Priligy is only indicated in men with Premature Ejaculation. Priligy should not be prescribed to men who have not been diagnosed with Premature Ejaculation. Safety has not been established and there are no data on the ejaculation-delaying effects in men without Premature Ejaculation.
Priligy significantly improves premature ejaculation in the majority of men. In men who ejaculate in less than two minutes, Priligy can double or even triple their ejaculation time. This is because it increases serotonin levels, which changes the way nerve signals work, giving the brain more control over the ejaculation reflex. The active ingredient dapoxetine works by improving the way serotonin works. Serotonin is a neurotransmitter; a chemical which is used to pass messages between nerve cells. Serotonin has a few different functions inside the human body, including sending the signals that cause ejaculation. You should avoid drinking alcohol when you’re taking Priligy. Some of the side effects of Priligy, like feeling dizzy or sleepy, can get worse if you’ve been drinking. Another effect of Priligy is fainting, and drinking alcohol can increase your risk of getting hurt if this happens. Alcohol can lead to erectile dysfunction and premature ejaculation. So, you should avoid drinking if you’re having premature ejaculation, even if you’re not taking any medication.
Other forms of sexual dysfunction
Before treatment, subjects with other forms of sexual dysfunction, including erectile dysfunction, should be carefully investigated by physicians. Dapoxetine should not be used in men with erectile dysfunction (ED) who are using PDE5 inhibitors.
Before treatment initiation, a careful medical examination including history of orthostatic events should be performed by the physician. An orthostatic test should be performed before initiating therapy (blood pressure and pulse rate, supine and standing). In case of a history of documented or suspected orthostatic reaction, treatment with Priligy should be avoided.
Orthostatic hypotension has been reported in clinical trials. The prescriber should counsel the patient in advance that if he experiences possibly prodromal symptoms, such as lightheadedness soon after standing, he should immediately lie down so his head is lower than the rest of his body or sit down with his head between his knees until the symptoms pass. The prescriber should also inform the patient not to rise quickly after prolonged lying or sitting.
Before you take this treatment, it is important to inform a doctor about any medications you might be taking. This will help them to assess whether or not they will interact negatively with Priligy and cause harm or limit its effectiveness. There are several medications that you cannot take in conjunction with it. Make sure you detail all medications, prescription and non-prescription, during your consultation.
Before treatment is initiated, the physician should obtain a careful medical history focusing on past orthostatic events and also perform an orthostatic test (blood pressure and pulse rate). If the patient discloses a history suggestive of orthostatic reactions or an orthostatic test shows this kind of reaction, treatment with Priligy should be avoided.
The recommended starting dose for all patients is 30 mg, taken a needed approximately 1 to 3 hours prior to sexual activity. If the effect of 30 mg is insufficient and the side effects are acceptable, the dose may be increased to the maximum recommended dose of 60 mg. The maximum recommended dosing frequency is one dose every 24 hours. Priligy may be taken with or without food. The physician who elects to prescribe Priligy for the treatment of premature ejaculation should evaluate the risks and patient-reported benefits of the medicinal product after the first four weeks of treatment or after 6 doses to assess the patient risk-benefit balance and to determine whether continuing treatment with Priligy is appropriate.
Priligy is for oral use. Tablets should be swallowed whole. It is recommended that tablets be taken with at least one full glass of water. Patients should be cautioned to avoid situations where injury could result should syncope or its prodromal symptoms such as dizziness or lightheadedness occur (see precautions).