When considering the use of DA Sutra 30X Tablet 4's, which contains Sildenafil 50mg and Dapoxetine 30mg, with a blood pressure reading of 153/92 mmHg, it is important to be cautious.

• Blood Pressure Concern: A reading of 153/92 mmHg indicates stage 1 hypertension, which means your blood pressure is elevated.

• Medication Effects: Sildenafil can lower blood pressure, and when combined with existing high blood pressure, it may cause symptoms like dizziness or fainting. Dapoxetine primarily affects serotonin levels but can also influence blood pressure.

• Medical Advice: It is essential to consult your cardiologist or primary care doctor before starting this medication. They can evaluate your overall cardiovascular health, current medications, and the safety of using this combination.

• Monitoring: If prescribed, your doctor may recommend monitoring your blood pressure regularly to ensure safety.

In summary, do not start DA Sutra 30X without medical guidance given your elevated blood pressure reading. Your doctor will help determine the safest approach for your treatment.