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    Priligy is a prescription-only treatment for premature ejaculation. It delays ejaculation and can increase sexual satisfaction in men who find that they come too quickly. The effect of Priligy lasts for up to four hours after the tablet has been taken. It can almost double the duration of sexual intercourse and helps men gain better control over when they ejaculate. Use our discreet and convenient service to obtain both your prescription and medication online. When you place your order, you need to fill in a brief online questionnaire. Our doctor will review your information and approve an appropriate treatment. Priligy tablets need to be swallowed whole with a drink of water. azithromycin 2g If the individual response to 30 mg is insufficient and the patient has not experienced moderate or severe adverse reactions or prodromal symptoms suggestive of syncope, the dose may be increased to a maximum recommended dose of 60 mg taken as needed approximately 1 to 3 hours prior to sexual activity. The incidence and severity of adverse events is higher with the 60 mg dose. A careful appraisal of individual benefit risk of Priligy should be performed by the physician after the first four weeks of treatment (or at least after 6 doses of treatment) to determine whether continuing treatment with Priligy is appropriate. Data regarding the efficacy and safety of Priligy beyond 24 weeks are limited. The clinical need of continuing and the benefit risk balance of treatment with Priligy should be re-evaluated at least every six months. Caution is advised if increasing the dose to 60 mg in patients known to be of CYP2D6 poor metabolizer genotype or in patients concomitantly treated with potent CYP2D6 inhibitors (see sections 4.4, 4.5 and 5.2). Concomitant use of potent CYP3A4 inhibitors is contraindicated.

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    The content of this evidence summary was up-to-date in May 2014. See summaries of product characteristics (SPCs), British national formulary (BNF) or the MHRA or NICE websites for up-to-date information. Dapoxetine is a short-acting selective serotonin-reuptake inhibitor (SSRI). It is the first pharmacological treatment for premature ejaculation to be licensed in the UK. In a pooled analysis of 4 randomised controlled trials (RCTs) in men with premature ejaculation there was a statistically significant increase in intravaginal ejaculatory latency time (IELT) with dapoxetine 'on demand' compared with placebo 'on demand', although an increase in IELT was also seen with placebo. persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity.' The European Association of Urology 2014 guidelines on male sexual dysfunction state that although premature ejaculation is a very common male sexual dysfunction (with prevalence rates of 20% to 30%), the aetiology of premature ejaculation is unknown, with little data to support suggested biological and psychological hypotheses. Standard dose is 30mg but if that is not effective, you can try 60mg on your next order. If your erectile dysfunction is situational, for example, you still have an early morning erection, then psychosexual therapy may be helpful. One Priligy tablet should be taken whole with a glass of water at least one hour before sexual intercourse. You can access registered therapists on Alternatively, call or email us here and we can arrange a referral. For further information on treatments for erectile dysfunction, including complementary treatments such as kegel exercises (which strengthen the muscles in the pelvic floor and can be helpful for patients with ED) please see the NHS website: Premature ejaculation is when a man ejaculates early during intercourse , typically less than 2 minutes after penetration. Premature ejaculation affects around 30-40% of men in the UK. It can be cause by prostate problems or urinary tract infections; the main cause is often psychological. PE can cause distress and relationship problems and can impact the emotional well- being and health of sufferers. Men who last up to 2 minutes have been shown in clinical trials to have their ejaculatory latency time increase by 200-300%. For men who last between 2 and 7 minutes, Priligy may still be effective but clinical trials have not been done on this category of patient.

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