Duratia 90 mg is a high-strength formulation marketed as containing dapoxetine, a short-acting SSRI used for premature ***** (PE). Purpose: Helps delay ***** and improve control in men with PE. How it works: Dapoxetine increases serotonin activity involved in ***** control. Timing: It is generally taken 1–3 hours before ***** activity, rather than continuously throughout the day. Common side effects: Nausea, dizziness, headache, diarrhea, and lightheadedness can occur. Important: Dapoxetine can cause a sudden drop in blood pressure or fainting, particularly in some people. Alcohol: Combining dapoxetine with alcohol can increase dizziness, impaired judgment, and fainting risk. A 90 mg dose is above the commonly recommended maximum dapoxetine dose of 60 mg, so a product labeled “Duratia 90 mg” should be verified carefully before use. Do not take a higher dose simply because it is available commercially.