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1 Tramadol Use in Premature Ejaculation: Daily Versus ... - NCBI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821202/
Group A patients were given 100 mg daily of tramadol for 4 weeks and then on request every 2 or 8 h before sexual contact for next 4 weeks. Group B patients ...
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2 Tramadol for premature ejaculation: a systematic review and ...
https://bmcurol.biomedcentral.com/articles/10.1186/1471-2490-15-6
Tramadol was prescribed across all RCTs, on-demand one to four hours prior to sexual intercourse. Prescribed doses varied and range from 25 mg [ ...
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3 Tramadol For Premature Ejaculation: Can It Help? - Hims
https://www.forhims.com/blog/tramadol-for-premature-ejaculation
The researchers found that men who used 100mg of tramadol on a daily basis for 12 weeks had a significant increase in ejaculation latency time, ...
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4 Tramadol May Be Effective for Men with Premature Ejaculation
https://www.smsna.org/patients/did-you-know/tramadol-may-be-effective-for-men-with-premature-ejaculation
A painkiller called tramadol may help men with premature ejaculation (PE) “last” longer during vaginal intercourse, according to a new study.
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5 Tramadol for Premature Ejaculation: Does It Work? - Promescent
https://www.promescent.com/blogs/learn/tramadol-for-premature-ejaculation
Ultimately, that will have to be determined by your doctor, but typically the dosage is 100 mg. Is Tramadol Safe? Tramadol is an opioid, so ...
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6 Comparison of the Efficacy of Tramadol and Paroxetine in the ...
https://www.cureus.com/articles/27935-comparison-of-the-efficacy-of-tramadol-and-paroxetine-in-the-management-of-premature-ejaculation
Tramadol could improve intravaginal ejaculatory latency time (IELT) and promote satisfaction level, but ideal dosing remains to be determined.
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7 On-demand use of tramadol, sildenafil, paroxetine and local ...
https://www.sciencedirect.com/science/article/pii/S2090598X13000673
Tramadol is a synthetic opioid-like drug, and the exact mechanism of action of tramadol in delaying ejaculation is not well known, but its weak serotonin- and ...
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8 Tramadol's Inhibitory Effects on Sexual Behavior - Frontiers
https://www.frontiersin.org/articles/10.3389/fphar.2018.00676/full
Recent research has shown that tramadol is effective in treating premature ejaculation (PE) in humans (Bar-Or et al., 2012; Eassa and El-Shazly, ...
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9 Tramadol for Premature Ejaculation - Medscape
https://www.medscape.com/viewarticle/840832
Background Tramadol is a centrally acting analgesic prescribed off-label for the treatment of premature ejaculation (PE). However, tramadol may cause ...
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10 Safety and efficacy of “on-demand” tramadol in patients with ...
https://www.scielo.br/j/ibju/a/LkL3fvw5CKK4R7pvs4qRwxk/
From the above data, it appears that tramadol in 50mg dose is equally efficacious to 100mg dose. However, this is only limited data obtained from two studies.
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11 Efficacy of two dose Tramadol HCI ODT for premature ...
https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/efficacy-of-two-dose-tramadol-hci-odt-for-premature-ejaculation/
All subjects who complete the double blind treatment period, will be entered into an open-label extension period and will receive 89mg of Tramadol for 12 weeks.
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12 The Influence of Tramadol on Intravaginal Ejaculatory Latency ...
https://journals.sagepub.com/doi/pdf/10.1177/15579883211057713
Tramadol, meta-analysis, premature ejaculation, intravaginal ejaculatory latency time, ... sample size; (d) method of therapy, dosage, scheme,.
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13 (PDF) Tramadol Use in Premature Ejaculation: Daily Versus ...
https://www.researchgate.net/publication/258703233_Tramadol_Use_in_Premature_Ejaculation_Daily_Versus_Sporadic_Treatment
Tramadol has shown efficacy in PME when used as sporadic basis. In this study, we compared the use of 100 mg of tramadol as sporadic treatment ( ...
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14 Tramadol And Premature Ejaculation Effectiveness - Dr. Elist
https://www.drelist.com/blog/tramadol-and-premature-ejaculation-effectiveness/
Based on the results of the meta-analysis, investigators concluded that long term management for a period of up to 8 to 12 weeks with tramadol can increase the ...
