Here’s how to use Prozac for premature ejaculation…
First of all, Prozac is the brand name for fluoxetine. I think it’s the oldest, and the best known of all SSRI antidepressants. It’s been around since 1980s, and doctors sometimes prescribe it for premature ejaculation.
It works by controlling the levels of serotonin (a chemical that controls your ejaculation), just like other SSRI antidepressants.
Another thing that shares with other SSRI antidepressants is that it’s legally available only by prescription. But, despite this regulation, some online pharmacies sell it without prescription.
Doctors usually recommend trying to take it as needed, 2 hours before having sex. If that doesn’t work, you’ll have to take it on a daily basis.
Most doctors start with giving you 10-20 mg per day. It can be one dose, or divided in two doses. If needed, the dose can be gradually increased, but it should not exceed 80 mg per day.
Prozac comes in a tablet form, and it’s taken orally. The food doesn’t affect it, so you can take it on an empty of full stomach.
If take-as-needed doesn’t work for you, and you take Prozac on a daily basis… you may need to wait 3 weeks before seeing improvement in your ejaculation control. If after 6 weeks there’s no improvement at all, or you experience some serious side effects, you doctor will probably end the therapy.
It that happens, you may try second SSRI antidepressant, such as Paxil or Zoloft. If the second doesn’t help, there’s usually no point in trying the third SSRI antidepressant.
However, you can try another type of antidepressant. They’re called tricyclic antidepressants, and the best known of them is Anafranil. It is interesting that Anafranil works better for premature ejaculation than SSRI antidepressants. But, it also has more side effects.
For more information see “How to Use Anafranil for Premature Ejaculation“.
Since Prozac is prescription-only drug, you should NEVER USE IT WITHOUT MEDICAL SUPERVISION. This becomes especially important if you’re already taking some medications, or if you have some health problems.
Here are some general warnings and precautions when using Prozac for premature ejaculation…
You should NOT use Prozac….
- in combination with other type of antidepressants (MAOIs)
- if you’re recovering from heart attack
- if you have kidney or liver problems
- if you have diabetes
- if you have a history of seizures
Don’t drink alcohol while you’re taking Prozac.
Some common Prozac’s side effects are anxiety, insomnia, headaches, dizziness, changes in appetite, weight loss, nausea, and diarrhea.
Here’s the full-blown medical description of Prozac. It’s written by a doctor (and for doctors, but I thought you might want to take a look at it anyway).
Here it is…
Fluoxetine (Prozac) — Potent SSRI used to treat premature ejaculation. Improvement may not be evident until at least 3 wk following initiation of treatment. If no benefit with respect to premature ejaculation after 6 wk or if adverse effects become troublesome, discontinue in favor of alternative treatment.
5-60 mg/d PO; most clinicians begin at 10-20 mg/d (in one dose or in two divided doses), or taken 2 h prior to intercourse as single-dose therapy; total daily dose not to exceed 80 mg/d
Documented hypersensitivity; concomitant MAOIs or use within 14 d; thioridazine within 5 wk of discontinuation
Phenobarbital and phenytoin decrease effects; alcohol, cimetidine, sertraline, phenothiazines, and warfarin increase toxicity; additive CNS depressant effects with other antidepressants, opioid analgesics, sedatives, and hypnotics; increases toxicity of MAOIs; can alter levels of antidiabetic drugs (they may need adjustment); can alter levels of warfarin, digitalis, or both; may increase benzodiazepine, phenytoin, and carbamazepine levels; increased adverse effects with tryptophan; lithium levels can increase or decrease and need monitoring; may potentiate drugs metabolized by CYP2D6, antipsychotics (eg, haloperidol, clozapine), or other antidepressants; avoid alcohol, during or within 14 d of MAOIs, or within 5 wk of thioridazine discontinuation; caution with drugs that impair hemostasis (eg, nonselective NSAIDS, aspirin, warfarin) because of increased risk of bleeding
C – Safety for use during pregnancy has not been established.
Discontinue upon unexplained allergic reaction; monitor for symptoms of mania or hypomania; caution with diseases or conditions that could affect metabolism or hemodynamic responses, diabetes, history of seizures, suicidal tendencies; altered platelet function and hyponatremia reported; monitor for clinical worsening or suicidality, especially at initiation of therapy or dose changes; avoid abrupt withdrawal; monitor for discontinuation symptoms
Copyright © WebMD, By Mark Jeffrey Noble, MD, Urologic Institute, Cleveland Clinic Foundation, Retrieved from: http://www.emedicine.com/med/topic643.htm
Again, you should never use Prozac for premature ejaculation without medical supervision because it’s a powerful drug.
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