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Related Concept Videos

Male Sexual Response: Erection & Ejaculation01:17

Male Sexual Response: Erection & Ejaculation

Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
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Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors

Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
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Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Oral Drug Delivery Systems: Delayed-Release Systems01:11

Oral Drug Delivery Systems: Delayed-Release Systems

Delayed-release drug delivery systems are specialized pharmaceutical formulations designed to postpone the release of active compounds until the drug reaches a specific region of the gastrointestinal (GI) tract, typically the intestine. These systems are essential for drugs that may cause gastric irritation, are unstable in acidic environments, or need to exert therapeutic effects locally in the intestinal or colonic regions.The core feature of delayed-release systems is the use of enteric...
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Sperm Transport

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Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists

Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...

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Related Experiment Video

Updated: Jun 12, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
04:22

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Dapoxetine for premature ejaculation.

Chris G McMahon1

  • 1Australian Centre for Sexual Health, Suite 2-4, Berry Road Medical Centre, 1a Berry Road, St Leonards, NSW 2065, Australia. cmcmahon@acsh.com.au

Expert Opinion on Pharmacotherapy
|June 15, 2010
PubMed
Summary
This summary is machine-generated.

Dapoxetine offers an effective and safe on-demand treatment for premature ejaculation (PE), addressing a significant unmet need in male sexual health. This selective serotonin reuptake inhibitor (SSRI) improves ejaculatory control and patient-reported outcomes.

Related Experiment Videos

Last Updated: Jun 12, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
04:22

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Area of Science:

  • Sexual Medicine
  • Pharmacology
  • Urology

Background:

  • Premature ejaculation (PE) is a prevalent male sexual disorder with significant psychological impact.
  • Current treatments often rely on off-label selective serotonin reuptake inhibitors (SSRIs), highlighting an unmet medical need.
  • The development of an approved medication for PE is crucial.

Purpose of the Study:

  • To review the efficacy and safety of dapoxetine for the treatment of premature ejaculation (PE).
  • To provide insights into the epidemiology, pathophysiology, and current drug treatments for PE.
  • To evaluate dapoxetine's pharmacokinetic profile and drug interactions.

Main Methods:

  • A comprehensive literature search was conducted for studies on dapoxetine from 1994-2010.
  • Included pharmacokinetic, animal, and human Phase I-III efficacy and safety studies.
  • Five randomized, double-blind, placebo-controlled trials involving 6,081 men were analyzed.

Main Results:

  • Dapoxetine (30 and 60 mg) significantly improved intravaginal ejaculatory latency time (IELT) and patient-reported outcomes compared to placebo (p < 0.001).
  • Rapid absorption and elimination with minimal accumulation were observed.
  • Common adverse events included nausea, dizziness, and headache, with no SSRI class-related effects noted.

Conclusions:

  • Dapoxetine is the first medication specifically developed and approved for PE.
  • It represents a significant advancement in sexual medicine, offering an effective and safe treatment option.
  • Dapoxetine provides a valuable therapeutic choice for men experiencing premature ejaculation.