Xet 12.5 MG Tablet is an antidepressant that is used in the treatment of various mental disorders such as OCD, depression, anxiety, post-traumatic stress disorder (PTSD). The Brisdelle brand of Xet 12.5 MG Tablet is used in the treatment of hot flashes and night sweats that comes from menopause. It is sold under the trade names Paxil and Seroxat.
On using Xet 12.5 MG Tablet the common side effects that you may experience are dryness of the mouth, reduced appetite, drowsiness, insomnia, problems with ejaculation, agitation, chest pain, skin rash, difficulty in breathing, lightheadedness, dizziness, fast or irregular heartbeat, fever, restlessness, speech problems, blurred vision, acidity, abdominal pain, cough, darkening of the urine and shakiness. Notify your doctor immediately if you have suicidal thoughts, hallucinations, coordination issues and convulsion. Before using this medicine, tell your doctor if you have any of the following conditions:
The dosage for Xet 12.5 MG Tablet will be prescribed by your doctor as per your medical history, age, gender, the current medical condition and what reactions you have after the first course of medicine. Xet 12.5 MG Tablet is available in both tablet and liquid form. Generally the usual dose in adults is about 20 mg (tablet/suspension) orally once in a day.
The condition of premature ejaculation (PE) is a far more common male sexual dysfunction of middle age people. Generally, premature ejaculation is a male orgasmic disorder that causes an orgasm or "climaxing" faster than both partners' desire. The most couple found this condition irritating and undesirable while some considered it pleasing to them. If the problem of (PE) persists, it can have an adverse effect on the sexual satisfaction of the couple and disrupt the peace in their marital life.
It's difficult to define specific time duration for PE because the length of ejaculation varies from one individual to another. Researchers have revealed that individuals who complain of (PE) reach their climax and ejaculate within 1-2 minutes of penile penetration compare to 7-10 minutes of other individuals who don't complain of the same condition. We can conclude that if a man comes in less than 90 seconds of penile penetration, it's likely that he's suffering from premature ejaculation.
Causes of premature ejaculation:
Several factors contribute to the condition of PE ranging from biological, psychological to social and cultural contributions. Although the exact cause of (PE) is not well known the latest researches have shown that factors that cause sexual dysfunction will cause premature ejaculation.
Some physicians argued that serotonin, a neurotransmitter found in the gastrointestinal tract, central nervous system and platelet is very important in monitoring premature ejaculation. Other biological factors such as infection of the prostate, abnormal level of hormone, diabetes, drug abuse, inheritance can contribute to PE.
Symptom of premature ejaculation:
The major premature ejaculation symptom is the inability to delay ejaculation. When an individual sees that he cannot control or delay his ejaculation, it's likely to be suffering from PE.
Remedies for premature ejaculation:
A number of treatments have been described to counter premature ejaculation. These are psychological therapies, behavioral therapies, and medical therapies.
In psychological therapies, the clinical psychologist tries to use psychological procedures to evaluate the cause of the man's (PE) problem and proffers a reasonable psychological advice or solution based on the identified cause of the PE. To carry out psychological therapy, a man with premature ejaculation is advised to be confident about his sexual performances and to be less anxious about it. This treatment is usually coupled with medical therapies in order to provide a lasting solution to the problem.
Some of the questions which are often asked by the clinical psychologist from a sufferer include:
What can you say about your present interest in sex?
Do you experience pain during sexual intercourse?
Do you usually engage in mutual romance before intercourse?
Have you ever had a problem reaching climax?
In behavioral therapies, the mutual cooperation of the partners is very important. There's a popular method of "squeezing". In this method, the wife stimulates her man by holding his penis until he's in the state of climax or orgasm. Prior to ejaculation, the wife squeezes the penis hard until he partially loses an erection. This purpose of this is to allow the man to be aware of when he's about to come in each sexual intercourse and begins to delay his ejaculation.
In medical therapy, some pills used as depressant and anesthetic creams have been proved to be effective in slowing down ejaculation time in men although those pills are never approved for use by US Food and Drug Administration (FDA). These drugs include Prozac, Sarafen, Paroxetine, Clomipramine (Anafranil), Sertraline (Zoloft), and some other drugs capable of increasing the level of serotonin production. It's important to note that these drugs might have side effects if used as a treatment for (PE).
Ayurveda treatment for premature ejaculation
The cause of premature ejaculation with respect to ayurvedic perspective is the provocation of Vata (air) and Pitta Dosha at the commencement of the sexual intercourse. Dosha is known to be aggravated by anxiety and nervousness while Vata is known for its quality of swiftness and heightened sensitivity to the sense of touch.
What is ejaculation?
It is the release of semen from the penis at orgasm. Semen is made up of sperm and fluid from testes (singular testis), seminal vesicles and prostate gland.
When a man is sexually stimulated, the brain sends signals to the genital area through nerves in spinal cord that causes contraction of pelvic muscles. Waves of pelvic muscle contractions transport the semen from the testes to tip of penis through vas deferens. This is called ejaculation or orgasm (colloquially to cum, shoot, blast or bust).
What is premature ejaculation (PE)?
PE means 'cumming too soon', that is, a man ejaculates before he is ready for it and he has no control over it.
Studies have shown that most men ejaculate between 2-5 minutes after penetration. This time frame is again arbitrary since it can differ from men to men, couple to couple, between cultures and other factors. So, for practical reason, if ejaculation occurs within 1 minute of penis entering into a vagina, it is called premature ejaculation. It is the commonest sexual problem in men and affects all ages.
What are the causes?
How is it diagnosed?
There are no tests or scans to diagnose PE. If you have premature ejaculation, you need to see your local doctor and a diagnosis is made based on your history.
What treatments are there for premature ejaculation?
