What is depofil tablet used for?

This medicine is a combination of tadalafil and dapoxetine used to treat premature ejaculation in adult men. It works by delaying ejaculation and improving erectile function. It should be taken as prescribed, typically 1-3 hours before sexual activity, and not more than once daily.

Generic Name: Tadalafil + Dapoxetine
Manufacturer: R B Pharmaceuticals
Form: Allopathy
Pregnancy Category: Consult doctor
Prescription Required: Yes

🇮🇳 depofil tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टैडालाफिल और डैपोक्सेटीन का संयोजन है, जिसका उपयोग वयस्क पुरुषों में शीघ्रपतन (प्रीमैच्योर इजैकुलेशन) के इलाज के लिए किया जाता है। यह स्खलन को देर से करने में मदद करती है और इरेक्टाइल फंक्शन को भी बेहतर बनाती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, मतली, मुँह सूखना और चेहरे पर गर्माहट शामिल हैं। गंभीर दुष्प्रभावों में लंबे समय तक इरेक्शन (प्रियापिज्म), बेहोशी, और सेरोटोनिन सिंड्रोम शामिल हैं। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को केवल डॉक्टर के पर्चे के अनुसार ही लें। एक दिन में एक से अधिक गोली न लें। शराब का सेवन न करें क्योंकि इससे चक्कर और निम्न रक्तचाप हो सकता है। यदि आपको 4 घंटे से अधिक समय तक इरेक्शन बना रहता है तो तुरंत आपातकालीन चिकित्सा सहायता लें।

💊 depofil tablet Uses & Benefits

[{"condition":"Premature Ejaculation (PE)","description":"This medicine is primarily indicated for the treatment of premature ejaculation in adult men, helping to prolong intravaginal ejaculatory latency time and improve control and satisfaction.","evidence":"Well-established"},{"condition":"Erectile Dysfunction (ED) with PE","description":"The tadalafil component helps improve erectile function, making this combination useful for men who have both premature ejaculation and erectile dysfunction.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Premature Ejaculation with comorbid anxiety","description":"Dapoxetine may help reduce anxiety related to sexual performance, though this is not a primary indication.","evidence":"Limited"}]

Primary treatment for: Premature Ejaculation

Also treats: Erectile Dysfunction

📋 Drug Information

Generic Name(s)	Tadalafil + Dapoxetine
Brand Name	Bigfun Gold 10mg/30mg Tablet
Manufacturer	R B Pharmaceuticals
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	SEX STIMULANTS REJUVENATORS
Action Class	PDE5 Inhibitor + SSRI
Route of Administration	Oral
Storage	Store at room temperature (15-30°C) away from moisture and heat. Keep in the original container.
Shelf Life	24 months from the date of manufacture.
WHO Guideline	Not established from the available information.
ICMR Guideline	Not established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1

Take this medicine approximately 1 to 3 hours before anticipated sexual activity.

2

Do not take more than one tablet in 24 hours.

3

Avoid alcohol while taking this medicine to prevent dizziness and low blood pressure.

4

Inform your doctor if you have a history of heart, liver, or kidney problems.

5

Do not drive or operate heavy machinery until you know how this medicine affects you.

6

Seek immediate medical help if you experience an erection lasting more than 4 hours.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅

Premature Ejaculation

This medicine is commonly prescribed for this.

Likely Use

✅

Erectile Dysfunction

The tadalafil component helps with erectile function.

Likely Use

❌

Headache

This medicine is not a primary headache treatment.

Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionTadalafil is rapidly absorbed after oral administration, with peak plasma concentrations achieved within 2 hours. Dapoxetine is also rapidly absorbed, with peak plasma levels reached in about 1 to 2 hours. Food does not significantly affect the absorption of tadalafil, but a high-fat meal may slightly reduce the rate of dapoxetine absorption.

DistributionTadalafil has a volume of distribution of approximately 63 liters, indicating distribution into tissues. Dapoxetine has a volume of distribution of about 21 liters per kilogram, suggesting extensive tissue distribution.

Protein BindingTadalafil is approximately 94% bound to plasma proteins. Dapoxetine is about 99% bound to plasma proteins.

MetabolismTadalafil is primarily metabolized by the CYP3A4 enzyme in the liver. Dapoxetine is extensively metabolized by multiple enzymes, including CYP2D6, CYP3A4, and flavin-containing monooxygenase 1 (FMO1).

