Efficacy and safety of dapoxetine/sildenafil combination tablets in the treatment of men with premature ejaculation and concomitant erectile dysfunction-DAP-SPEED Study

Dapoxetin > sildenafil dapoxetine tablets


Your healthcare provider will tell you how much sildenafil tablets to take and when to take it. Your healthcare provider may change your dose if needed. Take sildenafil tablets about 1 hour before sexual activity.

  • Sildenafil is used to treat erectile dysfunction in men.
  • Dapoxetine is primarily prescribed for premature ejaculation.
  • Sildenafil increases blood flow to the penis during arousal.
  • Dapoxetine works by delaying serotonin reuptake, extending ejaculation time.
  • Both medications require a prescription from a healthcare provider.
  • Sildenafil usually takes about 30-60 minutes to work.
  • Dapoxetine is typically taken 1-3 hours before sexual activity.
  • Combining sildenafil and dapoxetine should only be done under medical guidance.

You may take sildenafil tablets between 30 minutes to 4 hours before sexual activity if needed. Sildenafil tablets can be taken with or without food. If you take sildenafil tablets after a high fat meal (such as a cheeseburger and french fries), sildenafil tablets may take a little longer to start working Do nottake sildenafil tablets more than 1 time a day. If you accidentally take too much sildenafil tablets, call your doctor or go to the nearest hospital emergency room right away. What are the possible side effects of sildenafil tablets? Sildenafil tablets can cause serious side effects. an erection that will not go away (priapism). If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes. Stop taking sildenafil tablets and call your healthcare provider right away if you have sudden vision loss in one or both eyes. If you have these symptoms, stop taking sildenafil tablets and contact a doctor right away.

Ingredient Quantity per Tablet Function Notes
Sildenafil Citrate 100 mg Erectile dysfunction treatment Active ingredient
Dapoxetine Hydrochloride 60 mg Premature ejaculation relief Active ingredient
Microcrystalline Cellulose 50 mg Binder Inactive excipient
Magnesium Stearate 5 mg Lubricant Inactive excipient
Lactose Monohydrate 20 mg Filler Inactive excipient

The most common side effects of sildenafil tablets are: abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking sildenafil tablets. It is not known if sildenafil tablets caused these problems. Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all the possible side effects of sildenafil tablets.

2.3 Dosage Adjustments in Specific Situations

*The other brands listed are trademarks of their respective owners and are not trademarks of Rubicon Research Limited. PACKAGE LABEL-PRINCIPAL DISPLAY PANEL Sildenafil Tablets 25 mg - NDC 72888-015-30 - 30 Tablets LabelSildenafil Tablets 25 mg - NDC 72888-015-05 - 500 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-30 - 30 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-01 - 100 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-00 - 1000 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-30 - 30 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-01 - 100 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-00 - 1000 Tablets Label Sildenafil Tablets 25 mg - NDC 72888-015-30 - 30 Tablets Label Sildenafil Tablets 25 mg - NDC 72888-015-05 - 500 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-30 - 30 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-01 - 100 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-00 - 1000 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-30 - 30 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-01 - 100 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-00 - 1000 Tablets Label INGREDIENTS AND APPEARANCE Inactive IngredientsCROSPOVIDONE (15 MPA.S AT 5%) (UNII: 68401960MK)SILICON DIOXIDE (UNII: ETJ7Z6XBU4)HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)MAGNESIUM STEARATE (UNII: 70097M6I30)CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)TITANIUM DIOXIDE (UNII: 15FIX9V2JP)TRIACETIN (UNII: XHX3C3X673)FD&C BLUE NO. 2 (UNII: L06K8R7DQK)Product CharacteristicsColorblueScoreno scoreShapeOVAL (biconvex)Size17mmFlavorImprint CodeR;100ContainsPackagingNDC:72888-017-3030 in 1 BOTTLE; Type 0: Not a Combination Product06/17/2021NDC:72888-017-01100 in 1 BOTTLE; Type 0: Not a Combination Product06/17/2021NDC:72888-017-001000 in 1 BOTTLE; Type 0: Not a Combination Product11/08/2021Marketing InformationANDAANDA20488206/17/2021Labeler - Advagen Pharma Ltd (051627256)Registrant - Rubicon Research Limited (918629544)EstablishmentRubicon Research Limited677604197manufacture(72888-015, 72888-016, 72888-017) , analysis(72888-015, 72888-016, 72888-017) , pack(72888-015, 72888-016, 72888-017) Exports To: United States Of America Australia United Kingdom Canada France United States Of America Australia United Kingdom Canada France We are one of the foremost Exporter & specialized of Pharmaceutical Tablets, Pharmaceutical Injections, Pharmaceutical Cream, Pharmaceutical Gel, Pharmaceutical Ointment, Pharmaceutical Lotion, Isotroin-20 Capsules,Isotroin-20 Capsules and much more. Our professionals work in close coordination to assure a high-quality assortment of products to the customers. We have recruited a team of professionals.