Treatment for PE may involve sex therapy, behavioural techniques, medications, local gels and creams, and treatment of other conditions like erectile dysfunction.
Sex therapy is administered by a person called sex therapist. This is particularly important if the cause of premature ejaculation is psychological like relationship issues and anxiety. Sex therapist provides counselling to address these issues.
There are mainly two behavioural techniques that can be used for treating premature ejaculation:
Seman's 'stop start' technique and Masters and Johnson's 'squeeze' technique.
How to perform Seman's 'stop start' technique
Once you are fully aroused and feel you are close to ejaculation, squeeze the tip of the penis between your thumb and index finger (or your partner can squeeze it for you) for several seconds until the feeling of ejaculation passes away. Repeat this squeeze and release technique for as long as you can until you finally ejaculate.
What medications are used to treat PE?
Premature ejaculation is a very common sexual problem in men and affects all ages. It can cause embarrassment and anxiety and affects a man's self-esteem. It can affect both partners emotionally and sexually. There are many treatments available including sex therapy, behavioural techniques and medications but you need to seek help early. It is very important for partners to discuss this openly and get help from a doctor or other health care professionals.
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.
Hi friends, I am Dr Hitesh Shah from Mumbai. I am a homoeopath, a wellness consultant and a sexologist. Our today’s topic in this series is premature ejaculation and its permanent solution with homoeopathy. Well, friends, premature ejaculation is something which affects millions of men, especially young age group and the victim of their suffering is their spouse, their partners. Because men reach his orgasm, men reach his culmination, men experience the whole bliss, early maybe, but who ultimately suffers is the women because they don’t experience their pleasure or orgasm. In fact, women have multiple orgasmic potentials, they can experience multiple orgasm unlike men who when reaches one orgasm, discharges and goes to sleep. But women can reach multiple orgasms, they are more powerful in sex than men. But unfortunately, most men are finding it difficult to take their women even for one orgasm. Why so? It’s because nature has made men reach orgasm fast so that they can deposit semen in a woman and there are higher chances of conceiving and the continuation of species tales place. But as a result, lots of couples are suffering miserably. So let’s find out what is this premature ejaculation and is there any permanent solution to this?
Basically, ejaculation is a physiological counterpart of men reaching orgasm in his psychosexual consciousness. So if a man reaches orgasm faster, early or quickly then he will ejaculate fast before his expectation or before his partner’s orgasm and that is called premature ejaculation.
Now when would man reach his orgasm fast or early? Orgasm is peak, it’s the destination, it’s the peak of pleasure. You will reach your destination fast if your speed is fast so, if your speed of excitement, sexual excitement is too fast then you will reach your orgasm also very fast. So essentially, premature ejaculation is early orgasmic response due to the fast pace of excitement.
Now, why do some men have a very fast pace of sexual excitement? Now a couple of reasons-
Now there is a way out. Now, traditionally, most men tend to take tablets, which are generally psychiatric medicines like dapoxetine, paroxetine, colonel. Now this medicine, what it does is because of their nature they are basically anti-anxiety and anti-depression but their side effect has been found that they block neuromuscular junction and hence they block ejaculation and hence it is used for premature ejaculation. Obviously, they are bound to have a lot of side effects. And the result remains, the benefit remains only for 24 hours. So, this is a solution which gives you temporary benefit with a risk of side effects. As against that, there is a classical solution. If you can manage to control your speed of excitement, if you can work with yourself, then you can even enjoy the whole journey and not just the destination.Toh is ke le aap ka khud pe control develop karna hona, khud he to develop control over your sexual pace of sexual excitement. You need to take certain natural remedies and homeopathy is a fantastic science and with thousands of patients’ treatment we have discovered that it works beautifully without side effects and long-term solution. So you can develop a very good control on your pace of excitement, you can enjoy the journey. You can take your partner to climax and then reach your own climax. Also if the local area is hypersensitive, it needs to be treated and this we integrate with certain ancient techniques and modern techniques and the natural remedies
. Everything together brings about a beautiful transformation in your sexual response patterns and not only you will be happy with your prolonged time and the quality of pleasure but you will also make your partner reach her orgasm maybe even multiple orgasms very soon. So there is a perfect solution to this problem. Don’t feel miserable, don’t lose hope, your confidence will come back. You’re a complete man, the only thing is that your speed is too fast, and you’re not able to control it. And we’ll help you out, don’t worry.
So you’re always welcome for all the solution for any query feel free to contact and you can always contact us through lybrate.
Thank you so much. Bye.
A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises Post Traumatic Stress Disorder (PTSD).
In simple words, PTSD is a neurological disorder which affects individuals after experiencing severe traumatic situations.
Symptoms of PTSD:
Treatment for PTSD:
Mindfulness meditation (not a treatment option) helps in recognizing cognitive dissonances and affected thought patterns and aids in recognizing and overcoming their influence. Other therapies, including Cognitive behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are also done depending on the patient's condition.
How do medications help regulate these responses?
The medications prescribed for treating PTSD symptoms act upon neurotransmitters related to the fear and anxiety circuitry of the brain including serotonin, norepinephrine, gamma-aminobutyric acid (GABA), excitatory amino acids. There is great interest in developing agents with novel and more specific mechanisms of action than are currently available to target the PTSD symptoms described earlier while also minimizing potential side effects.
Studies show that a number of medications are helpful in minimizing PTSD symptoms. Most of the time, medications do not entirely eliminate symptoms but provide symptom reduction and could be more effective when used in conjunction with an ongoing program of trauma specific psychotherapy for patients.
Several types of medications can help improve symptoms of PTSD:
You and your doctor can work together to figure out the best medication, with the fewest side effects, for your symptoms and situation. You may see an improvement in your mood and other symptoms within a few weeks. If you wish to discuss about any specific problem, you can consult a psychiatrist.