Often, these are prescribed for chest pain called angina. The body takes longer to absorb it after a high-fat meal or alcohol. If you have any questions about this medicine ask your pharmacist. However, a cream containing both lidocaine and prilocaine EMLA is available by prescription. It might take time to find the treatment or combination of treatments that work for you. Tramadol might be prescribed when SSRI s haven’t been effective. All three studies found a significantly greater proportion of patients achieving the composite patient-reported outcome with dapoxetine 30 mg or 60 mg than with placebo at the end of the treatment period.The dapoxetine/sildenafil combination therapy significantly improves the IELT values and patient reported outcome measures of PE patients who also suffer from ED. . Comparison of the clinical efficacy and safety of the on-demand use of paroxetine, dapoxetine, sildenafil and combined dapoxetine with sildenafil in treatment of patients .  · The aim of this study is to evaluate the clinical efficacy and safety of the dapoxetine / sildenafil combination (Dapoxil 30/50 mg film-coated tablet) in the .