Prozac for Premature Ejaculation: Putting a Side Effect to Work

Monali Sharma
Medically reviewed by
Dr. Kaushal

Review medical content on WOW Rx Pharmacy, so that accurate drug use information is easily accessible to everybody.
Dr. Akansha is a licensed Clinical Pharmacologist. She possesses remarkable knowledge in Pharmacovigilance, prescription analysis, drug information, and drug safety services. Additionally, she is a keen learner and an educator.

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prozac for premature ejaculation

Premature Ejaculation (PE) is a condition when a person ejaculates earlier than desired during sex.

It is a common issue, and there are various treatments for it.

One such treatment is using antidepressants such as Prozac for Premature Ejaculation.

Fluoxetine, the active ingredient in Prozac, is used to treat disorders such as Depression, panic, and eating disorders.

But it has also shown potential as a Premature Ejaculation treatment option.

This article explores the effectiveness of Prozac in treating PE, how to take it safely, and the potential side effects of the medication.

The Diagnostic and Statistical Manual of Mental Disorders defines PE as an ejaculation occurring within one minute after penetration from the first sexual experience or before the person desires it to occur.

Does Prozac help with Premature Ejaculation

SSRIs, or Selective Serotonin Reuptake Inhibitors, are medications that increase the brain’s Serotonin levels.

Prozac belongs to this family of medications.

Since Serotonin inhibits ejaculation and orgasm, SSRIs, such as Prozac, work effectively for treating PE by increasing it.

The FDA has approved Prozac as a treatment for anxiety and Depression but not yet for PE.

However, studies have come to the result that Prozac can help treat Premature Ejaculation by delaying the orgasm.

People who took the medication needed a longer time to ejaculate.

How to take Prozac For Premature Ejaculation

The Intravaginal Ejaculation Latency Time (IELT) is longer in people who take Prozac, which means the onset of orgasm takes time.

Therefore, it can be considered as an off-label treatment of PE.

A typical dose of this SSRI for Premature Ejaculation treatment is 20 to 40 mg/day.

The medication should be started at the lowest dosage and then increased as needed.

To get the maximum benefit of Prozac for Premature Ejaculation, it mostly needs to be taken every day.

However, some people may consume it only when it is needed.

Prozac for Premature Ejaculation is then taken three to five hours before sex.

Risks of Prozac for Premature Ejaculation

Checking his body temperature (fever)Source: natasaadzic_from_Getty_Images
Feeling sick (medication’s side effect)

Prozac for Premature Ejaculation is not only efficient but also a safe treatment option for most.

However, some people taking the medication may experience side effects, especially if they take it daily. 

The common and mild side effects of Prozac include feeling sick, loss of appetite, tiredness, sweating or yawning, drowsiness, and Insomnia.

Some of its potentially serious side effects are severe mood fluctuations, bruising easily, spasms, sudden weight loss, and tremors.

There are rare chances of more severe side effects that need immediate attention, such as seizures, black stools, vision alterations, and kidney problems. 

Someone with PE might have other health issues and take medicine for them. 

In that case, Prozac might interact with those medicines and cause some side effects like hallucination, loss of coordination, and rapid heartbeat.

Therefore, consulting a medical expert is a must before starting Prozac for Premature Ejaculation.

Do not mix Prozac with alcohol. It can interact and cause drowsiness, dizziness, and impaired judgment.

Other options instead of Prozac for Premature Ejaculation

Ed medications (blue pills)Source: Iurii_Maksymiv
Viagra pills – medication for ED

If Prozac is not a suitable option, other treatment options can improve PE symptoms.

The most prominent alternative treatment options for Premature Ejaculation have been mentioned below.

  • Other SSRIs: Apart from Prozac, other medicines containing Sertraline, Paroxetine, and Escitalopram can also treat PE
  • ED pills: Medications for Erectile Dysfunction, such as Viagra, may affect the ejaculation time and help with Premature Ejaculation
  • Topical sprays: Over-the-counter sprays, popularly known as ‘delay sprays,’ can also be an effective treatment option for PE. These sprays decrease the penis’ sensitivity level, thereby increasing the time needed to reach orgasm and ejaculate
  • Counseling: When mental factors such as performance anxiety cause Premature Ejaculation, counseling can help. Taking medicine for PE and psychotherapy may be an even better treatment than medications alone
  • Behavioral therapy: It is also possible to manage Premature Ejaculation by using behavioral therapy, which includes the squeeze technique and the stop-start technique
  • Changing habits: Sometimes, making alterations in daily life like exercising regularly, doing kegel or pelvic floor workouts, and giving importance to mental well-being can be enough to improve PE symptoms

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Prozac belongs to the SSRI class of medication and enhances the Serotonin levels in the brain.

It typically treats mental health issues such as Depression.

However, research has concluded that Prozac for Premature Ejaculation works well too.

There are some potential side effects of the medicine, but they do not affect everyone. 

Examples of side effects of Prozac are nausea, tiredness, severe mood fluctuations, sudden weight loss, seizures, etc.

If someone cannot take Prozac, there are alternative options worth considering, too, like delay sprays and kegel exercises.

Otherwise, consulting a doctor and then taking the prescribed medication for Premature Ejaculation is a safe treatment approach.

Frequently Asked Questions

Does Prozac help with Premature Ejaculation?

Prozac is mostly used to treat mental health disorders like Depression and anxiety. Studies indicate that it may assist in postponing orgasm. Prozac is an SSRI medication that increases Serotonin levels, which prevents ejaculation and orgasm. However, it is not recommended for people who have specific health conditions.

How to take Prozac for Premature Ejaculation?

To take Prozac for Premature Ejaculation, start with 20 mg per day and follow the doctor’s instructions. Regular follow-up appointments are important to monitor progress and adjust treatment if needed. The doctor can increase the dose or prescribe to take it on an ‘as needed’ base.

Does Prozac make it hard to finish?

Yes, Prozac can sometimes cause difficulty in reaching orgasm or delayed ejaculation. This is a potential sexual side effect of SSRIs like Prozac. It occurs due to the medication’s impact on Serotonin levels, affecting sexual function. Hence, it can be a PE treatment.

How do you fix mental Premature Ejaculation?

When psychological factors cause PE, there are some ways to fix mental Premature Ejaculation. Some techniques to increase ejaculation time and improve sexual performance include SSRI and ED medications, psychotherapy, and behavioral therapy.

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