Addressing Common Myths and Misconceptions

We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient.

• Vardenafil enhances erectile response, while dapoxetine reduces the urgency of ejaculation.
• The fixed-dose combo offers a convenient solution for certain sexual dysfunctions.
• Combining these drugs should only be done under medical supervision.
• The medications are usually taken as a single tablet before planned sexual activity.
• Vardenafil dosage varies; common doses range from 5 to 20 mg.
• Dapoxetine is typically taken 1-3 hours prior to sexual activity.
• Patients with liver or kidney issues need dose adjustments or monitoring.
• Possible interactions include nitrates, other ED medications, or antidepressants.
• Avoid heavy meals or high-fat foods immediately before taking the medication.
• These combined tablets are not suitable for men with a history of certain heart diseases.
• Do not take more than prescribed; overdose can lead to severe adverse effects.
• Always check for allergies or contraindications before starting treatment.

Please consult with our doctor for more details. Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society.

What are the Vardenafil and Dapoxetine Tablets used for?

We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. However, the first visit always requires a doctor’s consultation. For vaccinations after the first visit, only the vaccination fee is required. No follow-up consultation fee will be charged.

Trusted by Customers

The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed. Here is a list of medications available at our clinic. All medications can be prescribed and dispensed on the same day, so there is no need to visit a pharmacy. *Diamox, used to prevent high-altitude sickness, should be started one day before ascending and continued until two days after reaching the summit or upon descending. If you are interested in using Vibramycin, an unapproved medication in Japan, for malaria prevention, please consult with the doctor.

What should I do if I miss a dose of vardenafil?

We offer the following tests at our clinic. For non-same-day tests, the results will be sent via email. *The estimated result reporting time is calculated from the “start date of testing.” For samples collected after the afternoon, on Sundays, holidays, or at the end of the year, the next business day is considered the start date. For non-insured medical tests, results can be checked online. **Tuberculosis testing is available only on Mondays, Tuesdays, Wednesdays, and Fridays, and requires an appointment. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous. To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP. Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee. This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia.

• Vardenafil with dapoxetine can improve sexual satisfaction for men with combined issues.
• The combination may also help reduce performance anxiety.
• Patients should avoid sharing medication with others to prevent misuse.
• Proper hydration and a healthy lifestyle can support medication effectiveness.
• The tablets should be taken on an empty stomach or after a light meal.
• Do not take this medication if you have a history of allergic reactions.
• The medication used can sometimes cause back pain or muscle aches.
• Regular blood tests might be recommended for certain health conditions.
• Notify your doctor if you experience blurred vision or ringing in ears.
• Combining this medication with certain herbal supplements may increase side effects.
• The medication is not intended for continuous daily use.
• Use the medication responsibly to enhance sexual health safely.

If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing. Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence.

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We also offer prevention of vaginitis through phone consultation and medication delivery.

Side Effects & Safety Information

While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. It is known that treating partners together can help prevent bacterial vaginosis. A randomized controlled trial published in March 2025 reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction. – Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days.

How should Varda Super Power be stored?

Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course. For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY. We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. [Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start buy cheap dapoxetine of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email.

Certificate and Referral Letter Creation

The price for hormone therapy is as follows: ** Dosage and amount may vary depending on each patient’s individual condition. Please consult your doctor during your visit. *** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy. For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits). From the second visit onwards, no consultation fee will be charged if you are only receiving a vaccination. When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed.

Safety Infomation

Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing. Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. We also offer prevention of vaginitis through phone consultation and medication delivery.

How is vardenafil supplied (dosage forms)?

When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor. For first-time patients, the induction plus 6-month continuation package offers the best value.

Do Vardenafil and Dapoxetine Tablets interact with blood thinners?

For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply. Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY (9,000 JPY) per dose or 22,000 JPY (25,000 JPY) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor. For first-time patients, the induction plus 6-month continuation package offers the best value.

Related products

We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient. Please consult with our doctor for more details. Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society.

Testing Fees

[Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous. To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP.

Test Fees

Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee. This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia. If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or continuing Doxy-PEP. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply. Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY (9,000 JPY) per dose or 22,000 JPY (25,000 JPY) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once. While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. It is known that treating partners together can help prevent bacterial vaginosis. A randomized controlled trial published in March 2025 reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction. – Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course. For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY.