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15 Emerging and investigational drugs for premature ejaculation
https://tau.amegroups.com/article/view/10498/11772
In an open-label crossover comparator study of daily paroxetine (20 mg) and on-demand tramadol (50 mg) in 35 subjects with lifelong PE, superior IELT fold- ...
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16 Combined On-demand Sildenafil Citrate and Tramadol ...
https://clinicaltrials.gov/ct2/show/NCT05183334
Premature Ejaculation, Drug: Sildenafil 50 mg Drug: Placebo Drug: ... and Tramadol Hydrochloride for Treatment of Premature Ejaculation: A ...
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17 Tramadol Appears Effective for Premature Ejaculation
https://www.renalandurologynews.com/home/departments/mens-health-update/premature-ejaculation/tramadol-appears-effective-for-premature-ejaculation/
Men with premature ejaculation (PE) may benefit from taking tramadol off-label, suggests a new meta-analysis of randomized controlled trials ...
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18 Tramadol HCL has promise in on-demand use to treat ...
https://read.qxmd.com/read/17362279/tramadol-hcl-has-promise-in-on-demand-use-to-treat-premature-ejaculation
INTRODUCTION: Premature ejaculation (PE) is a worldwide problem without an approved treatment. Selective serotonin reuptake inhibitors (SSRIs) are widely ...
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19 On-demand tramadol hydrochloride use in ... - Cochrane Library
https://www.cochranelibrary.com/central/doi/10.1002/central/CN-00882023/related-content
Comparison between on-demand dosing of dapoxetine alone and dapoxetine plus mirodenafil in patients with lifelong premature ejaculation: prospective, ...
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20 The Use of Tramadol “On-demand” for Premature Ejaculation
https://www.goldjournal.net/article/S0090-4295(12)00980-6/abstract
Tramadol on-demand resulted in significant increases in median IELT at 18 weeks of follow-up (P <.01 for both doses vs placebo). The fold- ...
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21 The Therapeutic Effects of Tramadol and Fluoxetine in ...
https://brieflands.com/articles/thrita-18229.html
Salem et al. (10) studied 60 males with premature ejaculation who received 25 mg of tramadol , 1 - 2 hours before intercourse compared with ...
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22 Marked Urinary and Erectile Dysfunction with Short-Term ...
https://academic.oup.com/painmedicine/article/17/3/622/1888837
The effects of tramadol on sexual dysfunction are relatively expected despite the apparent rarity of the side effect, as it has been used in various studies for ...
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23 Long-term effects of tramadol on the reproductive function of ...
https://mefj.springeropen.com/articles/10.1186/s43043-019-0003-0
Tramadol is a commonly abused erotic drug that recently has gained ... the treatment of erectile dysfunction and premature ejaculation are ...
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24 Role of Tramadol in Premature Ejaculation: A Systematic ...
https://www.karger.com/article/Abstract/348826
Conclusions: Tramadol may be effective in PE treatment, especially when patients have failed therapies, like selective serotonin reuptake ...
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25 Safety and efficacy of tramadol in the treatment of premature ...
https://europepmc.org/article/med/16415702
Sixty-four potent men with premature ejaculation were randomly assigned to receive 50 mg tramadol (group 1, n = 32) or placebo (group 2, n = 32) approximately 2 ...
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26 Tramadol for premature ejaculation: A systematic review and ...
https://eprints.whiterose.ac.uk/86619/
Tramadol is a centrally acting analgesic prescribed off-label for the treatment of premature ejaculation (PE). However, tramadol may cause ...
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27 Premature ejaculation Disease Reference Guide - Drugs.com
https://www.drugs.com/mcd/premature-ejaculation
Pain relievers. Tramadol (Ultram, Conzip, Qdolo) is a medication used to treat pain. It also has side effects that delay ejaculation. Tramadol ...
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28 Tramadol for the Treatment of Premature Ejaculation
https://www.europeanurology.com/article/S0302-2838(11)01020-7/fulltext
The mechanism of action by which tramadol delays ejaculation needs to be elucidated. · Because tramadol HCl is widely available as a generic drug ...
