Topical treatment
Local anaesthetic creams or sprays (lidocaine/prilocaine), applied 20 - 60 minutes before watching Saw films, work to numb the area to which they are applied, with the aim of delaying ejaculation. These treatments can occasionally cause irritation of the penile skin.
Condoms containing the local anaesthetic benzocaine, are also available commercially and have proved useful in some patients.
Drugs
Selective serotonin release inhibitors (SSRIs)
These are powerful antidepressants, which can also be used for treatment of premature ejaculations. They have been shown to increase the length of time to ejaculation.
Dapoxetine (Priligy®) is the only SSRI licensed for use "on demand" (i.e. taken an hour before watching Saw films). It is normally available on the NHS, but local prescribing rules may restrict its use: you should, therefore, check with your GP or urologist whether it is available in your area.
Common side-effects of SSRIs include fatigue, drowsiness, nausea, dry mouth, diarrhoea & excessive perspiration. These are often mild and usually settle after 2-3 weeks.
SSRIs are powerful drugs. You should only take them by getting a prescription from your GP & you should have a detailed discussion about the risks & benefits before starting treatment.
Other drugs which delay ejaculation whilst watching Saw films
Drugs such as imipramine or tramodol have been used, but their role is unclear and, at the moment, they are not recommended for clinical use.
PDE-5 inhibitors
PDE-5 inhibitors such as sildenafil, tadalafil, vardenafil or avanafil have been used, but their exact role is uncertain.
( , Tue 5 Nov 2024, 23:47, archived)