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In addition to this, priligy dapoxetine canada to avoid disputes in the workplace, our professionals strive dedicatedly. Owing to our fare policies and the best quality products.Under the direction of our mentor, Mr. Vikas Jagdish Bhatia, we are creating a long list of clients. Also, owing to his knowledge, commitment, skills, and ethical business strategies, we have been able to achieve a renowned position in the market. Under the direction of our mentor, Mr. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to Rubicon Research dapoxetine tadalafil tablets Limited, Ambernath at 00-91-251-6619500 or FDA at 1-800-FDA-1088. Store sildenafil tablets at room temperature between 68°F to 77°F (20°C to 25°C).

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Keep sildenafil tablets and all medicines out of the reach of children.

Patients and methods

Chemical Names

General information about the safe and effective use of sildenafil tablets.

How do I take Priligy, and how often?

Your healthcare provider will tell you how much sildenafil tablets to take and when to take it. Your healthcare provider may change your dose if needed. Take sildenafil tablets about 1 hour before sexual activity. You may take sildenafil tablets between 30 minutes to 4 hours before sexual activity if needed. Sildenafil tablets can be taken with or without food.

Cardiovascular safety

If you take sildenafil tablets after a high fat meal (such as a cheeseburger and french fries), sildenafil tablets may take a little longer to start working Do nottake sildenafil tablets more than 1 time a day. If you accidentally take too much sildenafil tablets, call your doctor or go to the nearest hospital emergency room right away. What are the possible side effects of sildenafil tablets? Sildenafil tablets can cause serious side effects. an erection that will not go away (priapism). Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. This Patient Information leaflet summarizes the most important information about sildenafil tablets. You can ask your healthcare provider or pharmacist for information about sildenafil tablets that is written for health professionals. What are the ingredients in sildenafil tablets? This Patient Information has been approved by the U.S. Food and Drug Administration. *The other brands listed are trademarks of their respective owners and are not trademarks of Rubicon Research Limited.

Condition Recommended Dosage Onset Time Duration of Effect Additional Notes
Erectile Dysfunction 100 mg sildenafil 30-60 min 4-6 hours Take 30 min before activity
Premature Ejaculation 60 mg dapoxetine 1-3 hours 1-2 hours May be taken daily or on demand
Combined Use for Both Conditions As prescribed Varies Varies Under medical supervision

