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Manforce Staylong Gel

Manufacturer: Mankind Pharma Ltd
Medicine composition: Prilocaine, Lidocaine
Prescription vs.OTC: Prescription by Doctor not required

Manfoce stay long gel is used to prolong sexual activity. It is a combination of two drugs that is lidocaine and prilocaine and come in the form of anointment or cream. It belong to a class of local anesthetics also used as a tropical aesthetics for minor surgeries and dental procedures. Apart from this it can also be used to treat piles, sunburns, burns pain and itching. This particular gel is used for erectile dysfunction and enhancing sexual performance. Though the product is tempting to use it comes with various side effect such as skin redness, convulsions, confusion, drowsiness, depression, nausea and vomiting, swelling, headache, rashes and infections. The gel also causes fatigue regardless. It can also cause mouth ulcers incase mistakenly taken in the mouth. It is safe to use during pregnancy and can also be used by lactating women. It is generally safe for people suffering from kidney and liver disease and do not cause harm or side effects. It is non addictive, however you should not perform any activities that require brain function as it belongs to a class of local anesthetics, driving and operating heavy machinery should be avoided if you are under the influence of this medication. It is safe to be taken with food.

arrhythmias
In addition to its intended effect, Manforce Staylong Gel may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Allergic reaction Moderate Less Common
Rash Moderate Less Common
Itching Moderate Less Common
Convulsions (seizures) Moderate Less Common
Drowsiness. Moderate Less Common
Nausea and vomiting Moderate Less Common
Scaling, burning, redness, and swelling of skin Moderate Less Common
Is It safe with alcohol?

No studies have been established between the interaction of alcohol and the gel. Consult your doctor before you consume alcohol and use the gel.

Are there any pregnancy warnings?

No, it is safe for pregnant women to use this ointment. Consult your doctor if there are any symptoms of side effects as mentioned earlier.

Are there any breast-feeding warnings?

Yes, it is safe for breast feeding mother to use this drug and no sever side effects have been notice or reported. Consult your doctor if you have any further queries.

Does this affect kidney function?

No, this drug does not affect kidney functions and is safe for people suffering from or undergoing renal treatments. Consult your doctor if you have sever renal problems so as to know if you are safe using this medication.

Does this affect liver function?

This drug has been reported to cause some side effects to people suffering from liver diseases. Consult your doctor if you are suffering from any liver disease.

How long is the duration of effect?

The effect generally lasts for upto 3-4 hours depending on the strength of the ointment used. The other factor that affects the duration is the place of application. If used for dental purposes then it generally lasts shorter as frequent salivation dissolves the effect.

What is the onset of action?

The ointment usually starts to work within 30 seconds after application.

Is it habit forming?

No, habit forming tendencies and addictions were reported. It is a prescription drug and should be used under medical supervision only, one should not start and end using the gel according to his/ her convenience.

Is it safe to drive while on this medicine?

No, as it belong to a class of anaesthesia it is not safe and advisable to drive or operate heavy machinery while under the influence of this drug.

Are there any missed dose instructions?

If you have missed a dose then, use it the next time you remember, do not double the dose to make up for the missed dosage.

Are there any overdose instructions?

If you have overdosed on this medicine visit the nearest emergency room and consult a doctor, have a person beside you at times, being an anaesthetic agent excessive amount can cause you to faint.

Manforce Staylong Gel is a local anaesthetic that works by inhibiting depolarisation of the voltage gated sodium channel and stabilising the neuronal membrane. This leads to a decrease in the permeability of the membrane which reduces the influx of sodium required to conduct impulses.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
Moderate

The medication does not have many interaction with diseases, it is not advisable to use if you have a cut or some kind of rash already as it may cause irritation.

Interaction with Alcohol
Moderate

Studies show that there is no interaction between the drug and alcohol.

Interaction with Food
Moderate

The drug shows no interaction with food and it is advisable to have a good meal before using the drug.

Interaction with Medicine
Moderate

The medication that should be avoided while using this drug and vice versa are other anaesthetic agents as they may combine and produce undesired effects.

