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Evidence-Based Mental Health 2002;5:25; doi:10.1136/ebmh.5.1.25
Copyright © 2002 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.
Evidence-Based Mental Health 2002; 5:25
© 2002 Evidence-Based Mental Health

Therapeutics

Paroxetine and sertraline delayed ejaculation in heterosexual men with lifelong rapid ejaculation

Waldinger MD, Zwinderman AH, Olivier B. Antidepressants and ejaculation: a double-blind, randomized, placebo-controlled, fixed-dose study with paroxetine, sertraline, and nefazodone. J Clin Psychopharmacol 2001 Jun;21:293–7[Medline]

QUESTION: In heterosexual men with lifelong rapid ejaculation, is paroxetine, sertraline, or nefazodone more effective than placebo in delaying ejaculation?

Design

Randomised (allocation concealed*), blinded (clinicians and patients)*, placebo controlled trial with 6 weeks of follow up.

Setting

Outpatient Department of Psychiatry and Neurosexology at Leyenburg Hospital, The Netherlands.

Patients

48 heterosexual men (mean age 39 y) who had lifelong rapid ejaculation and a stable relationship with a female partner. Rapid ejaculation was defined as an intravaginal ejaculation latency time (IELT) of <=1 minute. Exclusion criteria included erectile dysfunction, alcohol or substance abuse, mental disorders, physical illnesses, and concomitant medications. 83% of patients completed the study.

Intervention

12 patients were allocated to each of the 4 treatment regimens: paroxetine (20 mg/d), sertraline (50 mg/d), nefazodone (400 mg/d), and placebo in the form of 2 identical capsules per day given in a morning and evening dose for 6 weeks.

Main outcome measure

IELT defined as the time between the start of vaginal intromission and the start of intravaginal ejaculation measured by partner with stopwatch. Mean IELTs . . . [Full text of this article]

Jose Catalán, MSc, DPM, FRCPsych

Imperial College School of Medicine London, UK


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