PACKAGE LABEL-PRINCIPAL DISPLAY PANEL Sildenafil Tablets 25 mg - NDC 72888-015-30 - 30 Tablets LabelSildenafil Tablets 25 mg - NDC 72888-015-05 - 500 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-30 - 30 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-01 - 100 Tablets LabelSildenafil Tablets 50 mg - NDC 72888-016-00 - 1000 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-30 - 30 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-01 - 100 Tablets LabelSildenafil Tablets 100 mg - NDC 72888-017-00 - 1000 Tablets Label Sildenafil Tablets 25 mg - NDC 72888-015-30 - 30 Tablets Label Sildenafil Tablets 25 mg - NDC 72888-015-05 - 500 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-30 - 30 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-01 - 100 Tablets Label Sildenafil Tablets 50 mg - NDC 72888-016-00 - 1000 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-30 - 30 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-01 - 100 Tablets Label Sildenafil Tablets 100 mg - NDC 72888-017-00 - 1000 Tablets Label INGREDIENTS AND APPEARANCE Inactive IngredientsCROSPOVIDONE (15 MPA.S AT 5%) (UNII: 68401960MK)SILICON DIOXIDE (UNII: ETJ7Z6XBU4)HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)MAGNESIUM STEARATE (UNII: 70097M6I30)CELLULOSE, MICROCRYSTALLINE (UNII: OP1R32D61U)TITANIUM DIOXIDE (UNII: 15FIX9V2JP)TRIACETIN (UNII: XHX3C3X673)FD&C BLUE NO. 2 (UNII: L06K8R7DQK)Product CharacteristicsColorblueScoreno scoreShapeOVAL (biconvex)Size17mmFlavorImprint CodeR;100ContainsPackagingNDC:72888-017-3030 in 1 BOTTLE; Type 0: Not a Combination Product06/17/2021NDC:72888-017-01100 in 1 BOTTLE; Type 0: Not a Combination Product06/17/2021NDC:72888-017-001000 in 1 BOTTLE; Type 0: Not a Combination Product11/08/2021Marketing InformationANDAANDA20488206/17/2021Labeler - Advagen Pharma Ltd (051627256)Registrant - Rubicon Research Limited (918629544)EstablishmentRubicon Research Limited677604197manufacture(72888-015, 72888-016, 72888-017) , analysis(72888-015, 72888-016, 72888-017) , pack(72888-015, 72888-016, 72888-017) Exports To: United States Of America Australia United Kingdom Canada France United States Of America Australia United Kingdom Canada France We are one of the foremost Exporter & specialized of Pharmaceutical Tablets, Pharmaceutical Injections, Pharmaceutical Cream, Pharmaceutical Gel, Pharmaceutical Ointment, Pharmaceutical Lotion, Isotroin-20 Capsules,Isotroin-20 Capsules and much more. Our professionals work in close coordination to assure a high-quality assortment of products to the customers. We have recruited a team of professionals. In addition to this, priligy dapoxetine canada to avoid disputes in the workplace, our professionals strive dedicatedly. Owing to our fare policies and the best quality products.Under the direction of our mentor, Mr. Vikas Jagdish Bhatia, we are creating a long list of clients.

  • Sildenafil's patent expiration has increased availability of generics.
  • Dapoxetine is relatively newer, approved in the early 2000s.
  • Lifestyle factors like smoking can impact medication effectiveness.
  • Both medications have different mechanisms of action.
  • Dapoxetine's efficacy is confirmed through multiple clinical trials.
  • Sildenafil may cause temporary visual disturbances.
  • Proper dosage timing enhances effectiveness and safety.
  • Always discard expired medications safely to avoid misuse.

Also, owing to his knowledge, commitment, skills, and ethical business strategies, we have been able to achieve a renowned position in the market. Under the direction of our mentor, Mr.

12.1 Mechanism of Action

Vikas Jagdish Bhatia, we are creating a long list of clients. Serefoglu, 058 The Efficacy and Safety of Dapoxetine / Sildenafil Combination Therapy in the Treatment of Men with Premature Ejaculation and Erectile Dysfunction – DAP-SPEED Study, The Journal of Sexual Medicine, Volume 16, Issue Supplement_1, April 2019, Page S30, Serefoglu, 058 The Efficacy and Safety of Dapoxetine / Sildenafil Combination Therapy in the Treatment of Men with Premature Ejaculation and Erectile Dysfunction – DAP-SPEED Study, The Journal of Sexual Medicine, Volume 16, Issue Supplement_1, April 2019, Page S30, Premature ejaculation (PE) and erectile dysfunction (ED) are the most prevalent sexual disorders in men. They were also instructed to complete Premature Ejaculation Diagnostic Tool (PEDT), Premature Ejaculation Profile (PEP) and International Index of Erectile Function-Erectile Function (IIEF-EF) score before and after the treatment. At the end of the study, patients were assessed with global impression of change (GIC) for the treatment satisfaction. DAPOXETINE IN SEXUAL DYSFUNCTIONS PRESENTOR DR.

