Duratia 60 mg is a higher dose of dapoxetine used for premature ***** (PE), and it is not always the first option for everyone. In many cases, doctors may start with a lower strength (usually 30 mg) first. Who should start with a lower dose first? 1. Men trying dapoxetine for the first time First-time users are usually started on 30 mg This helps the body adjust and reduces side effects 2. Men with mild or occasional PE If ***** happens early only sometimes Or mainly due to stress, anxiety, or new partner situations 3. Men sensitive to medications Those who easily get side effects like dizziness, nausea, or fatigue Lower dose improves tolerability 4. Men with medical conditions or on other medicines Especially liver, kidney, or heart issues Or those taking antidepressants or blood pressure medicines 5. Men who want to test response safely Doctors often prefer a “step-up approach” Start low, increase only if needed Why not start directly with 60 mg? Higher chance of side effects (nausea, dizziness, headache) Not always more effective than 30 mg for mild cases Some users achieve good control even at 30 mg When 60 mg may be used first Doctors may directly prescribe 60 mg only if: 30 mg was not effective PE is moderate to severe Patient tolerates medication well Bottom line Lower strength is usually tried first because it is safer, better tolerated, and often sufficient. The 60 mg dose is typically reserved for cases where lower doses don’t provide enough improvement.