Dapoxetine / Priligy Review

my dapoxetineDapoxetine, also known as Priligy, is the first oral medicine specifically created to treat premature ejaculation.

It’s not currently available in every country, though is rapidly being approved in more every year.

It’s important to note that it can’t permanently cure premature ejaculation – you would have to take it every time you have sex.

Dapoxetine is a member of the selective serotonin reuptake inhibitor (SSRI) family of drugs, which are typically used as anti-depressants.

The original idea was actually to create a new anti-depressant, but it never came to be. Instead, it was found to work in delaying orgasm.

Anti-depressants are often prescribed by doctors to help with premature ejaculation. They’re well known to be effective in delaying ejaculation. But this is the first time a drug of this kind has been manufactured purely for this purpose.

It comes in 2 different dose levels – a 30mg and 60mg version. You would usually start on 30mg and move up to 60mg if necessary.

What makes it special?

Anti-depressants have long been offered men to help with premature ejaculation. For example, Fluoxetine (Prozac), Citalopram, Sertaline, Paroxetine, Clomipramine and Fluvoxamine. But there are problems associated with using these.

The main problem being that you need to take them every day. This is to ensure that the ejaculation delay effect will work when you come to have sex at any point during the day.

But would you want to take an anti-depressant every day if you don’t suffer from depression?

You may end up facing some of the common side effects of anti-depressants. More worryingly though are the side-effects that can affect your sexual function: a reduction in sexual libido or increased risk of sexual dysfunction. Out of the frying pan and into the fire as they say.

Dapoxetine though is very fast acting in comparison to those anti-depressants. The body absorbs it quickly, so you can take it a couple of hours before you think you might have sex. The body also eliminates it quickly, reducing the risk of the longer-term side effects.

The benefit then is that it can be used as an on-demand treatment for premature ejaculation. You don’t have to constantly cover yourself by taking a pill every day. This is a key point if you don’t have sex very frequently.

My experience

close up photo of priligy 30 mg

Dapoxetine still isn’t easily available in the United Kingdom. I was able to get hold of it privately though. This proved quite expensive, working out at about £15 per pill.

I actually tried it before the behavioral training program that has since improved my premature ejaculation problem, so this review is written in retrospect.

At the time my personal lasting time was very short. Between 1 and 5 minutes was the normal time I could have sex for without needing to stop and wait to calm down.

I did find that the 30 mg dose of Dapoxetine I took improved my lasting time. Over the couple of weeks that I experimented with it, I found I was able to last between 2 and 8 minutes on average.

So it didn’t exactly turn me into a marathon man overnight, but it was still an improvement. And the good thing was that it worked every time, as long as I took the tablets on average 2 hours before.

So that’s the good news. The bad news is the headaches. Dapoxetine is known to cause some side effects in a small percentage of men, and it seemed I was one of those.

The first time I thought it was perhaps due to the anxiety of trying out a new drug. But in fact I experienced unpleasant headaches the first 3 or 4 times I took it. It did seem to improve after that, but didn’t disappear altogether.

So would I recommend taking them? I’m not a medical professional, so it’s perhaps best to talk it through with your own doctor if you want to try it. I do recommend doing two things though:

  • That you don’t buy it online if you live in a country where it isn’t licensed for use yet.
  • That you consider whether you need a powerful drug like this to treat your premature ejaculation.

Which countries have approved Dapoxetine?

Currently Dapoxetine has been approved and marketed in over 50 countries, including: Sweden, Finland, Austria, Portugal, Germany, Italy, Spain, Mexico, South Korea, New Zealand, Australia, France, Malaysia, Philippines, Argentina and Uruguay.

It’s not currently approved by the FDA (Food and Drug Administration) in the United States, and is still undergoing phase III clinical testing.

It’s available in the United Kingdom, but not on the National Health Service, and only on a limited basis through private routes.

More countries are approving Dapoxetine for use every year, and it’s thought by experts that many more countries will eventually approve it.

Should I buy it online?

dapoxetine pills in a packet

If this arrived in the post – would you be 100% certain it’s an authentic product?

It’s a personal choice to buy Priligy online or not. However, it’s a choice which comes with risks attached.

There are a number of online pharmacies selling authentic Priligy; there are also a worryingly large number of online companies selling counterfeit products.