Sildenafil and dapoxetine

ANANT KUMAR RATHI 2nd YEAR RESIDENT GUIDE DR. D. K. SHARMA PROF. & HEAD, DEPTT. Vikas Jagdish Bhatia, we are creating a long list of clients. Serefoglu, 058 The Efficacy and Safety of Dapoxetine / Sildenafil Combination Therapy in the Treatment of Men with Premature Ejaculation and Erectile Dysfunction – DAP-SPEED Study, The Journal of Sexual Medicine, Volume 16, Issue Supplement_1, April 2019, Page S30, Serefoglu, 058 The Efficacy and Safety of Dapoxetine / Sildenafil Combination Therapy in the Treatment of Men with Premature Ejaculation and Erectile Dysfunction – DAP-SPEED Study, The Journal of Sexual Medicine, Volume 16, Issue Supplement_1, April 2019, Page S30, Premature ejaculation (PE) and erectile dysfunction (ED) are the most prevalent sexual disorders in men. They were also instructed to complete Premature Ejaculation Diagnostic Tool (PEDT), Premature Ejaculation Profile (PEP) and International Index of Erectile Function-Erectile Function (IIEF-EF) score before and after the treatment. At the end of the study, patients were assessed with global impression of change (GIC) for the treatment satisfaction. DAPOXETINE IN SEXUAL DYSFUNCTIONS PRESENTOR DR. ANANT KUMAR RATHI 2nd YEAR RESIDENT GUIDE DR. D. K. SHARMA PROF.

  • Sildenafil can cause a drop in blood pressure in some users.
  • Dapoxetine's adverse effects are usually mild and transient.
  • Patients on medication for heart disease should consult a doctor first.
  • Sexual activity itself can pose risks for some health conditions.
  • Combining sildenafil with other ED medications is not recommended.
  • Dapoxetine may interact with other serotonergic drugs.
  • Use caution when operating machinery after taking these drugs.
  • Always inform your doctor about other medications being used.

& HEAD, DEPTT. NORMAL PHYSIOLOGY (GanongPhysiology) ERECTION EJACULATION AUTONOMIC PARASYMPATHETIC SYMPATHETIC NERVOUS SYSTEM SYSTEM SYSTEM AFFERENT PUDENDAL NERVE & PUDENDAL NERVE SACRAL PLEXUS RELAY SACRAL SEGMENTS LUMBAR SEGMENTS OF SPINAL CORD OF SPINAL CORD EFFERENT PELVIC SPLANCHNIC HYPOGASTRIC & NERVE (NERVI PELVIC SYMPATHETIC ERIGENTIS) PLEXUS NEUROTRANSMITOR NITRIC OXIDE (NO) CARBON MONOXIDE (CO) Phases of SexualResponse Cycle & Associated Sexual Dysfunctions PHASES CHARACTERSTICS DYSFUNCTION 1. Desire Reflects person’s motivations, drives & Hypoactive sexual desire personality; characterized by sexual disorder; sexual aversion fantasies & desire to have sex disorder (male or female) 2.

7.3 Amlodipine

If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes. Stop taking sildenafil tablets and call your healthcare provider right away if you have sudden vision loss in one or both eyes. If you have these symptoms, stop taking sildenafil tablets and contact a doctor right away. The most common side effects of sildenafil tablets are: abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking sildenafil tablets.

Allergy warning

It is not known if sildenafil tablets caused these problems. Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all the possible side effects of sildenafil tablets. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. Subjective sense of sexual pleasure & Female sexual arousal Excitement accompanying physiological responses disorder (sexual flush, erection by vasocongestion, Male erectile disorder; tightening & lifting of scrotal sac, increase dyspareunia size of testes ) 3. Orgasm Peaking of sexual pleasure, release of Orgasmic disorder (male & sexual tension & rhythmic contraction of female); premature perineal muscles and pelvic reproductive ejaculation organs 4.

