs.

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	40mg	10 Pills	65.09€ 61.99€	Buy
Cialis Original	20mg	22 + 2 Pills	129.20€ 123.05€	Buy
Cialis Soft Tabs	20mg	10 Pills	39.03€ 37.17€	Buy
Priligy Generic Dapoxetine	60mg	90 + 10 Pills	265.64€ 252.99€	Buy
Apcalis SX Oral Jelly	20mg	70 + 7 Sachets	184.98€ 176.17€	Buy
Priligy Generic Dapoxetine	60mg	10 Pills	47.63€ 45.36€	Buy
Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€	Buy
Viagra Generic	100mg	60 + 4 Pills	96.36€ 91.77€	Buy
Priligy Generic Dapoxetine	60mg	180 + 10 Pills	494.76€ 471.20€	Buy
Priligy Generic Dapoxetine	60mg	20 + 4 Pills	77.31€ 73.63€	Buy
Priligy Generic Dapoxetine	60mg	30 + 6 Pills	106.65€ 101.57€	Buy
Priligy Generic Dapoxetine	60mg	60 + 8 Pills	183.06€ 174.34€	Buy
Cialis Original	20mg	64 + 4 Pills	274.18€ 261.12€	Buy

It is known that treating partners

Side Effect	Associated Drug	Severity	Prevalence
Headache	Vardenafil	Mild	Common
Dizziness	Both	Mild to Moderate	Common
Nausea	Dapoxetine	Mild	Less common
Flushing	Vardenafil	Mild	Common
Dizziness or fatigue	Dapoxetine	Mild	Less common

together can help prevent bacterial vaginosis.

Product introduction

We also offer prevention of vaginitis through phone consultation and medication delivery. When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor.

What should I know about vardenafil before taking it?

For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply. Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, 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) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. A randomized controlled trial published in March 2025 reported that,

• Vardenafil enhances erectile response, while dapoxetine reduces the urgency of ejaculation.
• The fixed-dose combo offers a convenient solution for certain sexual dysfunctions.
• Combining these drugs should only be done under medical supervision.
• The medications are usually taken as a single tablet before planned sexual activity.
• Vardenafil dosage varies; common doses range from 5 to 20 mg.
• Dapoxetine is typically taken 1-3 hours prior to sexual activity.
• Patients with liver or kidney issues need dose adjustments or monitoring.
• Possible interactions include nitrates, other ED medications, or antidepressants.
• Avoid heavy meals or high-fat foods immediately before taking the medication.
• These combined tablets are not suitable for men with a history of certain heart diseases.
• Do not take more than prescribed; overdose can lead to severe adverse effects.
• Always check for allergies or contraindications before starting treatment.

in addition to standard treatment

Country	Brand Name(s)	Manufacturer	Available Strengths	Prescription Required
United States	Vardaprol, Dapoxil	Generic pharmaceutical companies	10 mg / 60 mg	Yes
India	Vilitra Dapoxetine	Sun Pharma	10 mg / 60 mg	Yes
European Countries	Erexil Duo	Bayer	10 mg / 60 mg	Yes
Russia	Вардaфил + Дапоксетин	Local generic manufacturers	10 mg / 60 mg	Yes

for women, providing male partners with

How does it work?

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. 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.

Preventing Vaginal Candida

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. 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).

Test Fee

This option also offers a 2,000 JPY discount compared to the standard price. We offer a comprehensive package that includes mental support for those taking PEP all the way until HIV negativity is confirmed. 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. 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction.

Safety profile: what to expect and what to watch for

– 1 bottle of PEP (30 tablets of Taffic) * Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use. 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.

Preventing Bacterial Vaginosis

A follow-up test one month after completing tadalafil with dapoxetine tablets 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. 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).

What is vardenafil used for?

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. 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.