Dear Drugs-Forum readers: We are a small non-profit that runs one of the most read drug information & addiction help websites in the world. We serve over 3 million readers per month, and have costs like all popular websites: servers, hosting, licenses and software. To protect our independence we do not run ads. We take no government funds. We run on donations which average $25. If everyone reading this would donate $5 then this fund raiser would be done in an hour. If Drugs-Forum is useful to you, take one minute to keep it online another year by donating whatever you can today. Donations are currently not sufficient to pay our bills and keep the site up. Your help is most welcome. Thank you.
I have recently been prescribed 20mg citalopram for premature ejaculation which i have always suffered with. The last 2 years i have been using tramadol 150mg as a on demand treatment but found it took to much planning of sex and didnt seem right to be taking a pain killer on and off for that amount of time. My question is could i take the ssri for a week every day to get it into my system then switch to taking every other day or may be every 3rd day or is this not a good idea in regards to unbalanced dosages?
When you say "prescribed" do you mean by a real doctor? Not some pill mill that hands out scripts to who ever pays?
This just seems like a terribly poor way of dealing with this issue in general.
My answer would be No, this is a bad idea. I'll ask ChibiCurmudgon to come along and talk as she knows SSRI's much better then I.
Also, using abbreviations makes things unclear, especially in thread titles, please use full words in the future.
Also, you may have better luck at a premature ejaculation board, we don't really deal with using drugs for physical body issues and you'll probably get more interest and experience for that sort of thing elsewhere. Not saying you can't keep trying here, just that this isn't really the best place for that info.
Have to agree with Potter on the abbreviation thing - when I saw this thread I immediately thought "citalopram for physical education"
Based solely on the very few studies I have skimmed regarding SSRI's and premature ejaculation, it seems that any benefit comes from the levels built up and maintained in the body - so therefore taking it daily as prescribed would be required. Just as a point of note, Paroxetine performed far better in studies when it came to increasing time to ejaculation...citalopram had minimal effect.
Personally (and speaking as somebody that has been on citalopram for depression) I'd steer well clear of that nasty little pill...the withdrawals when coming off are miserable, and the idea of messing with seratonin levels seems very drastic way indeed as a method of treating prem ejaculation...as does the Tramadol idea?
I'm curious what other routes you have pursued....
SSRIs/SNRIs such as Celexa (citalopram) are meant to be taken daily. However, if you don't have any issues with depression, you shouldn't have a problem taking them 'on demand' as it were, for the PE. I've read of males doing just that with mixed (mostly positive) results. ETA:I have read of males using SSRIs for PE before, tho I don't know specifically how Celexa stacks up; it seems that catseye has read things I haven't. also, even after 1 day on SSRIs (zoloft, usually), my sensations are drastically numbed. for those reasons, I mentioned it could work to take them 'on demand' - I haven't done any recent research into it.
However, I have some questions for you:
1. do you have any issues with depression and/or anxiety?
2. is the PE *really* a problem? I mean, do you have an exceptionally long refactory period between ejaculations, or can you have an orgasm quickly & then get another erection within the next 10-15 minutes?
3. have you tried taking the citalopram & indulging in some sort of sexplay (be it masturbation or intercourse) yet? if so, how did it go?
4. what are you considering 'premature'? Like, you ejaculate while someone's sitting on your lap, or you just don't have much long-term, um, 'pumping power'?
I ask, because I've been prescribed SSRI/SNRIs in the past & they seriously affect my sex life. They seriously dull any sensation in my vulva region & make me NUMB. I've described it as "trying to have sex using someone else's pussy". My shrink prescribed me Viagra & Cialis to counteract the numbness & that helped a lot; it still took WAAAAY longer than usual for me to have an orgasm, but at least I didn't feel NUMB anymore. I no longer take SSRIs or SNRIs for my depression issues...but I still like to take the Viagra or Cialis now & then.
Also, if you just have issues ejaculating early on (say, if receiving oral sex during foreplay), but can get it back up in a timely fashion (10-15 minutes) while continuing foreplay, I don't think it's a problem really & I'd just go with it. Males often have more 'staying power' once they've ejaculated once, so that could work out well for your potential partner(s) anyway.
Has Viagra/Cialis/Levitra been brought up as a potential treatment option? While it is for people with erectile issues, it could help with you maintaining an erection after ejaculating or getting another erection more quickly after ejaculating the first time.
I will say, from my perspective, it's kind of hot if a guy cums rather quickly, especially when I'm giving him a blow job (and cumming quickly from receiving oral makes me FAR more likely to give MORE blowjobs...if someone takes too long & it actually becomes a JOB, it loses its allure...). Like, I have such a magical tongue you can't help yourself. So, as long as you can get ANOTHER erection, is there a problem with, for instance, ejaculating kind of early/quickly, then continuing foreplay (perhaps then performing oral sex on your partner) while waiting for another erection to have whatever forms of intercourse you might be interested in?
the few months i was on it..and last time i will every take it..i was only able to acheive a flacid erection ha...and most times we gave up..so yea it made it last longer, but the sex sucked...there are a few ADs that my doc said actually makes sex better. they were not in the ssri family though. sorry i can not recall the names but all ssris i was on shortly really never did a thing sexually expect make it a hassle.
there are herbal products out that do wonders. prostate problems, excessive masturbation, improper blood flow, and hormonal imbalances, stress, and anxiety are also a few health probs that can lead to this. so not sure if you have any underlying problems.
Passiflora Coerulea leaf extract or perhaps passionflower tea can help and b vitamins.
opiates always helped me..but thats not really a easy access drug for most just for sex.
