Priligy

Priligy is a medicine that is used to treat premature ejaculation in men of between 18 and 64 years of age (sometimes referred to as rapid ejaculation). Premature ejaculation occurs when a man climaxes soon after (usually 1-2 minutes) entering his partner or a short time after being sexually stimulated. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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Priligy (Dapoxetine) is used for the treatment of premature ejaculation (PE) that men can sometimes experience. It is a short-acting medicine that works by prolonging ejaculation time for men that regularly climax too quickly. It can also give them more control over their orgasm.  

What is Priligy? 

Priligy is a medicine that is used to treat premature ejaculation in men of between 18 and 64 years of age (sometimes referred to as rapid ejaculation). Premature ejaculation occurs when a man climaxes soon after (usually 1-2 minutes) entering his partner or a short time after being sexually stimulated. Priligy can help a man prolong and control his ejaculation and therefore increase sexual satisfaction. 

Whilst this medicine is used to delay the time a man takes to ejaculate it is not intended to extend sexual activity if a man does not suffer from this condition. 

The active ingredient in Priligy is Dapoxetine.  

This medicine is part of the group of SSRIs (selective serotonin reuptake inhibitors) which include several antidepressant medicines. However, Priligy is only used as a medication to treat premature ejaculation and is not used as an antidepressant. 

Serotonin is a neurotransmitter and is a chemical that sends messages between the nerve cells in the brain. Serotonin can affect our mood by causing us to feel positive and happy. It is also associated with male ejaculation but if the body’s cells absorb it too quickly during sexual intercourse then premature ejaculation can occur. Priligy can prevent these cells from reabsorbing the serotonin and so can delay ejaculation.   

Priligy is also known as a “urological medicine” as urology focuses on the male reproductive organs and any problems they may have.  

Priligy should not be used with erectile dysfunction medicines. 

When is Priligy used? 

Priligy is used as a treatment for when a man ejaculates too quickly; on average 1 or 2 minutes after sexual activity commences or he has penetrated his partner. The average time for a man to ejaculate if he does not have premature ejaculation problems is about 5 minutes. 

A man cannot control this condition and can find it embarrassing and frustrating. It can cause tension between both partners and have a psychological effect on the man or even the relationship. 

Most men may have experienced premature ejaculation at some time in their lives for a variety of different reasons. However, if it happens continually and is causing relationship problems it is advisable not to ignore it, but to seek treatment.  

This should start with a visit to your doctor to discuss the situation and what course of action you can take. 

Every situation between partners is different, and sometimes there can be feelings of frustration because the man is ejaculating too soon. 

Premature ejaculation is a common problem and there is no need for a man to be embarrassed about it as it can be treated. Priligy can assist the problem, help a man’s confidence return and improve his and his partner’s sex life. 

Priligy comes in tablet form and is taken 1-3 hours before sexual activity to control premature ejaculation. Its effect can last for up to 4 hours after taking one tablet, although it may last for more or less time. It is important to understand that you should not take more than 1 tablet per day. 

There are two kinds of premature ejaculation: 

  • Primary (lifelong) premature ejaculation – when a man has had the problem throughout his sexually active life, from his first sexual experiences; 
  • Secondary (acquired) premature ejaculation – the problem has occurred after a man has not experienced premature ejaculation in the past. 

Both of these can be caused by psychological issues, such as relationship problems, a traumatic experience, health problems, nervousness, the wish to please your partner or stress from outside influences. All of these can contribute to premature ejaculation problems, which can cause low self-esteem in a man. Whatever the cause, the problem can be treated. 

Priligy treats the symptoms of premature ejaculation but it does not treat the cause of this problem. 

If you have premature ejaculation problems it is important to talk to a doctor who will discuss the possible causes and advise you on the best course of treatment for your individual circumstances. Sometimes this can be learning methods to delay ejaculation, either alone or with your partner. However, if this method is not successful then medication, such as Priligy, may be prescribed. 

How do you use Priligy? 

You take one Priligy tablet between 1-3 hours before having sexual intercourse, not immediately before. Take the tablet with a glass of water and do not chew it as it has an unpleasant taste (bitter). Swallowing the tablet whole also reduces the possibility of feeling faint or dizzy, which are common side effects of this medicine.  

This is a fast-acting medication, so you do not have to wait long for it to begin to work. 

Priligy can be taken with or without food. 

You should not take Priligy and drink alcohol as the interaction between the two can increase the side effects and affect the effectiveness of the treatment. 

It is important to drink plenty of fluids (not alcohol) before taking this medicine as it can cause dehydration. 

Priligy should not be used more than once in a 24-hour period. 

What dosages are there? 

