Premature 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.
Cenforce-d
100mg + 60mg
Developed to mitigate sexual performance difficulties to support clinical intimacy goals and target premature ejaculation.
Extra Super P-force
100mg + 100mg
Designed to support male sexual performance to manage physical endurance and alleviate erection failure.
Sildigra Super Power
100mg + 60mg
Designed to support dual sexual performance to manage endurance and alleviate erection failure.
Super P Force Oral Jelly
100mg + 60mg
Utilised to manage dual performance concerns to support intimate endurance and alleviate swallowing difficulties.
Super Vilitra
20mg + 60mg
Indicated to address sexual performance to support extended physical duration and target pelvic blood flow.
Super Avana
100mg + 60mg
Designed to support male sexual performance to manage endurance and alleviate Erection failure.
Malegra Dxt
100mg + 30mg
Developed to mitigate dual sexual performance difficulties to support performance control and target neurochemical pathways.
Malegra Fxt
100mg + 40mg
Designed to support male sexual performance to manage physical endurance and target local smooth muscle relaxation.
Hiforce Delay Spray
5%
Utilised to manage rapid male climax to support intimate duration and alleviate physical sensitivity.
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
Related articles

28 Jul 2026 ⋅ 8 min read
Premature Ejaculation: What Actually Treats It, Including Dapoxetine
Premature ejaculation is common and treatable. Occasional episodes are not a cause for concern, physical causes including thyroid and prostate problems are worth ruling out, and dapoxetine is the one SSRI designed for on-demand use.
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