Half-LifeThe elimination half-life of tadalafil is approximately 17.5 hours. The elimination half-life of dapoxetine is about 1.5 hours for dapoxetine and 1.5 hours for its active metabolite, desmethyldapoxetine.

ExcretionTadalafil is primarily excreted as metabolites in feces (approximately 61%) and urine (approximately 36%). Dapoxetine is excreted mainly in urine as metabolites.

BioavailabilityThe absolute bioavailability of tadalafil is approximately 36%. The absolute bioavailability of dapoxetine is not established from the available information.

Onset of ActionThe onset of action for tadalafil is within 30 to 60 minutes, but it may take up to 2 hours for full effect. Dapoxetine typically takes about 1 to 2 hours to exert its effect on ejaculation.

Peak Plasma TimeTadalafil reaches peak plasma concentration in about 2 hours. Dapoxetine reaches peak plasma concentration in about 1 to 2 hours.

Duration of ActionThe duration of action for tadalafil is up to 36 hours. Dapoxetine's effect on ejaculation lasts for approximately 4 to 6 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Tadalafil is a selective inhibitor of phosphodiesterase type 5 (PDE5), which prevents the breakdown of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum. This leads to smooth muscle relaxation and increased blood flow to the penis, facilitating erection. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the synaptic cleft, which modulates the ejaculatory reflex and delays ejaculation. Together, they address both erectile function and ejaculatory control.

Mechanism Steps

1

PDE5 inhibition by tadalafil: Tadalafil inhibits the PDE5 enzyme, preventing the degradation of cGMP in the smooth muscle cells of the corpus cavernosum.

2

Increased cGMP and smooth muscle relaxation: Elevated cGMP levels cause relaxation of penile smooth muscle, allowing increased blood flow and erection.

3

Serotonin reuptake inhibition by dapoxetine: Dapoxetine blocks the serotonin transporter, increasing serotonin availability in the synaptic cleft.

4

Modulation of ejaculatory reflex: Enhanced serotonergic activity in the central nervous system delays the ejaculatory reflex, prolonging time to ejaculation.

💡 How to Take depofil tablet

Strength: Tablet containing tadalafil 10 mg and dapoxetine 30 mg.

1Take one tablet orally with a full glass of water.

2Take it approximately 1 to 3 hours before anticipated sexual activity.

3Do not take more than one tablet in 24 hours.

4Swallow whole; do not crush or chew.

5Can be taken with or without food, but avoid high-fat meals.

Dosage Information

Adult Dosage	The recommended dose for adult men is one tablet taken orally approximately 1 to 3 hours before anticipated sexual activity. Do not take more than one tablet in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric Dosage	Pediatric dosing is not established from available information. Consult a pediatrician.
Elderly Dosage	Elderly patients may be more sensitive to the effects of this medicine. Use with caution and under medical supervision.
Renal Impairment	Dose adjustment may be required in patients with renal impairment. Consult your doctor.
Hepatic Impairment	Dose adjustment may be required in patients with hepatic impairment. Consult your doctor.
Maximum Daily Dose	One tablet in 24 hours.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food

Can be taken with or without food

Food does not significantly affect tadalafil absorption, but high-fat meals may delay dapoxetine absorption.

Grapefruit juice

Avoid

May increase tadalafil levels by inhibiting CYP3A4.

⏰ What to Do If You Miss a Dose

📌 If you miss a dose and still plan to have sexual activity

→ Take the missed dose if there is enough time before activity.

💡 Do not take more than one dose in 24 hours.

📌 If you miss a dose and no longer need it

→ Skip the missed dose.

💡 Do not double dose.

⚠️ Side Effects of depofil tablet

✅ Common Side Effects

Headache (Common (5-10%))

Usually resolves on its own. Consult doctor if persistent or severe.

Dizziness (Common (5-10%))

Avoid driving or operating machinery until you know how it affects you.

Nausea (Common (5-10%))

Take with food to reduce nausea. Consult doctor if it persists.

Dry mouth (Common (5-10%))

Stay hydrated. Chew sugar-free gum if needed.

Flushing (Common (5-10%))

Usually harmless and temporary. Consult doctor if bothersome.

🚨 Serious Side Effects

Priapism (prolonged erection) (Rare (<0.1%))

Seek immediate medical attention if erection lasts more than 4 hours.

Syncope (fainting) (Rare (<0.1%))

Lie down and elevate legs. Seek medical help if recurrent.

Serotonin syndrome (Rare (<0.1%))

Seek emergency care if you experience agitation, hallucinations, rapid heart rate, fever, or muscle twitching.