The idea to use an SSRI for premature ejaculation is not as far off as it may seem. In fact, in some European countries, Janssen-Cilag has been granted permission to market dapoxetine (Priligy) as treatment for premature ejaculation. It's basically an SSRI with a very short half-life, and it is therefore not suitable for treating depression, which it was initially developed for. It is taken on demand. (Anything else would be far too expensive by the way.)
I did think that, seeing the extraordinarily high price of dapoxetine, maybe a regular SSRI taken on demand could do the job more or less as well. Fluoxetine may not be the best option because of its long half-life, so citalopram might not be a that bad idea. Whether it will work, and if so, whether its desired effects are not outweighed by side effects is of course a question that would have to be judged by every patient himself.
Like with SSRI that are prescribed "on-label", I would think that prescribing them for premature ejaculation should not be the first step of treatment, there may be psychological issues behind it, and so on, but if that has been explored with no success, I would think that a trial with an SSRI may be warranted.
SNRIs were the class of drugs i was thinking of...i have been told they have helped quite a few friends in the same situation. much less sexual side effects, but can help without it making it impossible to climax.
RX420: Wellbutrin (bupropion) is an antidepressant that works on your dopamine & noradrenaline; it's usually listed as a DRI or NDRI. As it doesn't affect serotonin levels, it doesn't have the sexual side-effects that SSRIs & SNRIs do. It's often added to a patient's regime if their SSRI/SNRI is working well on their depression but they are having sexual dysfunction. In the same vein, Viagra & Cialis are prescribed to women on SSRIs/SNRIs to help counteract the 'numb' sensation in the vulva region that often accompanies antidepressant use. And it works very well for this purpose, I might add.
However, the OP hasn't come back to discuss if he has any issues with depression. Although not unheard of (in fact, it's reasonably common) to prescribe serotonin-affecting ADs for PE, I certainly wouldn't recommend it as a 1st (or 2nd or 3rd, for that matter) course of action to help the issue, unless the patient has issues with depression as well.
Depending upon a few things, I still think the best way to go about it would be to try to change one's idea of what 'premature' ejaculation is & if the refractory period is lengthy, to add some Viagra into the mix, so that an erection can be maintained and/or regained quickly regardless of how many times the patient has ejaculated.
Well, they are just for getting it up. However, if you can get it up again quickly (or never even lose your erection in the first place), who cares how many times you actually ejaculate, right? I wouldn't mind a bit if my male partner ejaculated during foreplay, so long as I was still 'taken care of' as it were. So if I were to perform oral sex on such a partner & he ejaculated, but then maintained his erection or got another quickly (perhaps while then performing oral sex upon me), then what's the big deal? And most males tend to last longer once they've ejaculated already, so there's the potential to be good to go with this method.
Again however, we need more information from the OP to determine if this method would work in his situation.
Consider extra thick condoms to reduce stimulus.
While I am absolutely not advocating LSD as the solution or medicine, LSD has been known to eliminate the issue while under the influence of LSD. Mind that sex under the influence of LSD is often insanely psychedelic and very intense and therefore not likely to be a solution.
Best solution may be to just give it a wank some time before sex.
Hi sorry for the late reply, No i dont suffer from deppression, PE is a big problem for me, not tried this AD before but have tried dapoxetine with bad results and my love making only lasts about 20-30 seconds if im lucky.
This is not somthing new, i have suffered for many years trying lots of different things before trying medication.
Oh, wow... you are the first person I "know" to mention having taken dapoxetine. Could you please describe a little more precisely how you experienced it? What were the side effects? Did the side effects outweigh positive effects, or did it not work at all? And did you have to pay for it yourself?
This is probably a somewhat sensitive issue so I don't want to come across "inquisitory", but please, if you like to share any more details, I'd be really interested to hear!
So, Jack, do you still only last 20-30 seconds the second time around? Like, can you ejaculate real quick like that, then get another erection & last longer, all in the same "lovemaking session"? Or is *every* ejaculation like that, regardless of how many times you've cum before?
Do you have a steady partner, or are you still trying to play the field?
I do understand sexual dysfunction, believe me (even though I'm a woman). I'm not sure trying to induce numbness via AD usage is the right way to go, but fuck, it's certainly worth a try. The problem is, I think that if I didn't have such a high sex drive, the ADs not only would make me numb, but also remove my desire - when I was younger it did. I think I only over-rode that side effect because I'm in my 30s now & with the hormone changes in women my age...I'd hump the freakin' arm of the couch if there was nothing else around. Ha. & Having THAT kind of sex drive but NOT being able to feel sensation in my vulva was WICKED disturbing & sad.
Anyway. You haven't answered...has the Celexa helped at all? Either alone via masturbation or with a partner??
I picked up my script on saturday and took a 20mg dose, the same on sunday then in the evening had sex with great effect just like when taking tramadol. My plan is to carry on taking every day until saturday and then if results are good maybe drop back to taking every other day or every third day and see what happens. As for the dapoxetine a had a friend give me 60mg tabs that he had from a trial he was on but it did not work as well as tramadol for on demand treatment and gave me a nasty head ache. This is not a problem i have just come across in my life, i have suffered from the very first day of sex. At times i can go again in 5-10 minutes but with no joy of lasting any longer, so this is very important to me and my wife who i have been with for 14 years in a steady relationship. She is very supportive and just wants me to be happy either way, i just feel that this is a better alternative to taking tramadol every time i make love whitch had to be planned in advance. Also i started to like the effects of tramadol not just for sex but it started to get a grip of my life, messing up my eating and making me feel on edge if i would take a couple of nights in a row, also my doctor would not prescribe me this for my problem so at least now everthing is above board without me having to order from over seas with risky pharmacies.