Inogara contains an active substance called ‘Dapoxetine’. This belongs to a group of medicines called ‘selective serotonin reuptake inhibitors’ (SSRIs). Inogara may also be known as a ‘urological’ medicine.
Inogara increases the time it takes to ejaculate and can improve the control over the ejaculation.This may reduce the frustration or worry about fast ejaculation.
Inogara is used to treat premature ejaculation, in men between 18 and 64 years old.Premature ejaculation is when a man ejaculates with little sexual stimulation and before the man wants. This can cause problems for the man and may cause problems in sexual relationships.

• You are allergic (hypersensitive) to Dapoxetine or any of the other ingredients of Inogara (listed in section 6).
• You have heart problems, such as heart failure or problems with the heart rhythm.
• You have a history of fainting.
• You have ever had mania (symptoms include feeling over excited, irritable or not being able to think clearly) or severe depression.
• 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.
- Medicines used to treat migraines.
Do not take Inogara 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 Inogara. Once you have stopped taking Inogara, 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 Inogara. (See section “Taking other medicines”).
- Certain medicines for fungal infection, including ketoconazole and itraconazole (see section “Taking other medicines”).
- Certain medicines for HIV, including ritonavir, saquinavir, nelfinavir and atazanavir (see section “Taking other medicines”).
- Certain antibiotics for treating infection, including telithromycin (see section “Taking other medicines”).
- Nefazodone: an antidepressant (see section “Taking other medicines”).
- You have moderate or severe liver problems.
Do not take Inogara if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Inogara.
Take special care with Inogara
Check with your doctor or pharmacist before taking your medicine if:
- You drink alcohol (see section “Taking Inogara 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.
- You also have another sexual problem, such as erectile dysfunction.
If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before taking Inogara.
Before you start taking Inogara, 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.

Do not take Inogara at the same time as any of the following medicines:
• 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.
• Medicines used to treat migraines.
Do not take Inogara 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 Inogara. Once you have stopped taking Inogara, 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 Inogara.
• Certain medicines for fungal infection, including ketoconazole and itraconazole.
• Certain medicines for HIV, including ritonavir, saquinavir, nelfinavir and atazanavir.
• Certain antibiotics for treating infection, including telithromycin.
• Nefazodone an antidepressant.
Tell your doctor or pharmacist if you are taking any of the following medicines:
- Medicines for mental health problems other than depression.
- Non steroidal anti inflammatory medicines such as ibuprofen or acetylsalicyclic acid.
- Medicines to thin your blood, such as warfarin.
- Certain medicines used to treat erectile dysfunction, such as sildenafil, tadalafil or vardenafil, as these medicines may lower your blood pressure, possibly upon standing.
- Certain medicines used to treat high blood pressure and chest pain (angina) (such as verapamil and diltiazem), or enlarged prostate, as these medicines may also lower your blood pressure, possibly upon standing.
- Certain other medicines for fungal infection, such as fluconazole.
- Certain other medicines for HIV, such as amprenavir and fosamprenavir.
- Certain other antibiotics for treating infection, such as erythromycin and clarithromycin.
- Aprepitant used to treat nausea.
If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking Inogara.
Taking Inogara with food and drink
Inogara can be taken with or without food.
You should take Inogara with at least one full glass of water.
Avoid alcohol when taking Inogara. The effects of alcohol such as feeling dizzy, sleepy and having slow reactions, may be increased if taken with Inogara.
Drinking alcohol while taking Inogara may increase your risk of injury from fainting or from other side effects.
Pregnancy and breast feeding
Inogara should not be taken by women.
Driving and using machines
You may feel sleepy, dizzy, faint, have difficulty concentrating and blurred vision while taking Inogara. 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 Inogara and you may be more at risk of injury from fainting or from other side effects if you take Inogara with alcohol.
Important information about some of the ingredients of Inogara.
Inogara 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.

Always take Inogara exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
How to take Inogara
The usual dose is 30mg. Your doctor may increase the dose to 60mg. Only take the medicine 1 to 3 hours before sexual activity is anticipated.
Do not take Inogara more than once every 24 hours or every day.
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’ in section 4).
Inogara can be taken with or without food.
Inogara should not be used by either men under the age of 18 or men 65 years or older.
Discuss your Inogara treatment with your doctor after the first 4 weeks or after 6 doses to see whether you should continue treatment. If treatment is continued, you should see your doctor again to discuss this at least every six months.
If you take more Inogara than you should
Tell your doctor or pharmacist if you have taken more tablets than you should. You may feel sick or be sick.

If you stop taking Inogara
Talk to your doctor before you stop taking this medicine. You may have problems sleeping and feel dizzy after you stop taking this medicine, even if you have not taken it every day. If you have any further questions on the use of this product, ask your doctor or pharmacist.

Like all medicines, Inogara can cause side effects, although not everybody gets them. The following side effects may occur with this medicine:
Stop taking Inogara 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
Inogara can make you faint or make your blood pressure drop when you stand up. To help lower the chance of this happening:
Take Inogara with at least one full glass of water. Do not take Inogara 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 (affects more than 1 user in 10):
• Feeling dizzy.
• Headache
• Feeling sick
Common side effects (affects 1 to 10 users in 100):
• 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.

• Indigstion.                                                                    • Dry mouth.

Uncommon side effects (affects 1 to 10 users in 1,000):
• Fainting or feeling dizzy upon standing (see advice above).    • Change in mood, feeling overly excited or feelings of paranoia.
• Feeling confused, disoriented or unable to think clearly.         • Slow or irregular heartbeat or increase in heart rate.
• Loss of sex drive, problems reaching orgasm.                            • Feeling weak, sedated, lethargic or fatigued.
• Feeling depressed, nervous or indifferent.                                   • Feeling hot, jittery, abnormal or drunk
• Vision problems or dilated pupils.                                                   • Low or high blood pressure.
• Feeling itchy or cold sweat.                                                              • Spinning sensation.
• Abnormal taste.                                                                                   • Teeth grinding.

Rare side effects (affects 1 to 10 users in 10,000):
• Feeling dizzy following exertion.    • Sudden onset of sleep.
• Urgency of bowel action.

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

This medicinal product does not require any special storage conditions.
Keep out of the reach and sight of children.
Store below 30°C.
Do not use Inogara after the expiry date which is stated on the carton after EXP.