HomeAnswersSexologyerectile dysfunctionI am experiencing sexual problems. Please help.

I am suffering from ED and PE. Please advise proper medicines.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 9, 2018
Reviewed AtFebruary 17, 2024

Patient's Query

Hi doctor,

I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health.

Hi,

Welcome to icliniq.com.

There are many reasons for this condition, so you need to be evaluated and physical examination is required.

For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half an hour before the sexual activity. Similarly, Tadalafil 10 mg can be used. The effects of Sildenafil last for one day while Tadalafil lasts for three days.

For managing Premature ejaculation, a drug from SSRI (selective serotonin reuptake inhibitor) group such as Fluoxetine or Sertraline or Dapoxetine is used. Fluoxetine 20 mg daily or Sertraline 50 mg daily or Dapoxetine 30 mg can be taken one hour before the sexual activity. There is a combination of Dapoxetine and Sildenafil available in the market that can be used one hour before the sexual activity. Maintain a healthy lifestyle, take healthy food, avoid substance abuse and do regular exercise.

For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Patient's Query

Thank you doctor,

How long should we take medicines? What is the dose recommended?

Hi,

Welcome back to icliniq.com.

The starting dose of Sildenafil is 50 mg and depending upon the response, it can be increased or decreased. Similarly, Dapoxetine is started at 30 mg and can be increased to 60 mg. These drugs can be used for long-term and mostly used when it is required.

For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ramchandra Lamba
Dr. Ramchandra Lamba

Psychiatry

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