Are you sure you can tell the difference between a trustworthy and a fake source just from their website? If you’re determined to buy it online, then here are some things to consider:

  • If the website looks bad, is very small or only selling Dapoxetine, then look elsewhere.
  • Do some background checks on the company name of the website.
  • Some counterfeit drugs are ineffective, so you may end up wasting your money.
  • Some counterfeit drugs are dangerous. They may contain harmful components such as lead paint or animal poison.

There’s an eye-opening article written by the Pharmacy Times outlining the many dangers of buying prescription drugs from online pharmacies.

To me as well, the risks of taking fake drugs outweighs the benefits. It’s likely that Dapoxetine will be approved in many more countries eventually, so you may have an opportunity to try it in the future when it arrives in your country.

What evidence is there that it works?

The main evidence for the effectiveness of Dapoxetine can be found in a large research review conducted by Dr Chris G McMahon in 2012. He reviewed 5 different major studies which involved over 6000 men in total.

Here’s a summary of the main findings:

For men who last an average of 0.9 minutes, a 30mg dose increased that to 3.1 minutes, and 60mg increased it to 3.6 minutes. Patients on a placebo increased to 1.9 minutes. You can see this in the table below:

The average lasting time during sex, before and after taking Dapoxetine

Before30mg Priligy60mg PriligyPlacebo
0.9 minutes3.1 minutes3.6 minutes1.9 minutes

So it appears that on average Dapoxetine does increase the lasting time by a couple of minutes, which was my experience also. But is 3 minutes enough to satisfy both you and your partner?

The study does mention the change in men’s belief about their control level. Before the percentage of men saying they thought it was ‘good’ or better was 0.9%. With 30mg Priligy this was 26.2%. With 60mg Priligy it was 30.2%. And with the placebo it was 11.2%.

This level of satisfaction is similar then to a report in the UK website, Netdoctor, which says:

Unfortunately, the trial results we’ve seen so far suggest that in reality only about 45 per cent of men reported that the drug gave them control that was fair, good or very good.

So it seems then that the evidence that it works is strong, but it still might not be good enough for many men.

Side effects and safety

Dr McMahon also reviewed how many of the 6000 men experienced problems with the drug. The table below shows the percentage of men that experienced the more common Dapoxetine side effects.

Percentage of men experiencing side effects

Side Effect30mg when needed60mg when neededPlacebo
Nausea
11.022.22.2
Dizziness5.810.92.2
Headache5.68.84.8
Diarrhea3.56.91.7
Somnolence3.14.70.5
Fatigue2.04.11.2
Insomnia2.13.91.5
Nasopharyngitis3.22.92.3

You can see then that many men do experience side effects when taking Dapoxetine. In addition to these common side effects, there were also reports of a very small number of men experiencing Snyope:

It was concluded that dapoxetine is associated with vasovagal-mediated syncope (a temporary inability of the brain to control blood pressure and heart rate adequately causing syncope), but otherwise caused no other cardiovascular adverse events.

In concluding, Dr McMahon does state though that Dapoxetine is safe to use for the majority of men. You should be aware that it does come with warnings that you shouldn’t take it if you have certain health conditions. That’s why it’s so important to discuss taking it with a doctor first.

Conclusion

The way you decide to treat premature ejaculation will always be a personal choice. The frustration it causes understandably leads many men to be willing to try almost anything.

With so much hype about Dapoxetine it’s easy to get carried away and hope that this is finally the cure you’ve been waiting for. There’s no doubt that it can help many men to improve their premature ejaculation, but it’s far from ideal.

Even if it does work, my personal tests found that it may only extend your lasting time by a couple of minutes. Whilst this is certainly an improvement, in my experience there are other options which can do better than that.

Alternatives

The best alternative which works quickly is probably a delay spray or cream.

And if you’re interested in tackling the problem through behavioral techniques, have a look at my recommended premature ejaculation guides.

And for a broader overview of premature ejaculation, the background and treatment options, have a look at this page.

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67 Comments

  • I used swami Ramdev youvnavrit vati with Zandhu vigorex and Himalyas Confido…find good control and improved penile strength.
    Purchased Dapoxetin(Duraladt) awaiting my wife visit here to give real time hands on altogether!