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29 EP1397126B9 - Use of tramadol for delaying ejaculation
https://patents.google.com/patent/EP1397126B9/en
EP1397126B9 - Use of tramadol for delaying ejaculation - Google Patents ... 206010036596 Premature ejaculation Diseases 0.000 claims description 21 ...
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30 [PDF] Comparison of the Efficacy of Tramadol and Paroxetine ...
https://www.semanticscholar.org/paper/Comparison-of-the-Efficacy-of-Tramadol-and-in-the-Rehman-Zaidi/fdf04a94a743aa64cf3a6076e0f6f491428f63ea
Objective The goal of this study was to compare the efficacy of tramadol and paroxetine in the treatment of primary premature ejaculation ...
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31 What premature ejaculation pills work? Options and safety
https://www.medicalnewstoday.com/articles/premature-ejaculation-pills
A range of medications may help treat premature ejaculation. ... Tramadol is an analgesic drug that reduces sensitivity to the receptors ...
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32 Tramadol for premature ejaculation: a systematic ... - DrugBank
https://go.drugbank.com/articles/A173986
BACKGROUND: Tramadol is a centrally acting analgesic prescribed off-label for the treatment of premature ejaculation (PE). However, tramadol may cause ...
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33 Effect of tramadol on the male reproductive system and sexual ...
https://applications.emro.who.int/imemrf/349/Menoufia-Med-J-2021-34-1-1-8-eng.pdf
Safety and efficacy of tramadol in the treatment of premature ejaculation: a double‑blind, placebo‑controlled, fixed‑dose, randomized study. J ...
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34 New Pill Could Treat Premature Ejaculation - Men's Health
https://www.menshealth.com/sex-women/a19536119/tramadol-treats-premature-ejaculation/
After examining 8 separate studies, the researchers concluded that men who took tramadol—an opioid pain reliever prescribed off-label—were able ...
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35 Premature Ejaculation Pills: Costs, Side Effects, & Where to Get
https://khealth.com/learn/mens-health/premature-ejaculation-pills/
Tramadol (Ultram) is a prescription medication used to treat pain that can also work to delay ejaculation. Since tramadol can be habit forming, ...
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36 Dosage and timing of tramadol - your experience - Reddit
https://www.reddit.com/r/PrematureEjaculation/comments/i7sn12/dosage_and_timing_of_tramadol_your_experience/
I found people saying you need to wait 6-12 h after intake as well as descriptions of tramadol being a on-demand drug effective after 30 min.
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37 Tramadol For Premature Ejaculation – My Experience
https://www.risingmaster.com/tramadol-for-premature-ejaculation/
The pain, pleasure and dependency · That Tramadol can help with premature ejaculation. · That it can cause side effects. · That it can lead to problems with ...
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38 Premature ejaculation: A clinical review for the general ...
https://www.racgp.org.au/afp/2015/october/premature-ejaculation-a-clinical-review-for-the-ge
Tramadol is an effective, on-demand treatment for premature ejaculation, although the mechanism of action is unknown. Doses of 25–62 mg were well tolerated, ...
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39 Clinical Trial on Premature Ejaculation - ICH GCP
https://ichgcp.net/clinical-trials-registry/NCT00983736
A Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Evaluate the Efficacy and Safety of Two Doses of Tramadol Hydrochloride Orally ...
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40 The effectiveness of tramadol in treatment of premature ...
https://www.iasj.net/iasj/pdf/3daff742df1af40e
Assess the efficacy of Tramadol for on-demand treatment of PE. ... KEY WORDS: premature, ejaculation, tramadol. ... doses and on-demand dosing. Tramadol ...
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41 An Update of the International Society of Sexual Medicine's ...
https://escholarship.org/content/qt34q7h193/qt34q7h193_noSplash_5424790a4ed5034cabcc9b64dede74dd.pdf
Does your partner avoid sexual intercourse? Is your premature ejaculation affecting your overall relationship? Optional question: Previous treatment.
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42 Treatment of male sexual dysfunction - UpToDate
https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction
It does NOT include all information about conditions, treatments, medications, ... AUA guideline on the pharmacologic management of premature ejaculation.
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43 Recent Advances in the Pharmacotherapy of Premature ...
https://www.emjreviews.com/urology/article/recent-advances-in-the-pharmacotherapy-of-premature-ejaculation/
Premature ejaculation (PE) can be a very distressing condition and has ... which results in analgesia.73 Tramadol in doses of 25–100 mg has ...
