Dapoxetine: an evidence-based review of its effectiveness in treatment of premature ejaculation

Dapoxetine: an evidence-based review of its effectiveness in treatment of premature ejaculation

Preliminary recommendations of the American Psychiatric Association’s Diagnostic and Statistical Manual V (DSM-V) Committee suggest a DSM-V definition which parallels the definition recently adopted by the International Society for Sexual Medicine Segraves, 2010. Therefore, more trials are required to add further evidence for the efficacy of long-term dapoxetine use in PE. Erectile dуsfunction (ED) is a common сondition that affects men of all ages. It is characterized by the inаbility to achieve or maintain an erection sufficient for satisfactory sexual performance.

Phase II trials

  • It’s involved with regulating the mood (hence the use of these drugs for treating depression), but it’s also heavily involved with sexual function and ejaculation.
  • Off-label oral selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for the treatment of PE.
  • Further research is needed on how this structural dissimilarity causes the difference in their effects on PE.
  • The rate of absorption is modestly decreased, but there is no effect of food on the elimination of dapoxetine or the exposure to dapoxetine, as assessed by the plasma concentration versus time AUC.

Before dapoxetine was approved for the treatment of lifelong premature ejaculation (LPE) in China, daily dosing with off-label sertraline was common. Food does not have a clinically significant effect on dapoxetine pharmacokinetics. The frequency of nausea is decreased after a high-fat meal (24% 7/29 of fasted subjects and 14% 4/29 of fed subjects, respectively). Dapoxetine is a medicine that is advised in people having premature ejaculation. Though the condition is common in many men at some stage of their lives, treatment is necessary when it bothers frequently.

Animal and clinical studies in addition to its pharmacokinetic document dapoxetine’s clinical efficacy and safety for on-demand treatment of PE. Treatment-emergent adverse events occurring in at least 2% of subjects in pooled phase III data Buvat et al. 2009; Kaufman et al. 2009; McMahon et al. 2010; Pryor et al. 2006. Plasma concentration profiles of dapoxetine after administration of a single dose or multiple doses of dapoxetine 30 mg (a) and dapoxetine 60 mg (b) Modi et al. 2006.

Side Effects, Contraindications and Dosage of Dapoxetine

Therefore, we used the CGIC as the standard to evaluate the PE steroids therapeutic effect. Each patient reported their IELT and PEP at weeks 0, 4, and 12 and completed the CGIC at week 12 during the visit. AEs were reported spontaneously by patients when they occurred and were actively solicited by the study investigator.

All three groups likely improved because of this effect, but the change in the treatment groups was significantly higher — which is a reliable indicator of improvement as a direct result of the drug. If other medications that require the same metabolic pathway are used, they will compete with each other. This can cause metabolism to become slow, potentially leading to a buildup of both medications.

Cialis is a prescription medication and should only be used under the supervision and guidance of a healthcare professional. Using Cialis without medical supervision and outside of its intended use could lead to unwanted side effects or interactions with other medications. While Cialis works by increasing blood flow to the penis, it does not have the samе effeсt on female sexual functiоn. Femаle sexuаl arousal and response are more cоmplex, and Cialis has not been proven to be еffective in addressing these concеrns in women.