Priligy comes in 30 mg tablets and the recommended dose is to take one 30 mg tablet per day for men aged between 18-64 years.  

When you first take Priligy your doctor will advise you on how many tablets can be taken during the first month of use. You should then talk to them about the effectiveness of this medicine and if you decide to continue you with it you should visit your doctor every six months. 

Priligy usually lasts for up to about 4 hours after it is taken, but in some cases, it can last for less or more time than this. 

There are 60 mg tablets available which should only be taken on the advice of your doctor. You should never take a double dose of 30 mg to increase effectiveness without speaking to your doctor. 

What are the side effects of Priligy? 

As with all medicines, there is the possibility of side effects when taking Priligy, and it is important to be aware of them. The most common side effects are: 

  • Dizziness; 
  • Fainting (Priligy can lower the blood pressure); 
  • Headache;  
  • Feeling sick; 
  • Vomiting; 
  • Dehydration; 
  • Dry mouth; 
  • Blurred vision; 
  • Feeling anxious, or agitated;  
  • Feeling tired;  
  • Difficulty concentrating; 
  • Problems getting or keeping an erection;  
  • Reduced sex drive;  
  • Stomach upsets; 
  • Indigestion;  
  • Flatulence;  
  • Tremors; 
  • Pins and needles; 
  • Ringing in the ears; 
  • Excessive sweating; 
  • Flushing; 
  • Difficulty sleeping; 
  • Dreaming more than usual. 

If you experience any of these side effects and are worried about them you should talk to your doctor. 

You should not drive or operate machinery if Priligy causes you to feel faint or dizzy.  

It is not recommended to drink alcohol while taking Priligy as the combination can make you feel dizzy or sleepy and you may be more likely to faint. This could lead to you injuring yourself. 

When shouldn’t you use Priligy? 

You should not use Priligy if you are allergic to any of the ingredients on the package leaflet. 

Priligy should not be taken by adolescents under 18 or men over 64 years of age. 

Priligy must not be taken by women. 

You should not take this medicine if you are taking any medicines for erectile dysfunction, known as PDE5 (phosphodiesterase-5 medicines). Premature ejaculation and erectile dysfunction can occur together, but it is not safe to take certain treatments for both at the same time. This is because taking the combination of the two medicines could reduce your blood pressure to a dangerously low level. 

You should not take this medication if you have or have had heart problems, problems with blood clotting, are prone to fainting or have a history of depression or other psychological illnesses. 

You should advise your doctor of any other medications you are taking before taking Priligy in case of interaction. This includes herbal medicines, for example, St. John’s Wort. 

Does Priligy interact with other medications? 

Some medications can interact with Priligy and cause side effects. It is important to tell your doctor about any other medications you are taking, including herbal medicines.  

It is important to note that Priligy can interact with certain medicines, such as: 

  • Antidepressants; 
  • Erectile disfunction medicines; 
  • Blood thinners; 
  • Medicines for kidney conditions; 
  • Medicines for liver conditions; 
  • Medicines for migraines. 

Where can you buy Priligy? 

You need a prescription from a doctor to buy Priligy from a pharmacy. You cannot buy this medication over-the-counter. 

Can I get Priligy without a prescription?  

No, you need a prescription from a doctor to get Priligy. It is not an over-the-counter medicine. 

Sources 

Can premature ejaculation be controlled? 15 August, 2017. Retrieved 4 December, 2019 from https://www.nhs.uk/common-health-questions/sexual-health/can-premature-ejaculation-be-controlled/ 

Marshall, H. Priligy : a treatment for premature ejaculation. February 12, 2019. Retrieved 4 December, 2019 from https://www.netdoctor.co.uk/medicines/sexual/a8807/priligy-dapoxetine/ 

Nordqvist, C. Medical News Today. (N.D.). Dapoxetine Safe And Effective In Treating Premature Ejaculation. Retrieved 4 December, 2019 from https://www.medicalnewstoday.com/articles/51474.php#1 

PACKAGE LEAFLET: INFORMATION FOR THE USER Priligy 30 mg film coated tablets Priligy 60 mg film coated tablets dapoxetine. 17 December 2008. Retrieved 4 December, 2019 from https://s3-eu-west-1.amazonaws.com/docomimg2.s3.amazonaws.com/leaflets/en/patient_information_leaflet-2889-priligy-uk.pdf-1510756509.pdf 

Premature ejaculation. Mayo Clinic. (N.D.). Retrieved 4 December, 2019 from https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900 

Sexual Advice Association. Ejaculation Problems. March 1, 2016. Retrieved 4 December, 2019 from https://sexualadviceassociation.co.uk/ejaculation-problems/ 

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.