Poxet 30 mg is not used to treat severe erectile dysfunction (ED). Poxet 30 mg contains dapoxetine, which is a medicine used for premature ***** (PE). It works by affecting serotonin activity in the nervous system to help some men delay ***** and improve control during ***** activity. Why Poxet 30 mg does not treat severe ED ED is mainly related to erection problems, such as difficulty getting or maintaining an erection. Dapoxetine does not increase penile blood flow and does not directly improve erection firmness. Severe ED is usually treated with medicines that target erectile function, such as PDE5 inhibitors (for example, sildenafil or tadalafil), when appropriate and prescribed. If someone has both ED and premature ***** A healthcare provider may evaluate whether separate treatments or a suitable combination approach is needed. Seek medical advice before ED treatment if you have: Heart disease or chest pain Very low or uncontrolled blood pressure Kidney or liver problems Use of nitrate medicines A history of fainting or certain medications affecting serotonin If you want, I can also explain whether Poxet 30 mg can be combined with ED medicines like sildenafil or tadalafil and what precautions apply.