Poxet 90 mg contains dapoxetine, which is a selective serotonin reuptake inhibitor (SSRI) primarily used to treat premature ***** (PE) in men. While dapoxetine is not specifically designed to affect blood pressure, low blood pressure (hypotension) can occur in some cases, especially under certain conditions. Here’s a breakdown of how and when Poxet 90 mg may cause low blood pressure:  How Poxet 90 mg Works: Dapoxetine works by increasing serotonin levels in the brain, which helps delay ***** in men with premature *****. It's typically taken on-demand, about 1–3 hours before ***** activity, and is not meant for daily use.  When Can Poxet 90 mg Cause Low Blood Pressure? Interaction with Other Medications: Antihypertensive drugs (medications for high blood pressure) can increase the risk of hypotension when combined with dapoxetine. Nitrates (often prescribed for chest pain) can interact with dapoxetine, leading to a dangerous drop in blood pressure. It's important to avoid taking dapoxetine with nitrates. Dehydration: Taking Poxet 90 mg while dehydrated or overheating can lead to lower blood volume, which may exacerbate the hypotensive effects. Alcohol Use: Alcohol consumption can intensify the blood-pressure-lowering effects of dapoxetine, leading to a higher risk of dizziness, lightheadedness, or fainting, especially when standing up quickly. Pre-existing Health Conditions: People with low baseline blood pressure or those with heart conditions may experience exaggerated drops in blood pressure when using dapoxetine. Liver or kidney dysfunction can slow the metabolism of dapoxetine, increasing its effects on blood pressure.