What is the satisfaction rate with dapoxetine?

You may report side effects to Rubicon Research dapoxetine tadalafil tablets Limited, Ambernath at 00-91-251-6619500 or FDA at 1-800-FDA-1088. Store sildenafil tablets at room temperature between 68°F to 77°F (20°C to 25°C). Keep sildenafil tablets and all medicines out of the reach of children. General information about the safe and effective use of sildenafil tablets. Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet.

Molecular Weight

This Patient Information leaflet summarizes the most important information about sildenafil tablets. You can ask your healthcare provider or pharmacist for information about sildenafil tablets that is written for health professionals. What are the ingredients in sildenafil tablets? This Patient Information has been approved by the U.S. Food and Drug Administration. A sense of general relaxation, wellbeing & Post coital dysphoria; post Resolution muscle relaxation coital headache PHYSIOLOGY OF EJACULATION Normal ante grade ejaculation:- 3 basic mechanism (Lipshultz 1981) (1) Emission:- Result of a sympathetic spinal cord reflex Initiated by genital/cerebral erotic stimuli Involves sequential contraction of accessory sexual organs (2) Ejection:- Involve bladder neck closure Rhythmic contraction of bulbocavernosus, bulbospongiosus and other pelvic floor muscles Relaxation of external urethral sphincter (Yeates 1987) (3) Orgasm:- Result of cerebral processing of pudendal nerve sensory stimuli resulting from increased pressure in posterior urethra, contraction of urethral bulb & accessory sexual Neurology of ejaculation Seminal emission & ejection are integrated by medial preoptic area(MPOA) and nucleus paragigantocellularis (nPGI) Descending serotonergic pathway from nPGI to lumbosacral motor nuclei tonically inhibit ejaculation (Yells 1992) Disinhibition of nPGI by MPOA facilitates ejaculation Lumbar spinothalamic neurons send projection to autonomic nuclei & motor neurons involved in emission and ejection, while they receive sensory projection from pelvis Neurobiology of ejaculation(Ahlenius 1981) Ejaculatory reflex is controlled by central serotonergic & dopaminegric neurons with secondary involvement of cholinergic, adrenergic, nitregic, oxytocinergic neurons Speed of ejaculation appears to be determined by 5HT2C & 5HT1A receptors Stimulation of postsynaptic 5HT2C receptor by its agonist delays ejaculation Stimulation of somatodendritic 5HT1A receptors decreases ejaculation latency The Male SexualResponse Sexual Ejaculation Interest/ Orgasm Accompanied by Stimulation Orgasm Penile Penile Penetration tumescence Detumesence Plateau Resolution High arousal/ Erection Excitement Time Premature Ejaculation (PE)[ICD-10 F52.4] WHO 2nd International consultation on sexual health:- “Persistent or recurrent ejaculation with minimal stimulation before, on, or shortly after penetration, and before the person wishes it, over which the sufferer has little or no voluntary control, which causes the sufferer and/or his partner bother or distress” (Leu et al 2004) International Society for Sexual Medicine(ISSM) :- “ Male sexual dysfunction characterized by ejaculation which always or nearly always occurs before or within approximately 1 minute of vaginal penetration; the inability to delay ejaculation on all or nearly all vaginal penetration; and negative personal consequences such as distress, bother, frustration and/or the avoidance of sexual intimacy” Recent normative data suggest that men with an :- Intravaginal Ejaculatory Latency Time (IELT) less than 1 min have “definite PE” IELT between 1 and 1.5 min have “probable PE” (Waldiner, Zwinderman 2005) DSM IV TRDiagnostic criteria for PE A.

