Priligy and Premature Ejaculation

Priligy (dapoxetine) can help men who suffer from premature ejaculation, the condition by which the man comes too quickly or out of his own control. This can seriously affect a man's self esteem and hinder an enjoyable sex life. Priligy (dapoxetine) can be prescribed to alleviate this problem.

How many men suffer with premature ejaculation?

It's difficult to determine how many people suffer with premature ejaculation because people's views of what is too quick vary and men are very reticent to discuss premature ejaculation. It has been found that the normal time from penetration to ejaculation is about 5 minutes, but this can vary a great deal depending on what you are doing. Are you and your partner in the mood for a "quick one" or is a long slow love making session on the cards? Probably the best measure of whether or not you suffer from premature ejaculation is if you feel you come quickly and are unable to control the amount of time you can spend making love. You or your partner will feel distressed or dissatisfied with sex. If this happens a lot then you probably suffer from premature ejaculation. In a study in the USA 30% of men felt that they had come too soon in the last year.

Younger men or the sexually inexperienced tend to suffer most, but all age ranges can suffer from premature ejaculation.

What are the causes of premature ejaculation?

In most cases the causes of premature ejaculation are psychological and it is often associated with anxiety or guilt. In many cases during the man's early sex life he often became used to rushed sex and so the body learns to respond quickly to normal stimuli. In some cases the man's partner may pressurize then to come quickly as sex has become somewhat routine in an established relationship. This too can result in a faster than required physical response to stimulation over time.

In a few cases, premature ejaculation can be caused by an infection of the prostate or the urinary tract.

Some drugs can also cause premature ejaculation including amphetamine, cocaine and dopamine agonists used to treat Parkinson's disease such as bromocriptine, rotigtine and pergolide. Viagra (sildenafil) can cause premature ejaculation in some men, but can also be an effective treatment in others.

Management of premature ejaculation

Because the causes are often psychological, psychosexual therapy can be a great help to understand what is psychologically causing the problem and then addressing it through education and behavioral methods. Simple techniques can help such as:

• Masturbation prior to having sex
• Having more frequent sex
• Using a stop and go technique (although this can be frustrating for all involved) or switching positions to a less stimulating one for the man such as the woman being on top
• Using a squeeze technique whereby the man is brought to the brink of ejaculation and then the head of the penis is squeezed between the forefinger and thumb until the erection is lost. Over a period of months this can teach the man to control his ejaculation, although this can take months to have any effect
• Use a condom that has local anaesthetic within the tip such as Durex Performa or a local anaesthetic spray to desensitize the penis such as Stud 100
• Viagra (sildenafil) has been shown to be effective for some men, but can also cause premature ejaculation in others
• Priligy (dapoxetine) is the first prescription medicine to be licensed for the on demand treatment of premature ejaculation in men aged 18 -64 years

How does Priligy (dapoxetine) work?

Priligy (dapoxetine) comes as light grey, round, convex film coated tablets. It belongs to a group of medicines called selective serotonin reuptake inhibitors or SSRIs. Unlike other SSRIs, Priligy is a unique short acting SSRI that is designed to be taken 1-3 hours before sex. It is not taken every day.

Seratonin is an internal neurotransmitter involved in the ejaculation process and Priligy works by affecting the length of time it works.

The recommended starting dose for all patients is 30 mg, taken as needed approximately 1 to 3 hours prior to sexual activity. Priligy should not be taken more than once in 24 hours. If the effect of 30 mg is insufficient and the side effects are acceptable, the dose may be increased to the maximum recommended dose of 60 mg. Priligy can be taken with or without food and should be taken with at least one full glass of water. Alcohol should be avoided when taking Priligy as it can worsen potential side effects.

Does Priligy (dapoxetine) always work?

Priligy (dapoxetine) has been proven to work in medically controlled tests in over 6000 men. These trials were the largest ever trials of a medicine to treat premature ejaculation. Studies showed that the length of time to ejaculation was increased in a statistically significant way. It was also shown that Priligy improved control over ejaculation and subjects and their partners reported improved sexual satisfaction.

Priligy (dapoxetine) side effects

Like all medicines, Priligy can cause side effects in some people. The most common side effects are headache, dizziness, nausea, diarrhoea, insomnia and fatigue.

The patient may feel sleepy, dizzy, faint, have difficulty concentrating and blurred vision while taking Priligy. If you experience any of these or similar effects, you should avoid driving or operating hazardous machinery. The effects of alcohol may be increased if taken with Priligy and you may be more at risk of injury from fainting or from other side effects if you take Priligy with alcohol

The patient may experience the following side effects with Priligy. There are rare but if any of these are experiences the patient should stop taking the medicine immediately and consult their doctor; fits, fainting or feeling light headed when standing up, mood changes, thoughts of suicide or self harm.

Other common side effects (affects less than 1 in 10 people) are: Feeling irritable, anxious, agitated or restless, feeling numb or having pins and needles, difficulty getting or keeping an erection, sweating more than normal or flushing, diarrhoea, constipation or having wind, stomach pain, bloating or being sick, problems sleeping or strange dreams, feeling tired or sleepy, yawning, blocked nose, a rise in blood pressure, difficulty concentrating, shaking or trembling, reduced interest in sex, ringing in the ears, blurred vision, indigestion, dry mouth.

Is Priligy (dapoxetine) for everyone?

Priligy (dapoxetine) is only for men of 18 - 64 years of age. Priligy should not be used in individuals below 18 years of age.

Priligy (dapoxetine) should only be taken if your doctor has prescribed it for you. Before treatment your doctor should obtain a careful medical history focusing on past orthostatic hypotensive events. These are most commonly dizziness or fainting when the person suddenly stands up. The doctor should perform an orthostatic test (blood pressure and pulse rate, lying on your back and standing). If the patient discloses a history suggestive of orthostatic reactions or an orthostatic test shows this kind of reaction, treatment with Priligy should be avoided.

Priligy should be avoided in patients with moderate or severe hepatic (liver) impairment and patients with severe renal (kidney) failure.

Priligy should be avoided in patients with heart problems.

Priligy should not be taken by patients also taking or recently ceased taking monoamine oxidase inhibitors, thioridazine, antidepressant medicines or herbal treatments or potent CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, saquinavir, telithromycin, nefazadone, nelfinavir or atazanavir.

Recreational drugs with serotonergic activity such as ketamine, methylenedioxymethamphetamine (MDMA) and lysergic acid diethylamide (LSD) may lead to potentially serious reactions if combined with Priligy.

Your doctor should review the use of Priligy after 4 weeks or 6 doses to decide if you are Ok to continue using it.

Your doctor should review the use of Priligy after 4 weeks or 6 doses to decide if you are Ok to continue using it.

Priligy is only licensed for the treatment of premature ejaculation in certain countries of the world. Initial licence applications were submitted by the manufacturer to market the medicine in Sweden, Austria, Finland, Germany, Spain, Italy and Portugal. Priligy is not licensed in the USA.

You need a prescription from a registered doctor to legally obtain Priligy (dapoxetine).

Companies offering Priligy without a valid prescription are breaking the law, and you may be putting your health at risk as you may receive fake medicine. You can check whether your supply of Priligy is genuine by visiting www.priligy.com