Worried Priligy (dapoxetine) isn’t right for you or isn’t available where you live? You’ve got options. Some work fast, some take time, and some you can combine for better results. Below I break down practical alternatives so you can pick what fits your situation.
Short-acting dapoxetine is one approved pill for quick use, but other medicines are used off-label with solid results. Daily SSRIs like paroxetine, sertraline, and fluoxetine slow ejaculation by changing brain serotonin levels. They usually take days to weeks to show effect and can cause side effects like low libido, nausea, or sleep changes.
Clomipramine, a tricyclic antidepressant, is another option some doctors prescribe when SSRIs don’t help. Tramadol — an opioid — can delay ejaculation too, but it carries dependence and drowsiness risks, so doctors limit its use. If you have erectile issues along with early ejaculation, adding a PDE5 inhibitor (sildenafil, tadalafil) can help performance and confidence.
Bottom line on meds: talk to a doctor before starting anything. Many of these are off-label for premature ejaculation and need medical supervision because of interactions and side effects.
Topical anesthetics (lidocaine or prilocaine creams and sprays) numb the penis lightly and work almost immediately. Apply as directed and wipe off before sex to avoid numbing your partner. They’re a quick fix for many men and have fewer systemic side effects than pills.
Behavioral techniques matter. The start-stop method and squeeze method teach your body to delay climax. These take practice but are free and safe. Pelvic floor physiotherapy — yes, exercises for men — can strengthen control and reduce urgency.
Performance anxiety is a common root. Short course cognitive behavioral therapy or couples counseling often improves outcomes when anxiety or relationship stress is involved. Combining a topical or medication with therapy gives the best long-term success for many men.
Natural and herbal remedies are popular, but evidence is weak. Be careful with unregulated supplements — quality and safety vary. Also, never mix certain drugs (SSRIs, tramadol) with MAOIs or buy from suspicious online sources. Check licenses and read reviews if you order meds online.
Not sure where to start? Ask your GP or a urologist about your goals (quick relief vs long-term change), other health issues, and possible drug interactions. Many men do best with a short-term topical or medication while learning behavioral skills. Small changes can make a big difference—so pick one practical step and try it under medical guidance.