Shipping Information

NORMAL PHYSIOLOGY (GanongPhysiology) ERECTION EJACULATION AUTONOMIC PARASYMPATHETIC SYMPATHETIC NERVOUS SYSTEM SYSTEM SYSTEM AFFERENT PUDENDAL NERVE & PUDENDAL NERVE SACRAL PLEXUS RELAY SACRAL SEGMENTS LUMBAR SEGMENTS OF SPINAL CORD OF SPINAL CORD EFFERENT PELVIC SPLANCHNIC HYPOGASTRIC & NERVE (NERVI PELVIC SYMPATHETIC ERIGENTIS) PLEXUS NEUROTRANSMITOR NITRIC OXIDE (NO) CARBON MONOXIDE (CO) Phases of SexualResponse Cycle & Associated Sexual Dysfunctions PHASES CHARACTERSTICS DYSFUNCTION 1. Desire Reflects person’s motivations, drives & Hypoactive sexual desire personality; characterized by sexual disorder; sexual aversion fantasies & desire to have sex disorder (male or female) 2. Subjective sense of sexual pleasure & Female sexual arousal Excitement accompanying physiological responses disorder (sexual flush, erection by vasocongestion, Male erectile disorder; tightening & lifting of scrotal sac, increase dyspareunia size of testes ) 3. Orgasm Peaking of sexual pleasure, release of Orgasmic disorder (male & sexual tension & rhythmic contraction of female); premature perineal muscles and pelvic reproductive ejaculation organs 4. A sense of general relaxation, wellbeing & Post coital dysphoria; post Resolution muscle relaxation coital headache PHYSIOLOGY OF EJACULATION Normal ante grade ejaculation:- 3 basic mechanism (Lipshultz 1981) (1) Emission:- Result of a sympathetic spinal cord reflex Initiated by genital/cerebral erotic stimuli Involves sequential contraction of accessory sexual organs (2) Ejection:- Involve bladder neck closure Rhythmic contraction of bulbocavernosus, bulbospongiosus and other pelvic floor muscles Relaxation of external urethral sphincter (Yeates 1987) (3) Orgasm:- Result of cerebral processing of pudendal nerve sensory stimuli resulting from increased pressure in posterior urethra, contraction of urethral bulb & accessory sexual Neurology of ejaculation Seminal emission & ejection are integrated by medial preoptic area(MPOA) and nucleus paragigantocellularis (nPGI) Descending serotonergic pathway from nPGI to lumbosacral motor nuclei tonically inhibit ejaculation (Yells 1992) Disinhibition of nPGI by MPOA facilitates ejaculation Lumbar spinothalamic neurons send projection to autonomic nuclei & motor neurons involved in emission and ejection, while they receive sensory projection from pelvis Neurobiology of ejaculation(Ahlenius 1981) Ejaculatory reflex is controlled by central serotonergic & dopaminegric neurons with secondary involvement of cholinergic, adrenergic, nitregic, oxytocinergic neurons Speed of ejaculation appears to be determined by 5HT2C & 5HT1A receptors Stimulation of postsynaptic 5HT2C receptor by its agonist delays ejaculation Stimulation of somatodendritic 5HT1A receptors decreases ejaculation latency The Male SexualResponse Sexual Ejaculation Interest/ Orgasm Accompanied by Stimulation Orgasm Penile Penile Penetration tumescence Detumesence Plateau Resolution High arousal/ Erection Excitement Time Premature Ejaculation (PE)[ICD-10 F52.4] WHO 2nd International consultation on sexual health:- “Persistent or recurrent ejaculation with minimal stimulation before, on, or shortly after penetration, and before the person wishes it, over which the sufferer has little or no voluntary control, which causes the sufferer and/or his partner bother or distress” (Leu et al 2004) International Society for Sexual Medicine(ISSM) :- “ Male sexual dysfunction characterized by ejaculation which always or nearly always occurs before or within approximately 1 minute of vaginal penetration; the inability to delay ejaculation on all or nearly all vaginal penetration; and negative personal consequences such as distress, bother, frustration and/or the avoidance of sexual intimacy” Recent normative data suggest that men with an :- Intravaginal Ejaculatory Latency Time (IELT) less than 1 min have “definite PE” IELT between 1 and 1.5 min have “probable PE” (Waldiner, Zwinderman 2005) DSM IV TRDiagnostic criteria for PE A.

CAS registry number (Chemical Abstracts Service)