Severe allergic reaction (Rare (<0.1%))

Seek immediate medical help if you notice swelling of face, lips, tongue, or difficulty breathing.

⚠️ Rare Side Effects

Sudden vision loss

Seek immediate medical attention.

Sudden hearing loss

Consult an ENT specialist immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug	Severity	Effect
Nitrates	Major
MAO inhibitors	Major
CYP3A4 inhibitors	Major
Alpha-blockers	Moderate
SSRIs/SNRIs	Moderate
Antacids	Minor

🚨 Major Interactions

Nitrates (e.g., nitroglycerin)
MAO inhibitors
CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)

⚡ Moderate Interactions

Alpha-blockers
Other SSRIs or SNRIs

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and low blood pressure. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to tadalafil or dapoxetine","Concomitant use of nitrates","Concomitant use of MAO inhibitors","Severe hepatic impairment","Severe renal impairment","Recent myocardial infarction or stroke","Uncontrolled hypotension or hypertension","History of priapism"]

⚠️ Warnings & Precautions

["Not for use in women or children.","Avoid alcohol.","Use caution in patients with bleeding disorders or peptic ulcer.","May impair ability to drive or operate machinery.","Do not take with other PDE5 inhibitors or SSRIs.","Seek immediate medical help for prolonged erection.","Inform your doctor about all medications you are taking."]

🤱 Lactation Safety

Not applicable. This medicine is not indicated for use in women.

💊 Overdose Management

Overdose may cause severe hypotension, serotonin syndrome, or priapism. Seek emergency medical attention immediately. Treatment is supportive and symptomatic.

⏰ Missed Dose

This medicine is taken on an as-needed basis, typically 1 to 3 hours before anticipated sexual activity. If you miss a dose, take it when you remember if there is still time before sexual activity. Do not take more than one dose in 24 hours.

Additional Safety Advice

General Safety

This medicine must only be taken as prescribed by a qualified clinician. Do not exceed the recommended dose. Take the tablet with a full glass of water, with or without food, but a high-fat meal may delay the onset of action. Avoid alcohol, as it can increase the risk of dizziness, drowsiness, and low blood pressure. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor about all other medications you are taking, especially nitrates, alpha-blockers, antifungals, HIV medications, and other antidepressants. Do not take this medicine if you have taken a monoamine oxidase inhibitor (MAOI) within the last 14 days. If you experience a painful or prolonged erection lasting more than four hours, seek emergency medical help immediately. Keep this medicine out of reach of children. Store at room temperature away from moisture and heat. Do not use this medicine if the packaging is damaged or if the expiry date has passed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, particularly hypotension and dizziness. Use with caution and under close medical supervision. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

This medicine is not indicated for use in women. If you are planning pregnancy, consult your doctor for appropriate advice.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after any surgery, especially if you have undergone recent cardiovascular or ophthalmic procedures. It may interact with medications used during surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, especially before any dental procedure that may involve bleeding or anesthesia. It may interact with certain medications used in dental procedures.

💚 Lifestyle Tips for Better Results

🏃

Maintain a healthy weight to improve overall sexual health.

🥗

Regular exercise can improve blood flow and reduce stress.

😴

Practice stress-reduction techniques like meditation or yoga.

💧

Communicate openly with your partner about sexual concerns.

🧘

Get adequate sleep to support hormonal balance.

🌞

Avoid smoking and excessive alcohol consumption.

🏋️ Exercise Considerations

Moderate exercise is generally safe while taking this medicine. However, avoid strenuous activities if you experience dizziness or low blood pressure. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include fruits and vegetables rich in antioxidants.

Reduce intake of processed and high-fat foods.

Stay well hydrated.

Limit caffeine and alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also impact your mood or energy levels; discuss any concerns with your doctor.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects or if your condition improves, your doctor may adjust or discontinue the dose. Abrupt discontinuation of dapoxetine may cause withdrawal symptoms.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Regular monitoring of blood pressure, heart rate, and mood changes is advised. There is a potential for dependence on dapoxetine, and withdrawal symptoms may occur if stopped abruptly. Consult your doctor for periodic evaluation.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Behavioral therapy

Techniques like squeeze technique and start-stop method can help manage premature ejaculation.

Evidence: Well-established

Topical anesthetics

Lidocaine or prilocaine sprays can reduce penile sensitivity and delay ejaculation.

