Duracel 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.

Duracel 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 Duracel 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. Duracel Tablet 4's is not intended for use in women. Duracel Tablet 4's may cause dizziness, so drive with caution.

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

• Management of Erectile Dysfunction: Duracel Tablet 4's is commonly prescribed to help men with erectile dysfunction achieve and maintain an erection during sexual activity.
• Improvement of Sexual Performance: Duracel Tablet 4's can increase blood flow to the penis, allowing for improved sexual response.
• Support for Psychological Factors: Duracel 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: Duracel 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, Duracel Tablet 4's can play a role in supporting overall reproductive health in men, potentially improving fertility outcomes.

• Take Duracel 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.

• Duracel Tablet 4's is a combination drug containing 'impotent agents', primarily used to treat erectile dysfunction (impotence) and premature ejaculation in men.
• Duracel 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.
• Duracel 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.

• Do not take Duracel Tablet 4's if you are allergic to any of its contents.
• Also, avoid taking Duracel 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 Duracel 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 Duracel Tablet 4's.
• Duracel Tablet 4's is not intended for use in women.
• Duracel Tablet 4's may cause dizziness, so drive with caution.
• Avoid consuming alcohol as it might cause increased dizziness.
• Duracel Tablet 4's should not be given to children as safety and effectiveness have not been established.  
• Do not take Duracel Tablet 4's if you have taken an MAO inhibitor (anti-depressant medication like Isocarboxazid, Phenelzine, Selegiline, and Tranylcypromine) in the last 14 days.