What should to discuss with your doctor?

Please consult with the doctor for more details. If you need a medical certificate or referral letter, the following fees will apply: Have you been feeling extremely fatigued, unmotivated, experiencing a lack of sexual desire, or having trouble sleeping lately? These could be symptoms of late-onset hypogonadism (LOH syndrome). It is estimated that approximately 6 million men in Japan suffer from LOH syndrome, a condition that has been recognized globally since the early 2000s. LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders. We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. [Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start buy cheap dapoxetine of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email. The price for hormone therapy is as follows: ** Dosage and amount may vary depending on each patient’s individual condition. Please consult your doctor during your visit. *** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy. For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits).

Overdose/Missed Dose

We provide comprehensive care for LOH syndrome, from testing to treatment. We offer a variety of treatment options, including long-acting oral and topical testosterone medications. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY, Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical care, results can be confirmed via email. From the second visit onwards, no consultation fee will be charged if you are only receiving a vaccination. We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. However, the first visit always requires a doctor’s consultation. For vaccinations after the first visit, only the vaccination fee is required.

• Vardenafil with dapoxetine improves spontaneity in sexual activities.
• It does not affect libido but improves performance and ejaculation control.
• Always read the patient information leaflet before starting treatment.
• The combination is designed for on-demand use not daily.
• Men with cardiovascular risk factors should be evaluated before use.
• Dapoxetine can cause mild side effects like headache or dizziness.
• Vardenafil's effect depends on adequate sexual arousal.
• Alcohol and certain foods can diminish medication efficacy.
• Store medication at room temperature away from moisture, heat, and light.
• Never take leftover medications without consulting your doctor.
• Impotence and premature ejaculation can both be managed with this combination.
• Proper medical consultation maximizes safety and therapeutic benefit.

No follow-up consultation fee will be charged. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed. Here is a list of medications available at our clinic. All medications can be prescribed and dispensed on the same day, so there is no need to visit a pharmacy. *Diamox, used to prevent high-altitude sickness, should be started one day before ascending and continued until two days after reaching the summit or upon descending. If you are interested in using Vibramycin, an unapproved medication in Japan, for malaria prevention, please consult with the doctor. We offer the following tests at our clinic. For non-same-day tests, the results will be sent via email. *The estimated result reporting time is calculated from the “start date of testing.” For samples collected after the afternoon, on Sundays, holidays, or at the end of the year, the next business day is considered the start date. For non-insured medical tests, results can be checked online. **Tuberculosis testing is available only on Mondays, Tuesdays, Wednesdays, and Fridays, and requires an appointment. Please consult with the doctor for more details. If you need a medical certificate or referral letter, the following fees will apply: Have you been feeling extremely fatigued, unmotivated, experiencing a lack of sexual desire, or having trouble sleeping lately?

Parameter	Vardenafil	Dapoxetine
Absorption Time	30-120 minutes	1-3 hours
Peak Plasma Concentration	1 hour	1-2 hours
Half-life	4-5 hours	19-24 hours
Metabolism	Liver (CYP3A4 enzyme)	Liver (CYP3A4 and CYP2D6)

These could be symptoms of late-onset hypogonadism (LOH syndrome). It is estimated that approximately 6 million men in Japan suffer from LOH syndrome, a condition that has been recognized globally since the early 2000s. LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders.

• Vardenafil with dapoxetine can greatly improve intimate moments for affected men.
• The combination helps in managing both erectile rigidity and ejaculation control simultaneously.
• Regular use may require medical follow-up to monitor effectiveness and side effects.
• The tablets are generally well tolerated but side effects vary per individual.
• The medication is designed for on-demand use, not for daily intake.
• Potential drug interactions necessitate disclosure of all current medications to your doctor.
• Alcohol can impair the effectiveness and increase adverse reactions.
• Patients should avoid grapefruit or grapefruit juice as it may interfere with metabolism.
• The combination therapy does not protect against sexually transmitted infections.
• Proper hydration and avoiding heavy or greasy foods can optimize effectiveness.
• Patients should inform their healthcare provider if they experience prolonged erections.
• This medication does not increase sexual desire but improves performance and control.

We provide comprehensive care for LOH syndrome, from testing to treatment. We offer a variety of treatment options, including long-acting oral and topical testosterone medications. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY, Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical care, results can be confirmed via email.