Evidence: Moderate

Pelvic floor exercises

Strengthening pelvic floor muscles may improve ejaculatory control.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccination considerations are associated with this medicine. However, maintain routine vaccinations as advised by your healthcare provider.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from moisture and heat. If crossing time zones, take the medicine as needed for sexual activity, but do not exceed one dose in 24 hours. Check local customs regulations regarding prescription medications before traveling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with premature ejaculation

He was prescribed this medicine by his doctor. He took it 2 hours before sexual activity and noticed a significant improvement in his ability to delay ejaculation. He experienced mild headache initially, which subsided after a few uses.

💡 Lesson: Taking the medicine as prescribed and allowing time for it to work can lead to satisfactory results.

👤 A 50-year-old man with both erectile dysfunction and premature ejaculation

He was hesitant to try a combination medicine but his doctor recommended it. After using it as directed, he found that both his erectile function and ejaculatory control improved. He was advised to avoid alcohol, which he followed.

💡 Lesson: Combination therapy can address multiple sexual health issues simultaneously when used under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 1 to 2 hours after taking it. It is usually taken 1 to 3 hours before anticipated sexual activity.

Q: Can I take this medicine every day?

A: No, this medicine is taken on an as-needed basis and should not be taken more than once in 24 hours.

Q: What should I do if I experience side effects?

A: Mild side effects like headache or dizziness usually go away on their own. If you experience severe side effects like prolonged erection or fainting, seek immediate medical attention.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

Can I take this medicine long-term?
Will it affect my kidney function?
Can I drive after taking this medicine?
Does it interact with my blood pressure medicine?
What if I miss a dose?
Can I drink alcohol while taking this?

🔄 Substitutes for depofil tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

Myth: This medicine can be taken daily for better results.
Fact: This medicine is taken on an as-needed basis and should not be taken more than once in 24 hours.
Myth: It is safe to take with nitrates.
Fact: Combining with nitrates can cause a dangerous drop in blood pressure and is contraindicated.

🔄 Alternative Options

Generic Alternatives

Tadalafil 10 mg + Dapoxetine 30 mg tablet

Brand Alternatives

Bigfun Gold 10mg/30mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Tadalafil 10 mg + Dapoxetine 30 mg","indication":"Premature Ejaculation with or without ED","notes":"Combination therapy"},{"medicine":"Dapoxetine 30 mg","composition":"Dapoxetine 30 mg","indication":"Premature Ejaculation","notes":"SSRI only"},{"medicine":"Tadalafil 10 mg","composition":"Tadalafil 10 mg","indication":"Erectile Dysfunction","notes":"PDE5 inhibitor only"}]

Bigfun Gold 10mg/30mg Tablet: Comprehensive Guide

When to Call Your Doctor IMMEDIATELY

What is depofil tablet used for?

🇮🇳 depofil tablet के बारे में (Hindi Summary)

💊 depofil tablet Uses & Benefits

📋 Drug Information

👨‍⚕️ Doctor's Practical Tips

🔍 Is This Medicine Right for Your Symptom?

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

How It Works

Mechanism Steps

💡 How to Take depofil tablet

Dosage Information

Dosage Timeline

🍽️ Food Timing Guide

⏰ What to Do If You Miss a Dose

⚠️ Side Effects of depofil tablet

✅ Common Side Effects

🚨 Serious Side Effects

⚠️ Rare Side Effects

🔬 Drug Interactions

🚨 Major Interactions

⚡ Moderate Interactions

🍷 Alcohol Interaction

🔎 Check Your Other Medicines

🛡️ Safety & Warnings

🚫 Contraindications

⚠️ Warnings & Precautions

🤱 Lactation Safety

💊 Overdose Management

⏰ Missed Dose

Additional Safety Advice

👴 Special Considerations for Elderly

💡 For Patients Above 65

🤰 Pregnancy Planning (TTC)

🏥 Post-Surgery Considerations

🦷 Dental Procedures

💚 Lifestyle Tips for Better Results

🏋️ Exercise Considerations

🥗 Diet Recommendations

💼 Impact on Daily Work & Life

🛑 When to Stop This Medicine

📅 Long-Term Use Effects

🌿 Non-Medicine Approaches

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

📦 Storage Guide

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✈️ Traveling with This Medicine

💰 Cost Analysis & Savings

👥 Real Patient Stories

💬 Questions Patients Often Ask

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

🔄 Substitutes for depofil tablet

🛑 Myths vs. Facts

🔄 Alternative Options

Generic Alternatives

Brand Alternatives

📊 Comparison with Similar Medicines

😊 Was this information helpful?

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