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compositionComposition:DAPOXETINE-30MG+TADALAFIL-10MG
prescriptionPrescription Medicine
Vigonex Tablet 4's

Vigonex Tablet 4's is used to treat erectile dysfunction (impotence) and premature ejaculation in men. It contains Tadalafil and Dapoxetine, which relax smooth muscles and widen blood vessels in the penis. Thereby, it helps to treat erectile dysfunction and symptoms of an enlarged prostate. Also, it improves control over ejaculation and hence increases the time taken to ejaculate. It may cause side effects such as nausea, dizziness, vomiting, dry mouth, indigestion, nosebleeds, headache, and flushing (a sensation of warmth in the face, ears, neck, and trunk). Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

DAPOXETINE-30MG+TADALAFIL-10MG

Manufacturer/Marketer :

Nuvenex Labs Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Vigonex Tablet 4's

Vigonex Tablet 4's is used to treat erectile dysfunction and premature ejaculation in men. Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Premature ejaculation is a problem in which a man ejaculates sooner than his partner during sexual intercourse.

Vigonex Tablet 4's contains Tadalafil and Dapoxetine. Tadalafil works by inhibiting the phosphodiesterase enzyme, which breaks down cGMP and causes smooth muscle relaxation and vasodilation (widening) of blood vessels in the penis. Dapoxetine works by increasing the serotonin level in nerves, which improves control over ejaculation and hence increases the time taken to ejaculate.

In some cases, you may experience nausea, dizziness, vomiting, dryness in the mouth, indigestion, nosebleeds, headache, and flushing. Most of these side effects do not require medical attention. However, talk to your doctor if you experience these side effects persistently.

Do not take Vigonex Tablet 4's if you take nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension), or alpha-blockers if you have heart problems or stroke, low or uncontrolled high blood pressure. Vigonex Tablet 4's is not intended for use in women. Vigonex Tablet 4's may cause dizziness, so drive with caution.

Uses of Vigonex Tablet 4's

Vigonex Tablet 4's is used in the treatment of erectile dysfunction and premature ejaculation. The detailed uses of Vigonex Tablet 4's are as follows:

  • Management of Erectile Dysfunction: Vigonex Tablet 4's is commonly prescribed to help men with erectile dysfunction achieve and maintain an erection during sexual activity.
  • Improvement of Sexual Performance: Vigonex Tablet 4's can increase blood flow to the penis, allowing for improved sexual response.
  • Support for Psychological Factors: Vigonex Tablet 4's can help address psychological causes of erectile dysfunction, such as anxiety or stress, by enabling better physical responses.
  • Treatment of Premature Ejaculation: Vigonex Tablet 4's may be used to help manage issues related to premature ejaculation, contributing to a more satisfying sexual experience.
  • Facilitation of Reproductive Health: By addressing erectile dysfunction, Vigonex Tablet 4's can play a role in supporting overall reproductive health in men, potentially improving fertility outcomes.

Key Benefits

  • Vigonex Tablet 4's is a combination drug containing 'impotent agents', primarily used to treat erectile dysfunction (impotence) and premature ejaculation in men.
  • Vigonex Tablet 4's contains Tadalafil and  Dapoxetine.
  • Tadalafil works by inhibiting the phosphodiesterase enzyme, which leads to the breakdown of cGMP and causes relaxation of smooth muscles and vasodilation (widening) of blood vessels in the penis.
  • Vigonex Tablet 4's helps to treat erectile dysfunction and symptoms of an enlarged prostate.
  • Dapoxetine works by increasing the serotonin level in nerves, which improves control over ejaculation and increases the time taken to ejaculate.
Side effects of Vigonex Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Do not stand up suddenly. Lie down and get up slowly only when you feel better.
  • Avoid alcohol and large meals.
  • Drink enough water before standing for long periods.
  • Exercise regularly; however, avoid exercising in extreme heat.
  • Eat small, low-carb meals.
  • Wear compression stockings.
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.

Directions for Use

  • Take Vigonex Tablet 4's with or without food, or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Vigonex Tablet 4's Works

Vigonex Tablet 4's contains Tadalafil and Dapoxetine. Tadalafil works by inhibiting the phosphodiesterase enzyme, which leads to the breakdown of cGMP and causes relaxation of smooth muscles and vasodilation (widening) of blood vessels in the penis. Thereby, it helps to treat erectile dysfunction and symptoms of an enlarged prostate. Dapoxetine works by increasing the serotonin level in nerves, which improves control over ejaculation and hence increases the time taken to ejaculate.
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Alcohol

Caution

You are advised not to consume alcohol while taking Vigonex Tablet 4's as it may cause increases dizziness.

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Pregnancy

Unsafe

Vigonex Tablet 4's contains Tadalafil, which belongs to pregnancy category B. Vigonex Tablet 4's is not intended for use in women.

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Breast Feeding

Unsafe

Vigonex Tablet 4's is not intended for use in women.

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Driving

Caution

Vigonex Tablet 4's may cause dizziness. Therefore, you are advised to drive and operate machinery only if you are alert.

