Premature ejaculation Flashcards
(9 cards)
When are non-drug treatments for premature ejaculation recommended?
Non-drug treatments like psychosexual counselling, education, and behavioural treatments are recommended for patients where premature ejaculation causes few problems or for those who prefer not to take drug treatments.
Can non-drug treatments be used alongside drug treatments for premature ejaculation?
Yes, non-drug treatments can be used in addition to drug treatments.
What drug is specifically licensed for the treatment of premature ejaculation?
Dapoxetine, a short-acting selective serotonin re-uptake inhibitor (SSRI), is specifically licensed for treating premature ejaculation and is used when required, not for continuous daily use.
Which other SSRIs have been widely used for the treatment of premature ejaculation, despite being unlicensed?
Other SSRIs used for premature ejaculation include citalopram, fluoxetine, fluvoxamine, escitalopram, paroxetine, and sertraline.
What tricyclic antidepressant is sometimes used to treat premature ejaculation?
Clomipramine, a tricyclic antidepressant, is sometimes used for premature ejaculation, although it is unlicensed for this indication.
What caution should be taken when prescribing SSRIs for premature ejaculation?
Caution should be taken when prescribing SSRIs to young adolescents with premature ejaculation or men who have a depressive disorder, especially when associated with suicidal ideation.
When does ejaculation delay typically become noticeable with SSRIs?
Ejaculation delay typically becomes noticeable after 1 to 2 weeks of SSRI treatment, as receptor desensitization requires time to occur.
What should be treated first if premature ejaculation is secondary to erectile dysfunction?
Erectile dysfunction should be treated first if premature ejaculation is secondary to it.
What topical anesthetic preparations are available for managing premature ejaculation?
Topical anesthetic preparations like EMLA cream, which contains lidocaine and prilocaine, are available without prescription in some locations (e.g., the UK) for managing premature ejaculation.