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44 A Randomized Double-blind Placebo-controlled Clinical Trial
https://www.jri.ir/article/10009
Background: Several medical therapies have been proposed for the treatment of premature ejaculation (PE). Paroxetine and tramadol were both reported to be ...
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45 On-demand tramadol hydrochloride use in premature ...
https://facultyopinions.com/article/13997956
OBJECTIVES: To determine the efficacy of tramadol in premature ejaculation (PE) treatment compared with placebo. METHODS:→ Check Latest Keyword Rankings ←
46 Effect of tramadol dependence on male sexual dysfunction
https://sciendo.com/pdf/10.2478/intox-2019-0019
daily dose and duration increased was found. In conclusion, men who take tramadol for premature ejaculation or any other purpose.
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47 Disorders of Ejaculation: An AUA/SMSNA Guideline
https://www.auajournals.org/doi/10.1097/JU.0000000000002392
Lifelong premature ejaculation is defined as poor ejaculatory ... dosing of tramadol for treatment of premature ejaculation in men who have ...
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48 Effect of tramadol on the male reproductive system and sexual ...
https://www.mmj.eg.net/article.asp?issn=1110-2098;year=2021;volume=34;issue=1;spage=1;epage=8;aulast=Attia
All these studies found a significant improvement in intravaginal ejaculatory latency time and showed that tramadol can be used as a useful intervention for the ...
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49 Will lowering the dose of Tramadol and Priligy reduce the risk ...
https://www.icliniq.com/qa/serotonin-syndrome/i-am-on-tramadol-and-priligy-for-premature-ejaculation-is-there-risk-of-serotonin-syndrome
I am taking 100 mg Tramadol and 60 mg Priligy (Dapoxetin) for the treatment of premature ejaculation before having sexual intercourse.
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50 Tramadol for the management of premature ejaculation - ebsco
https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=09559930&AN=108349222&h=WYKdp33plopL%2Fdjbz829VRksbV30mxefcZZFUvHQH39Q6OjHMVpuyJSoYJ2HXyc%2F51zr3POcdRfdJ0qZ4ZGxRA%3D%3D&crl=f
Premature ejaculation (PE) represents a common sexual dysfunction and is ... Recent evidence suggests that on-demand dosing of tramadol is effective at ...
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51 Premature Ejaculation: Current Medical Treatment and New ...
https://www.hsadeghi.com/ejaculation/
A double-blinded, placebo-controlled, fixed-dose study demonstrated a 13-fold increase in IELT with the on-demand use of 50 mg of Tramadol [79]. Among the 57 ...
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52 Safety and Efficacy of Tramadol in the Treatment of Premature ...
https://www.academia.edu/39755642/Safety_and_Efficacy_of_Tramadol_in_the_Treatment_of_Premature_Ejaculation_A_Double_blind_Placebo_Controlled_Fixed_Dose_Randomized_Study
Safety and Efficacy of Tramadol in the Treatment of Premature Ejaculation A Double-blind, Placebo-Controlled, Fixed-Dose, Randomized Study.
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53 Pharmacotherapy of premature ejaculation - Pollock Clinics
https://www.pollockclinics.com/wp-content/uploads/2020/07/Pharmacotherapy_of_PE.pdf
Keywords Sexual health Premature ejaculation Medical treatment ... doses of the tramadol orally disintegrating tablet for the treatment.
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54 Tramadol Article - StatPearls
https://www.statpearls.com/ArticleLibrary/viewarticle/30446
Off-label, the drug is useful for premature ejaculation and restless leg ... Unlike other opioids, tramadol does not reverse its course ...
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55 Method to treat premature ejaculation in humans - Justia Patents
https://patents.justia.com/patent/9272037
For effective sequential administration of tramadol, caffeine and dextromethorphan, the release of each drug is preferably staggered to maximize ...
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56 A randomized, double-blind, placebo-controlled ... - EurekaMag
https://eurekamag.com/research/057/091/057091082.php
The objective of this study is to assess the dose-related effects of tramadol on a group of patients with premature ejaculation (PE). During the period of ...