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Liver

Consult your doctor

Dose adjustment may be needed. Please consult your doctor before taking Vigonex Tablet 4's if you have liver impairment/liver disease or any concerns regarding this.

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Kidney

Consult your doctor

Dose adjustment may be needed. Please consult your doctor before taking Vigonex Tablet 4's if you have kidney impairment/kidney disease or any concerns regarding this.

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Children

Unsafe

Vigonex Tablet 4's should not be given to children as safety and effectiveness have not been established.

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Heart

Unsafe

This medicine is contraindicated in cardiac patients due to its adverse effects. However, if prescribed extreme caution should be exercised.

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Geriatrics

Caution

Vigonex Tablet 4's should be given with caution in elderly patients due to an increased risk of side effects. Seek medical advice if you have any concerns.

What if I have taken an overdose of Vigonex Tablet 4's

Do not take more than the prescribed dose of Vigonex Tablet 4's as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Maintaining a healthy weight, eating a balanced diet, and regularly exercising may help you manage erectile dysfunction.
  • Avoid alcohol consumption to treat your condition effectively, as consuming an excessive amount of alcohol may temporarily impair your ability to get an erection.
  • Avoid the use of tobacco.
  • Share intimate time with your partner.
  • Stay sexually active to prevent further problems with erectile dysfunction.

Have a query?

How Soon It Starts Working

  • The time required for Vigonex Tablet 4's to start to work: The time required for Vigonex Tablet 4's to show its action is unknown. 
  • The time for which the effects of Vigonex Tablet 4's last: The duration of action for Vigonex Tablet 4's is unknown.

What if you forget to take Vigonex Tablet 4's

If you miss a dose of Vigonex Tablet 4's, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not take Vigonex Tablet 4's if you are allergic to any of its contents.
  • Also, avoid taking Vigonex Tablet 4's if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension), or alpha-blockers; if you have heart problems or stroke, low blood pressure, or uncontrolled high blood pressure, or if you have ever had a loss of vision.
  • Inform your doctor before taking Vigonex Tablet 4's if you have sickle cell anemia (abnormal red blood cells), multiple myeloma (cancer of bone marrow), leukemia (blood cell cancer), deformation in the penis, or severe kidney or liver problems.
  • Consult your doctor immediately if you experience loss of vision or hearing while taking Vigonex Tablet 4's.
  • Vigonex Tablet 4's is not intended for use in women.
  • Vigonex Tablet 4's may cause dizziness, so drive with caution.
  • Avoid consuming alcohol as it might cause increased dizziness.
  • Vigonex Tablet 4's should not be given to children as safety and effectiveness have not been established.  
  • Do not take Vigonex Tablet 4's if you have taken an MAO inhibitor (anti-depressant medication like Isocarboxazid, Phenelzine, Selegiline, and Tranylcypromine) in the last 14 days.

Drug-Drug Interactions

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Drug-Drug Interactions: Vigonex Tablet 4's may have interaction with anti-hypertensive (amlodipine, lisinopril, losartan, metoprolol, riociguat), alpha-blockers (tamsulosin), anti-anginal (nitroglycerin), anti-fungal (ketoconazole, itraconazole), antibiotics (erythromycin, clarithromycin), anti-TB (rifampicin), anticonvulsants (phenobarbital, phenytoin, carbamazepine), anti-HIV (ritonavir, saquinavir, nelfinavir), pain-killers (tramadol), anti-depressants (lithium, nefazodone), MAO inhibitor (Isocarboxazid, Phenelzine, Selegiline, and Tranylcypromine).

Drug-Food Interactions: Avoid consumption of alcohol as it may temporarily impair your ability to get an erection. Also, do not take St John's wort plant (a natural remedy to treat depression).

Drug-Disease Interactions: Vigonex Tablet 4's may have interactions with cardiovascular/heart disease, renal dysfunction (kidney impairment), pulmonary disease, alcoholism, liver disease, seizure disorder, hearing loss, retinitis pigmentosa (loss of vision), and priapism (prolonged erection of the penis).

Dapoxetine + TadalafilIsosorbide dinitrate
Critical
Dapoxetine + TadalafilRiociguat
Critical

Drug-Drug Interactions

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Dapoxetine + TadalafilIsosorbide dinitrate
Critical
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with isosorbide dinitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil, and isosorbide dinitrate they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, or headache. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilRiociguat
Critical
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with riociguat may increase the risk or severity of low blood pressure.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil and riociguat, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, headache, and stuffy nose. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilNitroprusside
Critical
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with nitroprusside can increase the risk or severity of low blood pressure.

