Priligy Tablet is a medication use for treating premature ejaculation. It belongs to the class of selective serotonin reuptake inhibitor (SSRI) drugs. It increases the level of particular chemical substances in the body, which improves control over ejaculation and increases the time to cause ejaculation. Premature ejaculation is a pervasive male sexual disorder. Dapoxetine, the component of this medicine, is the only approve medication for the treatment of premature ejaculation.
The studies have shown that it increases the control over ejaculation and the time it takes to ejaculate. It also reduces the anxiety and frustration that is common with this condition. This medicine is only for men. You shouldn’t use a Priligy tablet if you are not diagnose with premature ejaculation. It should be take a couple of hours before sexual intercourse or exactly as advised by the doctor. Don’t take more than one tablet a day or every day. It does not cause any drug dependency issues. It also does not cause severe withdrawal symptoms if you stop them suddenly. Read more: Priligy 30 mg
Studies suggest premature ejaculation (PE) affects up to 30% of men. Only about 10% of these men seek medical help. It is an under-detected and under-treated medical condition.
The causes of PE are multiple, although significant physical disease is not likely to be the reason. Stress and psychological factors are more likely to play a big part.
PE typically has the following features:
- Ejaculatory latency time (time from vaginal penetration to ejaculation) of less than 2 minutes
- Lack of control over ejaculation
- Negative personal consequences related to the condition
The active ingredient in Priligy is dapoxetine. It works by increasing the levels of a chemical in the brain called serotonin. Increases in serotonin levels, in turn, delay ejaculation.
After a single tablet, Priligy will reach maximum levels in 1 to 3 hours, and only 5% will be in the circulation after 24 hours.
Priligy is similar to some antidepressant medications, but it works more quickly and remains in the body for less time. Some men taking some antidepressants complain they have delayed ejaculation as a side effect. Priligy when taken for premature ejaculation is not an antidepressant, even though it has similarities in the way it works.
Taking Priligy tablets
Priligy tablets are for men 18 to 64 years only. Priligy tablets are not licensed for use in older men.
The starting dose is one 30mg tablet 1 to 3 hours before intercourse. The dose can be increased to one 60mg tablet, as required, providing the 30mg dose has been well tolerated (no significant side effects are experienced).
Priligy tablets can be taken with or without food. Tablets should be swallowed whole with a glass of water.
Do not take daily on a regular basis, or repeat a dose within 24 hours.
Low blood pressure
Priligy can, in some men, cause a reduction in blood pressure with dizziness and even blackouts. Men who feel lightheaded should sit with their head between their knees or lie down until symptoms resolve. They should take no further tablets without consulting a doctor. Increasing from a 30mg tablet to a 60mg would be inadvisable.
Cautions for Priligy tablets
Some men with underlying medical conditions should not take Priligy. These include men with a history of low blood pressure and symptoms caused by falls in blood pressure, such as dizziness and blackouts when standing. Men with heart disease and significant liver or kidney disease should not take Priligy, without first consulting their doctor. Men with susceptibility to angle closure glaucoma (a rare form of glaucoma) and blood clotting problems are also at risk. Dr Fox online consultations check for these contraindications.
A number of prescription medications interact with Priligy (dapoxetine). These medications are checked for in consultations. Interacting medication needs to be stopped 14 days before starting Priligy and not re-started for 7 days afterwards. Do not stop prescribed medicine without first consulting a doctor or pharmacist.
Men taking Priligy should read the manufacturers patient information leaflet before starting treatment.
Recreational drugs and alcohol
There is a potential for an increase in side effects in men who take Priligy whilst using LSD, narcotics (e.g. methadone or heroin), and sedatives such as sleeping tablets.
Priligy may increase the effects of alcohol and alcohol increases the risk of low blood pressure problems.
Side effects of Priligy
As with any medication side effects are possible. See the manufacturers patient information leaflet for details.
Most side effects are not medically significant and are tolerated, but some side effects can be more serious.
Stop taking Priligy and see your doctor straight away if:
- You have fits (seizures)
- faint or feel lightheaded when you stand up
- notice any changes in your mood
- have any thoughts of suicide or harming yourself
Premature ejaculation can be distressing. It can lead to an avoidance of intercourse and come between men and their partners. A doctor’s consultation may help to get to the bottom of associated psychological problems.
A doctor might ask some of the following questions:
- What is the time between penetration and ejaculation (cumming)?
- Can you delay ejaculation?
- Do you feel bothered, annoyed, and/or frustrated by your PE?
- When did you first experience PE?
- Have you experienced PE since your first sexual experience and on every/almost every attempt and with every partner?
- Is your erection hard enough to penetrate?
- Do you have difficulty in maintaining your erection until you ejaculate during intercourse?
- Do you ever rush intercourse to prevent loss of your erection?
- How upset is your partner with your PE?
- Does your partner avoid sexual intercourse?
- Is your PE affecting your overall relationship?
- Have you received any treatment for your PE previously?
Depending on the answers, a doctor might recommend non-tablet treatments, such as masturbation prior to intercourse or certain breath holding techniques.
For further information see NHS – Can premature ejaculation be controlled? and FAQs: Priligy (dapoxetine) and premature ejaculation.
Important information about Priligy
Do not consume alcohol with Priligy, as this can make some side effects worse and affect how well the treatment works.
Priligy (dapoxetine) is a temporary solution, not a cure. Due to the complex nature of why premature ejaculation happens, Priligy is unable to treat the underlying causes of PE. It works best when combined with behavioural techniques and, in some cases, counselling or psychotherapy.
Some men find counselling or hypnotherapy helpful as a means of exploring and treating psychological causes for PE. Others use behavioural techniques to manage their PE with success.
We can also prescribe EMLA, which is an anaesthetic cream applied to the penis. It makes nerve endings less sensitive, and can delay the time it takes to ejaculate.