When taking Duratia 90 mg, which contains Dapoxetine, it's important to avoid certain substances and activities to ensure the medication's effectiveness and minimize potential side effects. Here are key considerations:

Alcohol: Limit alcohol consumption while taking Duratia 90mg. Alcohol can increase the risk of side effects like dizziness and may impair the effectiveness of the medication.

Grapefruit and Grapefruit Juice: Avoid grapefruit and grapefruit juice, as they can interact with Dapoxetine and potentially increase the risk of side effects.

Other Medications: Be cautious with other medications, especially those that affect serotonin levels, such as certain antidepressants (SSRIs, SNRIs) or medications used to treat migraines (triptans). Combining these can increase the risk of serotonin syndrome, a potentially serious condition.

Recreational Drugs: Avoid using recreational drugs, as they can interact with Dapoxetine and potentially cause harmful effects.

High-Fat Meals: Although not a direct interaction, consuming high-fat meals may slow the absorption of Dapoxetine and potentially delay its effectiveness. It’s generally a good idea to maintain a balanced diet.

Driving or Operating Machinery: If you experience dizziness or lightheadedness as a side effect of Duratia 90 mg, avoid driving or operating machinery until you know how the medication affects you.

Missed Doses: Avoid doubling up on doses if you miss one. Take the missed dose as soon as you remember, but skip it if it’s almost time for your next dose.

Always follow your healthcare provider's instructions and consult them if you have any questions or concerns about interactions or side effects while taking Duratia 90 mg.