Ques: What is Manforce Staylong Gel?
Ans: Manforce Staylong Gel is an anesthetic drug of the amino amide type. It helps to relieve pains of normal intact skin and numbs skin against pain from injections and other medical procedures. It works by inhibiting nerves from transmitting painful impulses to the brain. It is also often used in combination with lidocaine for treatment of conditions like paresthesia. Besides that, it can be used for intravenous regional anesthesia due to its low cardiac toxicity.
Ques: What is the use of Manforce Staylong Gel?
Ans: Manforce Staylong Gel is used in the treatment of conditions and symptoms of diseases like Arrhythmia, Piles, Ventricular, Tachycardia, Sunburn, Pain, Itching, Premature Ejaculation, Erectile Dysfunction and is also used as Local Anesthesia. It works by stabilizing the neuronal membrane. This leads to a reduction in the permeability of the membrane which decreases the influx of sodium required to conduct impulses.
Ques: What are the side effects of Manforce Staylong Gel?
Ans: Manforce Staylong Gel has a few side effects including burning, itching, whitening, swelling or skin rash at the application site and cough. It may also lead to difficulty in swallowing, large, hives on the eyelids, lips, face or tongue, severe dizziness and shortness of breath. Apart from these, stuffy nose, tightness in the chest, troubled breathing and wheezing are occurring side effects of this medication.
Ques: How long does it take to work?
Ans: It has been observed that in more than 52% of patients, Manforce Staylong Gel shows result in less than 2 hours. It should only be used if prescribed by a doctor. It is mainly prescribed to patients with arrhythmias. Its dosage may vary for different people and a doctor should be consulted for any queries and dosage information.
What are you using Manforce Staylong Gel for?
Other
anesthesia
How much was the improvement?
Poor
Average
Excellent
How long did it take before seeing improvement?
Within 2 hours
More than 2 days
Within a day
Within 2 days
Within 6 hours
How frequently did you take this medicine?
Once a day
Not taking on daily level
Twice a day
Four times A Day
Thrice a day
How did you take this medicine?
With or without food
With Food
Empty stomach
What were the side effects of this medicine?
Other
Rash
Itching
Hormone imbalance
Slow growth in children and teenagers
Allergic Reaction
Urticaria
No Side Effects
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am 26 years age Can I take manforce 100 tab for only 1 time? Is it safe for 1 time?

Md
General Physician, Bangalore
If you have any heart related problem or if you are taking nitrates or any other vasodilator medicines then it is better to avoid these medicines. If you don't have any of these problems then it is better to take 25 or 50 mg tablets first and see the response. If you want to take 100 mg then it is better to see a doctor for examination and if he says it's ok then you can think of taking it.
6 people found this helpful

Actually before 2 year I was good but I started manforce tab for mor power with my partner but slowly I got these problems. So I am depressed. I never drink tea and coffee and now I discharge fast within 5 to 7 min And my penis also small and thick Please suggest me any treatment or medicine.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Actually before 2 year I was good but I started manforce tab for mor power with my partner but slowly I got these pro...
Hello- Repeated intake of Manforce/Viagra can cause impotence along with premature ejaculation. You can get back your lost endurance by consuming Omega 3 fatty acids in your diet. However it is best for you to consult a good ayurvedic doctor. Herbs can counteract the adverse effect of Manforce tablets on reproductive system, and can provide you natural strength from within.

I am planning to have sex for first time, I am looking for some medicine like manforce or Viagra. Please tell me which 1 I should use.

Bachelor of Unani Medicine & Surgery (B.U.M.S)
Ayurveda, Indore
This medicines are not for enjoyment purpose they are used only if you have erectile dysfunction. Tc.
3 people found this helpful

I want to take manforce 50 mg. Please tell me the dosage. And days gap between two dose.

MBBS
General Physician, Mumbai
I want to take manforce 50 mg. Please tell me the dosage. And days gap between two dose.
It’s better to avoid manforce tablet because it will lead to dependency and hypertension with restlessness in future

I am 19 years old and I have to increase my sex time. For that I bought manforce 50 mg sildenafil citrate tablets. So tell me how much it affects or not! Or what should I do?

BHMS
Homeopath, Murshidabad
I am 19 years old and I have to increase my sex time. For that I bought manforce 50 mg sildenafil citrate tablets. So...
There are many conventional allopathic sexual pills in market such as Adegra, Viagra, Penegra etc. Refrain yourself from using such pills as those pills contain a steroid called SILDENAFIL. This steroid has a unique temporary effect on erectile problems.  Patients using these pills for first time often report that their penis remain strong even after ejaculation. Such effects leads the patients to use SILDENAFIL for prolonged course of time as they often feel that a full erection is possible only after taking SILDENAFIL. Moreover it is very low cost & easy availability of this steroid has made it quite common as sexual medicine. But the bitter truth is prolonged use of SILDENAFIL will permanently disable the normal physiological process behind erection & will render your body to become solely dependent upon SILDENAFIL for erection. As a result you would not feel any slightest normal erection without taking SILDENAFIL. This is an irreversible condition & it cannot be treated by any means. Once you attain this condition you become a life-time customer of that steroid SILDENAFIL because you have to take SILDENAFIL in order to satisfy your partner. As prevention is always better than cure I would advise you to check the composition of any sexual pills before buying. Discard any sexual pills which contains SILDENAFIL in its composition.
6 people found this helpful

Popular Health Tips

Premature Ejaculation: What Should You Know About It?

MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
Premature Ejaculation: What Should You Know About It?

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult your doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency helping in increase in sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation. Take care, and stay healthy!

In case you have a concern or query you can always consult an expert & get answers to your questions!

7141 people found this helpful

Medical Therapy For Premature Ejaculation!

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Medical Therapy For Premature Ejaculation!

How to manage premature ejaculation - part 4, medical treatment options

As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

Medical (allopathic) therapy for pe treatment:

Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.


Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for pe treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure. If you wish to discuss about any specific problem, you can consult a Sexologist.

5453 people found this helpful

All You Need to Know About Premature Ejaculation Part - 4

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation Part - 4

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult a doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency by helping in increasing the sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation.  Take care, and stay healthy! If you wish to discuss about any specific problem, you can consult a sexologist.

6217 people found this helpful

Premature Ejaculation in Men

MBBS, MD(Medicine), PGDS(sexology), Fellowship In Sexual Medicines, Certified Sexologist of USA
Sexologist, Jaipur
Premature Ejaculation in Men

Don't let ailments and problems affect your relationship, rather discuss about your concerns and get treated. Premature ejaculation is often defined as the ejaculation, which is uncontrolled and takes place either prior to or just after a sexual penetration. This happens much before a person desires for an ejaculation. It can also take place with minimum stimulation and is quite unsatisfactory for both the partners. This often leads to anxiety and other problems and can affect any man at any point of his life. This is known to be the most common form of male sexual dysfunction (lear more about the healthy sexual life)

Causes of premature ejaculation: The particular cause of premature ejaculation is believed to happen due to the physical factors of weakness in muscles and nerves of the penis due to past history of masturbation (learn more about masturbation), thinning and ejaculation of semen soon and some psychological factors such as depression, guilt, and anxiety. In some cases, it might be related to a medical cause such as the side effect of medications, injury and hormonal imbalance or problems.

Symptoms of premature ejaculation: One of the main and most concerned symptoms is that there is uncontrolled ejaculation prior to or shortly after the intercourse. This often takes place with a minimum sexual pleasure of both partners and before a person desires, resulting in dissatisfaction in sex.

Diagnoses of premature ejaculation: The doctor usually discusses medical history along with sexual history. A thorough physical examination might be done. Some lab tests might be ordered by the doctor to rule out the cause of premature ejaculation, as it can have any cause.

Treatment of premature ejaculation: Many times, premature ejaculation can get better over a period of time and treatment might not be needed. Often distraction methods or relaxation techniques are helpful in delaying an ejaculation. Abstinence or lowering the use of tobacco, alcohol, and illegal drugs might help in controlling ejaculation in some men.

Doctor might recommend you and your partner some techniques, which help in delaying an ejaculation. Different positions can be tried or communicate with the partner to stop or slow down the stimulation. Also, one can start identifying the sensations which build up an ejaculation. If this does not work then behavioural therapy and counselling might help.

Sometimes antidepressants like anafranil (clomipramine) and priligy (dapoxetine) might be given to treat premature ejaculation. These drugs are used because one of the side effects of these is delayed ejaculation. Tramadol a medication for pain can also be used to delay ejaculation. Also, there are gels, creams, and sprays which can be used to reduce the sensations and in turn delay the ejaculation. These are lidocaine and lidocaine-prilocaine and are often applied on the penis before a sexual act. However, the flip side of these is that it might affect the sex partner as well by reducing their sensation as well.

However, if the premature ejaculation persists and hampers sexual satisfaction of partner, it should be consulted via sexologist for proper guidance and complete treatment.

5528 people found this helpful

Knowing Premature Ejaculation - PART 4: Treatment Options

MD-Pharmacology, MBBS
Sexologist, Delhi
Knowing Premature Ejaculation - PART 4: Treatment Options

How to manage premature ejaculation - part 4, medical treatment options

As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

Medical (allopathic) therapy for pe treatment:

Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.


Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for pe treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.

'consult'.

Related Tip: Knowing Premature Ejaculation - PART 3: Management and Techniques (Non-medical methods)

4016 people found this helpful

Table of Content

About Manforce Staylong Gel
When is Manforce Staylong Gel prescribed?
What are the contraindications of Manforce Staylong Gel ?
What are the side effects of Manforce Staylong Gel ?
Key highlights of Manforce Staylong Gel
What are the dosage instructions?
How does medicine works?
What are the interactions for Manforce Staylong Gel ?
Manforce Staylong Gel Frequently Asked Questions (FAQs):