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Premature EjaculationPremature Ejaculation

Premature ejaculation is assessed using more than timing alone: perceived control over ejaculation, distress and the effect on a relationship all factor into diagnosis and treatment. Most medicines here contain dapoxetine, either alone or combined with a medicine for erectile dysfunction.

Poxet

Dapoxetine

60mg

Designed to support sexual endurance to manage premature climax and alleviate emotional performance stress.

From$1.24/ tabletView

Tadapox

Tadalafil, Dapoxetine

20mg + 60mg

Intended to relieve dual performance concerns to support intimate endurance and target pelvic smooth muscle relaxation.

From$0.96/ tabletView

Cenforce-d

Sildenafil, Dapoxetine

100mg + 60mg

Developed to mitigate sexual performance difficulties to support clinical intimacy goals and target premature ejaculation.

From$2.29/ tabletView

Duratia

Dapoxetine

30mg · 60mg · 90mg

Intended to relieve premature climax to support extended sexual performance and target central serotonin pathways.

From$0.56/ tabletView

Duralast

Dapoxetine

30mg

Formulated to alleviate rapid sexual climax to support intimate endurance and target sympathetic reflexes.

From$0.93/ tabletView

Malegra Dxt

Sildenafil, Duloxetine

100mg + 30mg

Developed to mitigate dual sexual performance difficulties to support performance control and target neurochemical pathways.

From$0.92/ tabletView

Malegra Fxt

Sildenafil, Fluoxetine

100mg + 40mg

Designed to support male sexual performance to manage physical endurance and target local smooth muscle relaxation.

From$0.92/ tabletView

Key points

  • The NHS treats occasional premature ejaculation as common and not a cause for concern, and suggests treatment once it happens more often than a person would like.
  • The European Association of Urology recommends pharmacological treatment as the first approach for lifelong premature ejaculation, while acquired premature ejaculation is treated by addressing its underlying cause first.
  • The NHS lists fluoxetine among the antidepressants sometimes used to delay ejaculation, alongside dapoxetine, which was designed specifically for this purpose.

Dapoxetine on its own

Poxet, Duratia and Duralast each contain dapoxetine alone for premature ejaculation.

Combined with a medicine for erectile dysfunction

Tadapox pairs dapoxetine with tadalafil, Super Vilitra pairs it with vardenafil, and Cenforce-D, Extra Super P-Force, Sildigra Super Power and Super P Force Oral Jelly all pair it with sildenafil; Super P Force Oral Jelly is an oral jelly rather than a tablet. Super Avana pairs dapoxetine with avanafil. Malegra DXT and Malegra FXT combine sildenafil with duloxetine or fluoxetine instead of dapoxetine, treating both conditions through a different pair of ingredients.

A topical alternative

Hiforce Delay Spray contains lidocaine and is applied directly to the skin rather than taken as a tablet; the NHS notes that a topical anaesthetic like this can transfer to a partner during sex and reduce their sensation too.

Further reading

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