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Duratia 90 mg, which contains Dapoxetine, is commonly used to treat premature ejaculation. When considering interactions with herbal supplements, it’s important to be aware of potential effects on both efficacy and safety. Here are a few points to consider: St. John’s Wort: This herb is often used for depression and anxiety but can affect the metabolism of many drugs, including Dapoxetine. It may reduce the effectiveness of Duratia 90mg by inducing liver enzymes that metabolize the drug more quickly. Ginseng: Used for its potential energy-boosting and cognitive benefits, Ginseng might influence how your body processes medications. It could theoretically alter Dapoxetine's effectiveness or side effect profile. Ginkgo Biloba: This supplement is sometimes used to improve circulation and cognitive function. While generally considered safe, it might interact with medications affecting serotonin levels, potentially increasing the risk of side effects with Dapoxetine. Garlic: Known for its cardiovascular benefits, garlic can also influence the metabolism of some medications. It’s unlikely to have a significant effect on Dapoxetine, but it’s good practice to monitor for any unusual side effects. Kava: Often used for its calming effects, Kava may enhance the sedative effects of medications, which could potentially amplify the side effects of Dapoxetine. Echinacea: Commonly used to boost the immune system, Echinacea might interact with various medications, though significant interactions with Dapoxetine are less well-documented. Before combining Duratia with any herbal supplements, it’s essential to consult with a healthcare provider. They can provide personalized advice based on your overall health and any other medications or supplements you are taking.