Sertraline – One Health

Sertraline for Premature Ejaculation

Sertraline is a prescription medication that doctors can prescribe for the treatment of premature ejaculation, allowing you to control your climax and enjoy sex for longer. And because sertraline is a pill taken daily, you won’t have to halt the action to apply a topical product. Modern romance at its finest.

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IMPORTANT SAFETY INFORMATION

* Sertraline is not FDA-approved for the treatment of premature ejaculation. Learn about 'off-label uses' * Some side effects can be serious. If you experience any of the following symptoms call your doctor immediately: seizures, abnormal bleeding or bruising, agitation, hallucinations, fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea, rash, hives, swelling or difficulty breathing. Read less

What is premature ejaculation?

Premature ejaculation (or “PE,” for short) is defined as a “persistent or recurrent ejaculation with minimal stimulation before, on or shortly after penetration and before the person wishes it.” In simple terms, premature ejaculation occurs when you ejaculate too early during intercourse or sexual activity. There’s no specific amount of time that defines ejaculation as “premature”—most sources use figures ranging from 30 seconds to four minutes into sexual activity.

Why Sertraline?

Sertraline, the active ingredient in Zoloft, is a selective serotonin reuptake inhibitor (SSRI) that helps increase the serotonin levels in your brain. Since serotonin is part of how your brain processes sexual excitement, SSRIs like sertraline can help manage premature ejaculation during the times that count, without numbing the penis.

How to take

Sertraline for premature ejaculation is taken daily. Simply take your medication at the same time every day with or without food. Always take sertraline exactly as prescribed by your doctor.

Prescription pills or pej spray?

Prescription medicine for premature ejaculation, such as sertraline, and topical products like Hims Climax Delay Spray can both help increase time to ejaculation--but work differently and fit different lifestyles. Since sertraline is a pill, it might be a good fit for people worried about having to plan sex or stop in the middle of the action to spray or wipe the penis. Climax Delay Spray, on the other hand, might be a good fit for people who don't want to take a prescription pill.

Stay safe

Consult your doctor about any medications, supplements, or vitamins you may take in case of drug interactions with SSRIs. Additionally, make sure to read all of the important safety information before you start sertraline and use our platform to talk with a doctor if you are experiencing side effects that concern you or don’t go away. Click here for a list of the most common side effects.

Important Safety Information

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FAQs

For any additional questions, please reach out to info@onehealth.com. We can also be reached by phone at +44 116 228 8600, Monday – Friday, 8am-6pm EST.

How does prescription PE treatment work with One Health?

Roman is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive PE treatment from a doctor or nurse practitioner—all without leaving the couch. Roman Swipes are available for purchase directly from the website as an over-the-counter (OTC) product that does not require a prescription. If you are interested in prescription treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You’ll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you’re a candidate for PE treatment through telemedicine, and craft a personalized treatment plan for you.

Is PE medication effective?

Although no single treatment works for everyone, most men can be treated successfully. There are multiple oral medications, topical therapies, and other techniques that can be used alone or in combination with one another. Some people see immediate results, but for many men it takes some time before results are apparent. Some may find they need to try a few different methods before finding the right solution. If things don’t go as planned or if you experience an adverse side effect, don’t give up. You have options and we are here to help you find the best solution.

Why is ED medication sometimes prescribed for PE?

There are many possible causes of PE, ranging from physical causes to psychological causes. Although it may seem odd to get prescribed ED medication for PE, numerous studies have shown that it can be effective. There are a few reasons ED medication might help:

ED medication can help relax the smooth muscles of organs involved in ejaculation
ED medication can affect the nervous system in ways that may delay ejaculation
ED medication may decrease the sensitivity of the penis
ED medication can prolong the duration of an erection, increasing confidence, the perception of ejaculatory control, and overall sexual satisfaction
ED medication can make it easier to get a second erection after ejaculation

Some patients may also have coexisting ED and PE. For these patients, it is recommended ED get treated first, to see if it has beneficial effects on PE.

There are also other important differences between the medications. For example, sildenafil citrate is less effective when taken with food and it can cause temporary blue vision (as if you’re looking through blue-tinted glasses) in some users. Tadalafil can be taken with food and is much less likely to cause temporary blue vision in users. Tadalafil can also be taken daily at lower doses.

What are the non-prescription options for treating PE?

Your doctor or nurse practitioner may recommend a combination of medication and behavioral therapy tips to deal with PE. No two people are alike, and it may take time and experimentation to find the methods that work best for you. Some recommended non-prescription techniques include:

Topical anesthetics: Topical anesthetics can be applied to the penis just before sexual activity. They come as creams, lotions, or sprays and are available over-the-counter. The advantage of topical applications is that the side effect rate is low.
Condoms: Condoms can help with PE by decreasing penile sensitivity. They also have the added benefit of reducing the risk of sexually transmitted infections and unwanted pregnancy.
Behavioral modification: The squeeze and stop-start techniques are two different strategies that can be practiced during masturbation or sexual activity, and—over time—they can improve control over the timing of ejaculation.

Psychotherapy: Counseling, whether in person, by telephone, or by text messaging, may increase the likelihood of success for some patients.

Will ED medication automatically give me an erection?

There are three prescription-strength medications for PE available on the Roman platform: sildenafil citrate (the active ingredient in Viagra), tadalafil (the active ingredient in Cialis), and sertraline (a type of medication known as a selective serotonin reuptake inhibitor, or SSRI). Your doctor or nurse practitioner will decide which treatment option is most appropriate for you after reviewing the information you provide in your online visit. While one medication may be better for one person, a different medication may be better for another person. It all depends on your specific medical history, symptoms, and preferences. Of note, there is no medication that is specifically FDA-approved for the treatment of PE. However, sildenafil citrate, tadalafil, and sertraline can be prescribed off-label for this purpose, if appropriate.

In addition to these three prescription medications, Roman Swipes is an over-the-counter treatment for PE that you can purchase directly from the website without going through an online visit.

What is off-label usage of a medication?

Off-label usage of a medication refers to using the medication for purposes that have not specifically been approved by the FDA. Healthcare professionals have the discretion to prescribe medications off-label if they believe it is an appropriate course of treatment for a particular patient.

How is sertraline used to treat PE?

Sertraline can be used in two ways to treat PE. It can be taken daily at a convenient time (e.g., after brushing your teeth in the morning) or it can be taken as-needed 4–8 hours before you plan to have sex. Studies have found that taking the medication daily is generally more effective than taking it as needed. However, taking the medication daily also increases the risk of experiencing side effects. Your doctor or nurse practitioner can work with you to help determine if daily or as-needed dosing is best for you.

Can I use Roman Swipes along with prescription treatment?

Yes. Using Roman Swipes in combination with prescription treatment is not dangerous and can actually help delay ejaculation even more. This is especially good for patients who do not see enough of a benefit from prescription medication alone. On the other hand, some people will find that the combination delays ejaculation too much, decreasing satisfaction for them or their partner(s).

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