To my knowledge, Fortacin has undergone more clinical trials than any other desensitizing spray for premature ejaculation.
It uses a combination of lidocaine and prilocaine. I found it to be fast-acting and easy to use. It did help me last longer, but no more so than similar commercially available delay sprays.
The main benefit is that it has undergone rigorous testing, which most others can’t claim to come close to, and has extensive safety information. It’s available in the U.K. and some European countries, but not globally yet. This is one to keep an eye out for though even if you can’t buy it where you live yet.
The background to Fortacin
The Fortacin trademark is held by a company in England called Plethora Solutions. They describe themselves as a specialty pharmaceutical company on their website.
Interestingly, Dr. Mike Wyllie is a director – he was one of the scientists involved in developing Viagra.
So compared to many other delay sprays, which have no information at all about the manufacturer, Fortacin is clearly produced by reputable companies and people.
The spray I bought is listed as being made by Pharmaserve North West Limited, an established British pharmaceutical company.
Plethora has also made a deal with a company called Recordati to distribute it in Europe, Russia and some other regions.
It’s one of very few that have undergone clinical trials, and is now listed as approved for use in Europe on the European Medicines Agency website.
Interestingly, it also goes by different names depending on the region, and the historical timeline. So you might see the same spray listed as:
Fortacin consists of a mixture of two topical anesthetics:
- Lidocaine (7.5 mg per spray)
- Prilocaine (2.5 mg per spray)
Lidocaine is the main ingredient in the vast majority of over the counter delay sprays and creams. Other than EMLA cream, this is the first one I’ve seen to mix it with Prilocaine though.
My experience using Fortacin
Fortacin is available on prescription in the United Kingdom, and there are also some online pharmacies that sell it. That’s the route I went down, as there are a couple I know I can trust now.
I’ve tested pretty much every desensitizing spray there is, so decided to ignore the instructions to use three sprays. One works just fine for me usually, and more can cause erection problems.
After a test spray on my arm to check my skin’s reaction, I went ahead and sprayed my penis head once. The spray came out in a very fast mist, so I wasted some by accident.
I applied a second spray to be sure, and rubbed it in. It had a light smell, but nothing like many other sprays, so that was a plus.
I waited 5 minutes and then had a quick wash to get rid of any excess. I could definitely feel a hot tingling sensation, which is typical of these sprays. It was tolerable though, and didn’t produce any redness or other problems.
I found during foreplay that there was definitely considerable numbing. It made it a little tricky to get an erection through physical stimulation alone, which often happens.
But with a bit of passion and willpower, I was able to get past the erection loss due to numbing hurdle!
I didn’t time how long we had sex for, but definitely found it reduced the sensitivity and allowed me to last longer.
These days I’m pretty good with my control if I put my mind to it. But the Fortacin did make a noticeable difference to how quickly I felt the physical stimulation was getting too much.
Fine with oral
We also tested it with oral sex, and had no problems. My partner didn’t find a bad smell or taste, and there was no transference of the numbing to her.
We tested it a few more times over the next week, finding it worked consistently. I did feel a hot sensation every time, which isn’t ideal, but I could put up with it.
On the whole, though, I liked that it takes action very quickly, numbs reliably, and isn’t too greasy to use.
My main criticisms are the tingling sensation and the difficulty in getting an erection due to the numbing. It’s a very common problem with delay sprays, especially those with strong topical anesthetics.
But over the week I was able to find an amount which numbed me enough without taking away all the sensation and pleasure. So I do think it’s potentially an effective and viable desensitizing spray.
How to use Fortacin
One of the best things about the spray is the very extensive information leaflet. Of the 20+ sprays I’ve tested over the years, this is the first time I’ve encountered such detailed instructions and safety advice.
According to the leaflet, here’s how to use it:
- Shake the spray bottle and prime it by spraying into the air first, away from the face.
- Retract the foreskin and apply 3 sprays to the head of the penis before sex.
- Wait 5 minutes, then wipe off any excess before having sex.
- Don’t use more than 9 sprays in 24 hours. Leave a 4 hour gap between every dose of 3 sprays.
I also recommend experimenting with the number of sprays. For me, 1 or 2 is usually enough. 3 or more causes too much numbing and therefore erection loss.
The patient leaflet also gives some useful safety advice, for example:
- Don’t use if your partner is pregnant, unless you wear a latex condom.
- Non-latex condoms might not work properly.
- It’s fine to use if your partner is breastfeeding.
- If you’re trying to have a child, either don’t use Fortacin, or at least wash it very thoroughly before sex.