    • Hi Aks
      I haven’t heard of those products, so it would be interesting if you can share your experience with them if you have time, and how they compare with dapoxetine.
      Thanks
      Ethan

    • Hi PG
      I haven’t tried the combination myself, but I know there have been readers commenting that they have done. I’d be cautious though as both are quite powerful drugs. Personally, I find drugs like Cialis help with PE too, one way or another, so it might be worth thinking about the need to take both.
      Ethan

  • I ordered Dapoxetine and cialis generic from a website that ships from India the cialis generic works very good not 100% as the brand name but probably 97% as good but is way cheaper. the Dapoxetine i never tried so I ordered some but it works I bought 60mg and cut them in half my normal time was 10-15 mins taking the Dapoxetine my time is 25-40 mins but I have more control taking the Dapoxetine. I could last longer if I wanted to or go when I want to, it seems like it desensitizes me so I technically never needed Dapoxetine but I wanted to go longer. after 15 mins she is long since done with multiple orgasms so I tend to use Dapoxetine if we are going away for a few nights one night I’ll take it and go 30-40 mins just for a WOW factor.

    As to ordering online I use the same place their meds come in sealed blister packs word of advice look for reviews, look for blister packs, and try a small dose of the Med to see how you feel with it. I had used brand cialis so I knew what it did for me and how I felt, first time I bought generic cialis I cut it in half and tried it out once I knew it worked I ordered more. Ordering online can be risky so do your research before you do.

    • Hi Jay
      Thanks for sharing your experience and wise words about ordering online. I agree that it can be risks, especially when trying to cut costs by buying cheaper versions of expensive drugs. As you say though, there are sensible ways to reduce the risk.
      It’s interesting to hear the dapoxetine worked so well for you as well. I like your idea of only using it from time to time when it’s a special night too.
      Ethan

    • Hi John
      They definitely can desensitize your partner if you’re not careful with them. That’s why it’s important to wash them off properly before using them, and follow any instructions closely.
      Ethan

  • I am in Nigeria and I suffer from premature ejaculation. It has been a source of worry as it has actually prevented me from keeping relationships. Also, I don’t think Priligy is sold in Nigeria. What do you think I can do??

    • Hi Paul
      I would start by looking into the natural techniques, as you can learn about them without needing to buy something if you don’t want to. You could also look into a desensitizing spray – if you can’t buy a specific PE one in Nigeria, you could ask in a pharmacy if there is a generic lidocaine cream or spray that they think would be ok to use for sex.
      Ethan

  • I would like to try Dapoxetine too but here in the US, the only alternative is online ordering. I’ve used the big company in India before (ADC) for ED meds (Sildenafil and tadalafil) but I really don’t know if the products are legit. They seem to work but I’ve not used much in the way of the “real stuff” to compare.

    • I should point out that I also cut the tablets up and rarely, if ever, take the full dose. I like the idea of the Dapoxetine as a separate pill so I can choose the dose of each medication more easily.

      • That seems pretty common with PE treatments, such as sprays and pills that can be too strong even in their smallest possible dose!

    • Hi John
      I think that’s a common worry when ordering from online pharmacies. I even wondered the same when I got mine from a UK pharmacy, even though it has positive reviews generally. You just never know these days! Maybe there’s a way to contact a manufacturer and ask them how we can be sure what we’re getting is legit? Have you tried that approach before?
      Ethan

      • I have talked directly to the seller (in India). They assured me that they are only the highest quality. Of course I didn’t expect them to say anything different… :-/

        They also source from more than one manufacturer and I know very little about the different manufacturers. What they have right now is from Sun Pharma. Anyone have any knowledge of them?
        I had looked into Paxil as a PE treatment but from what I’ve read, I would need to take it on a regular basis, not just “as needed”. I never tried it.

        I have experienced lasting for much longer at times without understanding why. Most times it was obviously because I had been having a lot of sex already. At least once, when going at it for the 3rd time that night I lasted for at least 20 minutes with my GF. That tells me it’s possible for me but it was a rare experience. Another time, I lasted very long receiving oral sex (same GF) and she actually asked me if I had taken Paxil because “you never last this long”! That was a great experience but I have no idea what triggered it. Most often I’m struggling to get 2 minutes…

        • Hi John
          Yes, they are unlikely to say any different! I haven’t heard of Sun Pharma – maybe another reader will be able to comment on them.
          You’re right about Paxil – that’s one reason I’m definitely not a fan of those meds for PE. Taking them constantly just so you’re ready when sex comes along doesn’t balance out for me.
          What you say at the end makes perfect sense. In an ideal world, every man who struggles with PE would have sex more than once a day, every day! That would definitely help him more than most other things I suspect. In my experience there’s a very clear improvement in my lasting time when I have regular sex.
          Ethan

  • hi Ethen
    i have a small penis and also have premature ejaculation problem. can you please suggest me which pills is good or which delay spray is good to have a long sex. please suggest the best pill or delay spray available in india

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