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57 Pregabalin Could be Viable PE Treatment Option - ISSM
https://www.issm.info/news/research-summaries/pregabalin-could-be-viable-pe-treatment-option/
Premature ejaculation (PE) is a common problem for men. The International Society for ... Group A received 150 mg doses of pregabalin.
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58 Reducing Side Effects of Tramadol - EP 2486921 A1
https://patentimages.storage.googleapis.com/c4/e8/60/9dfc462149713f/EP2486921A1.pdf
and 3,830,934) and to treat premature ejaculation (U.S.. Patent No. ... single dose of ( )cis-tramadol in the lower therapeutic.
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59 Tramadol's Inhibitory Effects on Sexual Behavior - CORE
https://core.ac.uk/download/pdf/232517053.pdf
Tramadol dose-dependently decreases sexual activity in all genotypes. ... treating premature ejaculation (PE) in humans (Bar-Or et al.,.
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60 Tramadol - - ResearchOnline@JCU
https://researchonline.jcu.edu.au/47014/3/47014%20Olivier%20et%20al%20accepted%20version.pdf
premature ejaculations in men by its 5-HT reuptake inhibiting properties. ... highest dose of tramadol (50 mg/kg) reduced sexual behavior we ...
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61 Premature ejaculation - Symptoms and causes - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
Premature ejaculation occurs in men when semen leave the body (ejaculate) sooner ... Mayo Clinic does not endorse companies or products.
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62 Treatment of premature ejaculation: New drugs and treatment ...
https://link.springer.com/article/10.1007/s11930-006-0008-4
Safarinejad MR, Hosseini SY: Safety and efficacy of tramadol in the treatment of premature ejaculation: a double-blind, placebo-controlled, fixed-dose, ...
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63 EVALUATION OF ORAL PREGABALIN IN TREATMENT OF ...
https://zumj.journals.ekb.eg/article_24881_370839ba697cb8603b11ca93dce15720.pdf
Background: Premature ejaculation (PE) is the most common form of ... and those comparing pregabalin with on demand tramadol and dapoxetine.
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64 Sildenafil Citrate and Tramadol Administered Separately and ...
https://scialert.net/fulltext/?doi=tmr.2015.51.62
... reported abuse of medications used in treating erectile dysfunction and premature ejaculation, with several adults taking far above recommended doses.
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65 Premature Ejaculation - Urology Textbook
https://www.urology-textbook.com/premature-ejaculation.html
Tricyclic antidepressant, which can be used (off-label) as on-demand treatment. Dosage 10–50 mg five hours before sexual intercourse. Phosphodiesterase ...
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66 Disorders of Ejaculation: An AUA/SMSNA Guideline (2020)
https://www.auanet.org/guidelines-and-quality/guidelines/disorders-of-ejaculation
Lifelong premature ejaculation is defined as poor ejaculatory control, ... on-demand dosing of tramadol for the treatment premature ejaculation in men who ...
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67 A randomized, double-blind, placebo-controlled ... - ReadCube
https://www.readcube.com/articles/10.4103/0974-7796.150481
Tramadol hydrochloride exhibits a significant dose-related efficacy and ... trial of “on‑demand” tramadol for treatment of premature ejaculationAdel Kurkar, ...
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68 A Randomized Double-Blind, Placebo-Controlled Multicenter ...
https://aytubio.com/downloads/bar-or-2012-eur-urol.pdf
Background: Premature ejaculation (PE) is a widely observed male ... ODT is equivalent to tramadol HCl, as well as a phase 2 dose-ranging.
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69 Tramadol is dangerous if used for delayed ejaculation ―expert
https://tribuneonlineng.com/tramadol-dangerous-used-delayed-ejaculation-%E2%80%95expert/
According to the pharmacist, the recommended dose of Tramadol is 50mg to 100mg with a maximum of 200mg in severe cases. “Anything above 200mg ...
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70 tramadol vs premature ejaculation - YouTube
https://www.youtube.com/watch?v=iEPzDsbPCo8
Premature ejaculation: tramadol cures premature ejaculation.
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71 Tramadol - The Drug Classroom
https://thedrugclassroom.com/video/tramadol/
Studies have shown recreational doses of tramadol produce less desirable effects than hydromorphone, but when enough is used (e.g. 350 mg rather than 75-150 mg) ...
