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Re: What was I thinking?

Posted by ed_uk on December 28, 2004, at 10:28:28

In reply to Re: What was I thinking?, posted by ed_uk on December 28, 2004, at 6:29:49

Case Report from the Canadian Journal of Psychiatry.........


Mr X, aged 40 years, has a DSM-IV diagnosis of PE, lifelong situational type attributable to combined factors. Stop-pause, stop-squeeze coital alignment techniques and the use of a condom with topical anesthetic (5% lidocaine) were associated with limited response. Conventional pharmacotherapies were also minimally effective and had dose-limiting side effects. Treatment with paroxetine, sertraline, and to a lesser extent, venlafaxine was associated with restless legs, gastrointestinal disturbance, headache, decreased libido, and erectile dysfunction. Trazodone and lorazepam caused sedation and cognitive slowing, while bupropion accelerated ejaculation. Mr X had previously found that alcohol produced satisfactory ejaculatory delay with no loss of erectile capacity, but clearly this was not a feasible regular option. A trial of gabapentin 300 mg taken 1 to 2 hours prior to intercourse resulted in a similar effect with no side effects. Higher doses of 600 mg resulted in further retardation of ejaculation but also in somnolence.


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poster:ed_uk thread:434140
URL: http://www.dr-bob.org/babble/20041228/msgs/434982.html