Important Safety Information and Contraindications

If you need a medical certificate or referral letter, the following fees will apply: Have you

Internal Medicine

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. 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.

What should I do if I accidentally take too much vardenafil?

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. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply.

What are the most common side effects of vardenafil?

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. 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).

• These tablets should be stored securely out of reach of children.
• Never exceed the recommended dose to prevent serious health risks.
• If you experience chest pain, seek emergency medical treatment immediately.
• The effect duration varies but typically lasts up to 4-6 hours.
• Dapoxetine may cause temporary nausea or dizziness at the start of treatment.
• The medication can be part of a broader sexual health treatment plan.
• Men with liver problems require careful evaluation before use.
• Always report any unusual or prolonged side effects to your healthcare provider.
• Abstinence from alcohol and recreational drugs is advised during treatment.
• Do not use this medication to enhance sexual performance beyond prescribed guidelines.
• Use in combination with psychological therapy can improve outcomes.
• Follow the instructions for use carefully to ensure safety and effectiveness.

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.

Product	Dosage	Quantity + Bonus	Price
Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€	Buy
Priligy Generic Dapoxetine	60mg	180 + 10 Pills	494.76€ 471.20€	Buy
Priligy Generic Dapoxetine	60mg	10 Pills	47.63€ 45.36€	Buy
Kamagra Soft Tabs	100mg	180 + 8 Pills	425.45€ 405.19€	Buy
Priligy Generic Dapoxetine	60mg	20 + 4 Pills	77.31€ 73.63€	Buy
Levitra Original	20mg	64 + 4 Pills	298.45€ 284.24€	Buy
Viagra Original	100mg	120 + 8 Pills	470.39€ 447.99€	Buy
Priligy Generic Dapoxetine	60mg	90 + 10 Pills	265.64€ 252.99€	Buy
Cialis Generic	60mg	20 Pills	65.61€ 62.49€	Buy
Priligy Generic Dapoxetine	60mg	60 + 8 Pills	183.06€ 174.34€	Buy
Priligy Generic Dapoxetine	60mg	30 + 6 Pills	106.65€ 101.57€	Buy

LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders.

Disclosure statement

[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. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed.

Genuine Medicines

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. We provide comprehensive care for LOH syndrome, from testing to treatment.

AGA/FAGA Medications

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. [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.

Does vardenafil interact with foods or drinks?

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.

Are you currently taking Varda Super Power? Let us know how well it is working for you by taking this survey.

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. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We offer a variety of treatment options, including long-acting oral and topical testosterone medications.

Travel Medicine

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 dapoxetine tadalafil tablets the full 6-day course.

Do Vardenafil and Dapoxetine Tablets interact with blood thinners?

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 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.

Certificate and Referral Letter Creation

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. We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY,

All substitutes

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. Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens

• Vardenafil is used to treat erectile dysfunction by increasing blood flow to the penis.
• Dapoxetine is prescribed for premature ejaculation, helping delay ejaculation.
• The combination offers benefits for men experiencing both ED and PE.
• Vardenafil with dapoxetine can improve sexual confidence and performance.
• Always consult a doctor before combining these medications to avoid interactions.
• Side effects may include headache, dizziness, flushing, or nausea.
• Take vardenafil with dapoxetine about 30 minutes before sex for best results.
• Do not consume alcohol while on these medications as it can increase side effects.
• These tablets are available by prescription; do not buy from unverified sources.
• Storage should be in a cool, dry place away from children and pets.
• Use with caution if you have cardiovascular issues or are on other medications.
• Report any serious side effects such as fainting or prolonged erections to your doctor.

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.

• Vardenafil with dapoxetine can be a part of a comprehensive sexual health plan.
• Men should discuss their medical history to determine suitability for these medications.
• The tablets should be taken only as prescribed to minimize health risks.
• They are not intended for use in women or children.
• Dapoxetine causes temporary increase in serotonin levels, affecting mood.
• Vardenafil works by inhibiting PDE5 enzyme, relaxing blood vessels.
• Combining these drugs may lead to lower blood pressure; caution is advised.
• Ensure adequate sexual arousal for the medication to work effectively.
• The tablets do not provide protection against pregnancy or STDs.
• Seek emergency medical help if experiencing symptoms of an allergic reaction.
• Avoid driving or operating machinery until you know how the medication affects you.
• Keep track of any side effects to inform your healthcare provider during follow-up.