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72 Evidence-based Urology - Page 36 - Google Books Result
https://books.google.com/books?id=xediDwAAQBAJ&pg=RA19-PA36&lpg=RA19-PA36&dq=tramadol+premature+ejaculation+dose&source=bl&ots=KufJ-aL6dM&sig=ACfU3U0Xt4C7dNC3KSDiZLrB1M8OjCTJqA&hl=en&sa=X&ved=2ahUKEwiPw5_7hOH7AhUwmVYBHWUTAnYQ6AF6BAgiEAM
Tramadol use in premature ejaculation: daily versus sporadic treatment. ... of premature ejaculation: a double‐blind, placebo‐controlled, fixed‐dose, ...
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73 Fluoxetine - Wikipedia
https://en.wikipedia.org/wiki/Fluoxetine
Fluoxetine, sold under the brand names Prozac and Sarafem, among others, ... It has also been used to treat premature ejaculation. Fluoxetine is taken by ...
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74 Premature Ejaculation Treatment | Lowcountry Male Clinic
https://lowcountrymale.com/premature-ejaculation-treatment/
TREATMENT OPTIONS · Priapus Shot. This injection has been shown to improve many aspects of your sex life including premature ejaculation. · Low Dose SSRI Therapy.
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75 Andrology and Sexual Medicine - Page 80 - Google Books Result
https://books.google.com/books?id=Y42ZEAAAQBAJ&pg=PA80&lpg=PA80&dq=tramadol+premature+ejaculation+dose&source=bl&ots=UQTGZr7ro8&sig=ACfU3U168Vck-G2JZJZk-1s-rar69i9p8Q&hl=en&sa=X&ved=2ahUKEwiPw5_7hOH7AhUwmVYBHWUTAnYQ6AF6BAglEAM
Sildenafil/Viagra in the treatment of premature ejaculation. ... the efficacy and safety of two doses of the tramadol orally disintegrating tablet for the ...
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76 Year Book of Urology 2012 - Page 138 - Google Books Result
https://books.google.com/books?id=qwzLCDjR54IC&pg=PA138&lpg=PA138&dq=tramadol+premature+ejaculation+dose&source=bl&ots=k1ho8GZLzY&sig=ACfU3U3ezfSCrTgnAVXgt3Wdta4WuwrurQ&hl=en&sa=X&ved=2ahUKEwiPw5_7hOH7AhUwmVYBHWUTAnYQ6AF6BAgkEAM
... and Safety of Two Doses of the Tramadol Orally Disintegrating Tablet for the Treatment of Premature Ejaculation Within Less Than 2 Minutes Bar-Or D, ...
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77 Pillfinder Com
https://zaunesystem.de/pillfinder-com.html
What Is Medrol Dose Pack Md Health Com. tr ( Turkey) ping response time 11ms Good … ... A range of medications may help treat premature ejaculation.
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78 Campbell-Walsh Urology - Page 779 - Google Books Result
https://books.google.com/books?id=W1aeyJD46kIC&pg=PA779-IA2&lpg=PA779-IA2&dq=tramadol+premature+ejaculation+dose&source=bl&ots=Pvj23dNpMd&sig=ACfU3U3iTQhlv5wRSREgQ-KJz7AIClR83w&hl=en&sa=X&ved=2ahUKEwiPw5_7hOH7AhUwmVYBHWUTAnYQ6AF6BAgmEAM
placebo-controlled, fixed-dose crossover study on short-term ... An evidence-based definition of lifelong premature ejaculation: report of the International ...
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79 Practical Clinical Andrology - Page 85 - Google Books Result
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Asimakopoulos AD, Miano R, Agrò EF, Vespasiani G, Spera E. Does current scientific ... Role of tramadol in premature ejaculation: a systematic review and ...
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80 Meyler's Side Effects of Analgesics and Anti-inflammatory Drugs
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Those given tramadol required fewer pethidine rescue medication doses than those ... Tramadol 50 mg was beneficial in treating premature ejaculation in a ...
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81 Premature Ejaculation: From Etiology to Diagnosis and Treatment
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Further research of GABA modulation may be warranted but this case report alone does not justify clinical use of gabapentin for PE. 24.3.7.2 Tramadol ...
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82 TRAMADOL DOSE PREMATURE EJACULATION
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83 Paul – Good
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