- If you get it in your eyes, wash thoroughly with water or a saline solution.
Possible side effects
Based on the clinical trials, it’s clear what the possible side effects are. It’s refreshing to see a company be honest for once about the problems that can occur.
The listed side effects are:
- Difficulty getting or maintaining an erection
- Reduced sensation in and around the penis
- A burning feeling in and around the penis
- Throat irritation (if you inhale the spray)
- Skin irritation
- Redness of the penis
- Itching, tingling or a painful feeling around the penis
- Inability to ejaculate or an abnormal orgasm
- High temperature
Side effects reported by a female partner
- Burning feeling in and around the vagina
- Reduced sensation in and around the vagina
- Vaginal thrush
- Throat irritation
- Discomfort in the anus or rectum
- Loss of sensation in the mouth
- Problems urinating
- Discomfort, itching or pain around the vulva and vagina
Those possible side effects demonstrate why it’s important to wipe off any excess before having sex, either oral or intercourse.
Drug interactions and warnings
It’s advised that you discuss with your doctor or pharmacist any other medication you’re taking to check it’s safe with Fortacin.
This is especially important in the case of:
- Other anesthetics
- Any heart medication
- High blood pressure medication
- Medication reducing stomach acid
Additionally, any medication that can cause methemoglobinemia, including:
- Anti-malaria drugs: chloroquine, pamaquine, primaquine, quinine
- Para-aminosalicylic acid (PAS)
All of these side effects and warnings might seem worrying. But I think it’s important to note that many sprays would have similar warnings if they had been through a similar rigorous testing and approval process.
At least in this case you know how to use it safely, side effects to keep an eye out for, and have a clear idea if you should or shouldn’t use Fortacin.
Fortacin has undergone 5 different clinical trials now, each one showing positive results.
In an important phase III clinical trial involving 290 men with lifelong premature ejaculation, the average lasting time during penetration went from 0.6 minutes to 3.6 minutes, compared to 1.1 minutes in the placebo group.
This accounts for the major news stories around the world that shared the headline of how it helps men last 6 times longer!
And importantly, men reported an increase in control, sexual satisfaction and reduced distress.
It’s also interesting to note that the frequency of adverse effects reported in the studies was 9.6% of men and 6% of female partners.
If you’re interested in these studies and would like further information, I recommend reading an overview article on urologiajournal.com.
- It’s made by a reputable pharmaceutical company.
- It’s undergone rigorous clinical trials.
- Approved for use in Europe.
- Takes action very quickly – just 5 minutes before sex.
- A metered pump means you get the same amount with each spray.
- It’s effective, numbing well and consistently each time.
- If you get the amount right, you can still feel pleasure during sex.
- Most men will find it doesn’t affect the pleasure of orgasm.
- Comes with very detailed instructions and safety advice.
- Only available on prescription, and in limited regions for now.
- The combination of two different anesthetics – lidocaine and prilocaine – increases the safety warnings.
- Some people might find it causes unpleasant side effects like discomfort, itching or pain.
- It’s not a permanent cure to premature ejaculation.
Fortacin is an appealing premature ejaculation treatment in that it’s one of very few to have undergone a proper testing and approval process.
But in my tests, it didn’t seem so different to some other desensitizing sprays I’ve tried.
It works in a similar way to other lidocaine based sprays, had the same effect, and it can still cause problems like erection loss and discomfort.
What makes it stand out for me, however, is the transparency of the brand. It’s made by reputable companies, and European agencies that oversee medication have checked and approved it as safe for use.
This is an important point considering how many sprays have no identifiable company behind them, and are simply sold online under an impressive sounding name.
So if it’s important to you that a treatment has been approved by official regulatory bodies, and you’d like a full patient leaflet explaining how to use it safely, I think Fortacin is a good option.
Where to buy
Fortacin is available on prescription in the U.K. and online. I used an online pharmacy called doctor-4-u.co.uk. It also appears to be available at chemist-4-u.co.uk.
I’ve ordered products from both of these pharmacies before, and it was the authentic spray (despite the slightly unconvincing website names!).
It’s also now available in France, Italy, Germany, Spain, and Portugal. It’s not available in the United States yet, but I believe they are hoping it will be approved by the FDA in the coming years.
As for the rest of Europe and other parts of the world, I again have no information about when and where it will be available.
If you do buy it online in the U.K. be prepared for a price shock, as it’s the most expensive delay spray I’ve seen.
If you live outside of the U.K., I recommend looking at my other delay spray reviews.
And for more about premature ejaculation in general and alternative treatments, have a read of the main premature ejaculation page.