Patient's question:
Hello!What is the best medication for premature ejaculation?
Doctor's answer:
Hello, Treatment of Premature Ejaculation:(1) Medication Treatment:
A. Oral Medications: To reduce excitability, low-dose anti-anxiety or sedative medications can be administered. Choose one of the following:
- Brompheniramine tablets 0.1–0.3 grams, three times daily.
- Phenobarbital 0.03 grams, three times daily.
- Oryzanol 10 milligrams, three times daily.
- Probenecid 30 milligrams + Chloral Hydrate 20 milligrams, once nightly.
- Methydopa 25 milligrams, taken one hour before intercourse to inhibit ejaculation.
B. Topical Medications: 0.5–1 hour before intercourse, wash the glans penis and apply a small amount of anesthetic ointment, such as 1% Dyclonine ointment, or 1% procaine or 2% cocaine. Note that only a small amount should be applied to the tip of the glans—excessive use may reduce ejaculation response, even leading to anejaculation, and may also affect erectile function, causing weak erections.