Poxet 90 mg  instructions are particularly important for anyone considering or taking it—especially because Poxet 90 mg contains dapoxetine, and 90 mg is above the maximum recommended dose in standard dapoxetine prescribing information. The usual starting dose is 30 mg, with a maximum of 60 mg, taken 1–3 hours before ***** activity and no more than once in 24 hours. The instructions are especially important for: Men with premature ***** who have been medically diagnosed with PE. Anyone taking other medicines, particularly antidepressants/SSRIs, MAO inhibitors, tramadol, certain migraine medicines, or medicines affecting blood pressure. People with a history of fainting, heart problems, or low blood pressure, because dapoxetine can cause dizziness and fainting. Older adults: standard product information is for men 18–64 years, with insufficient evidence for those 65+. Anyone who drinks alcohol, because alcohol can increase dizziness and fainting risk. Given that you've asked about 90 mg specifically, I would not take Poxet 90 mg simply because a 90-mg tablet is available. A 30-mg dose is the standard starting dose, and increasing to 60 mg requires consideration of how you tolerated 30 mg.