How to manage the interaction:
Although there is an interaction between dapoxetine and tadalafil and nitroprusside they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, headache. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilIsosorbide mononitrate
Critical
How does the drug interact with Vigonex Tablet:
Coadministration of dapoxetine and tadalafil with isosorbide mononitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil, and isosorbide mononitrate, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, or headache. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilAmyl nitrite
Critical
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with amyl Nitrite can increase the risk or severity of low blood pressure.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil and amyl nitrite, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, headache, flushing. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilCeritinib
Severe
How does the drug interact with Vigonex Tablet:
Coadministration of dapoxetine and tadalafil with ceritinib may significantly increase the blood levels and effects of dapoxetine and tadalafil

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil and ceritinib, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, lightheadedness, fainting, ringing in the ears, or chest pain. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilVoriconazole
Severe
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with voriconazole may increase the blood levels and effects of dapoxetine and tadalafil.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil, and voriconazole they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, shortness of breath, dizziness, lightheadedness, fainting, ringing in the ears, vision or hearing loss, or chest pain. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilMiconazole
Severe
How does the drug interact with Vigonex Tablet:
Coadministration of dapoxetine and tadalafil with miconazole may increase blood levels and effects of dapoxetine and tadalafil. This can increase the risk or severity of side effects.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil, and miconazole and tadalafil, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, shortness of breath, dizziness, lightheadedness, fainting, ringing in the ears, or chest pain. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilTelithromycin
Severe
How does the drug interact with Vigonex Tablet:
Taking dapoxetine and tadalafil with telithromycin may increase the blood levels and effects of dapoxetine and tadalafil.

How to manage the interaction:
Although there is an interaction between dapoxetine, tadalafil and telithromycin, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, shortness of breath, dizziness, lightheadedness, fainting, ringing in the ears, chest pain or tightness. Do not discontinue any medications without consulting a doctor.
Dapoxetine + TadalafilKetoconazole
Severe
How does the drug interact with Vigonex Tablet:
Coadministration of ketoconazole with dapoxetine and tadalafil may increase the blood levels and effects of dapoxetine and tadalafil.

How to manage the interaction:
Although there is an interaction between dapoxetine and tadalafil and ketoconazole they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, shortness of breath, dizziness, lightheadedness, fainting, visual disturbances, ringing in the ears, vision loss, or hearing loss. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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DAPOXETINE-30MG+TADALAFIL-10MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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DAPOXETINE-30MG+TADALAFIL-10MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit, Grapefruit Juice

How to manage the interaction:
Consuming grapefruit juice with dapoxetine and tadalafil can increase their blood levels and effects. Limit or avoid consuming grapefruit juice while taking dapoxetine and tadalafil.

All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[IMPOTENT AGENTS]

FAQs

Vigonex Tablet 4's is used to treat erectile dysfunction (impotence) and premature ejaculation in men.

Vigonex Tablet 4's works by relaxing the blood vessels in the penis, thereby allowing the blood flow into the penis when the person is sexually excited.

Yes, using Vigonex Tablet 4's can cause dry mouth. If you experience dry mouth or feel excessively thirsty, drink plenty of water and increase fluid intake. You may also keep a lip balm with you if your lips are also dry.

No, do not take Vigonex Tablet 4's with nitrates. Taking Vigonex Tablet 4's with medicines used to treat angina/chest pain, such as nitrates/nitroglycerin, may cause severe lowering of blood pressure. You are advised not to take Vigonex Tablet 4's if you are taking nitrates or have a history of heart attack/stroke.

No, Vigonex Tablet 4's should not be taken along with blood-pressure-lowering medicines. Vigonex Tablet 4's relaxes and widens blood vessels, lowering blood pressure. Therefore, if Vigonex Tablet 4's is taken with blood pressure-lowering medicines, it could lead to a severe blood pressure decrease.

It usually takes 30-60 minutes for Vigonex Tablet 4's to show its effect. You should be able to get an erection at any time between 30 minutes to 36 hours after taking Vigonex Tablet 4's. However, you need to be sexually excited for Vigonex Tablet 4's to work.

No, it is recommended not to take Vigonex Tablet 4's along with MAO inhibitor (a medicine for depression) as Vigonex Tablet 4's contains Dapoxetine, which is known to contraindicate if taken along with MAO inhibitor. So, concurrent use of Vigonex Tablet 4's and MAO inhibitor should be avoided, and a gap of 14 days should be maintained between the last dose of MAO inhibitor and the first dose Vigonex Tablet 4's.

Vigonex Tablet 4's may cause side effects such as nausea, dizziness, vomiting, dry mouth, indigestion, nosebleeds, headache, and flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Vigonex Tablet 4's may cause dizziness. Therefore you are advised to drive and operate machinery only if you are alert.

Store Vigonex Tablet 4's at room temperature, in a dry place. Keep out of sight and reach of children.

Inform your doctor before taking Vigonex Tablet 4's if you have sickle cell anemia (abnormal red blood cells), multiple myeloma (cancer of bone marrow), leukemia (blood cell cancer), deformation in penis, severe kidney or liver problems.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Tuttsan House Survey No.92, Plot No.14,Marigold compound Nr. CRI pump,Khatraj Chowkdi, Taluka Kalol, Dist: Gandhinagar- 382721, Gujarat, India
Other Info - VIG0151
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