Dapoxetine, an on‑demand short‑acting selective serotonin reuptake inhibitor (SSRI), is the usual tablet used to delay ejaculation but may lower blood pressure and can interact with your telmisartan‑amlodipine — discuss before using it.

⚕️ What this likely is

• For occasional (once‑monthly) control of premature ejaculation (PE), on‑demand dapoxetine is commonly chosen because it’s taken 1–3 hours before intercourse.
• Topical local anesthetic options (lidocaine/prilocaine) are an alternative that act at the penis and don’t affect blood pressure as much.

💊 Treatment options

• Dapoxetine (on‑demand SSRI): prescription only; can delay ejaculation but may cause dizziness or low blood pressure — caution with telmisartan‑amlodipine.
• Topical lidocaine/prilocaine: applied before sex; fewer systemic effects and usually safer with blood‑pressure drugs.
• Behavioral techniques (stop‑start, squeeze) and brief sex‑therapy can add benefit and reduce reliance on pills.

🏥 Self‑care & supplements

• Continue blood‑pressure meds as prescribed and avoid starting PE meds without review by a doctor.
• Consider supportive measures: multivitamin‑mineral (MVM), zinc, L‑arginine, ashwagandha — evidence is limited; discuss dose and safety with your doctor.
• Practice behavioral techniques regularly; combine topical + behavioral approach for best effect.

⚠️ Warning signs

• New or worsening dizziness or fainting (possible low blood pressure).
• Sudden palpitations, severe headache, or chest discomfort after taking a PE drug.
• Signs of allergic reaction (rash, swelling, breathing difficulty).

🩺 FOLLOW_UP

• Which other medicines do you take (especially antidepressants, nitrates, alpha‑blockers) and do you have any heart disease, fainting history, or recent low‑blood‑pressure symptoms?

Please consult a urologist or sexual medicine specialist — and review options with your cardiologist first because of potential interactions with your blood‑pressure medication. If you want, I can explain how dapoxetine is taken and its side effects in more detail.