Priligy alternatives: what actually works for premature ejaculation

One striking fact: Priligy (dapoxetine) helps many men, but it’s not the only path. If dapoxetine isn’t right for you — because of cost, side effects, availability, or personal preference — there are solid alternatives that can help you last longer and feel more in control.

Medical alternatives you should know

Short-acting SSRIs like dapoxetine are approved in some countries, but doctors often use other antidepressants off-label for premature ejaculation. Paroxetine and sertraline are common choices; they usually require regular dosing and take days to weeks to reach full effect. Clomipramine, a tricyclic antidepressant, is another option with evidence supporting its use, though it can cause more side effects.

Topical anesthetics are an easy, fast alternative. Lidocaine or prilocaine creams and sprays reduce penile sensitivity and can be applied before sex. They act within minutes and avoid systemic drug exposure. The main trade-off is temporary numbness, and partners may need protection to avoid transfer.

PDE5 inhibitors like sildenafil (Viagra) and tadalafil can help when premature ejaculation coexists with erectile dysfunction. They don’t directly delay ejaculation for everyone, but combining a PDE5 inhibitor with an SSRI or behavioral training often improves results.

Some doctors use tramadol short-term for PE because it delays ejaculation, but it’s an opioid with addiction risk and side effects, so it’s not a routine choice.

Non-drug and lifestyle approaches

Behavioral techniques are low-risk and effective for many men. The stop-start and squeeze methods teach control and often produce steady improvement within weeks. Pelvic floor exercises (Kegels) strengthen muscles involved in ejaculation; practiced correctly, they make a real difference.

Sex therapy and counseling can fix performance anxiety and relationship issues that trigger quick ejaculation. A few sessions with a trained therapist often helps more than pills alone.

Condoms and desensitizing condoms reduce sensitivity and are cheap, widely available options. Some herbal supplements claim benefits (zinc, certain botanical mixes), but evidence is weak and product quality varies. Always be cautious with supplements.

How to choose? Think about speed, side effects, and long-term goals. If you want a fast-acting fix only when needed, topical anesthetics are practical. If the problem is consistent, talk to a doctor about SSRIs, pelvic floor therapy, or combined approaches. Never mix medications without medical advice.

If you’re buying medication online, pick licensed pharmacies and avoid unverified sites. Talk openly with your clinician about other drugs you take and any heart or mental health conditions. With the right plan — drug, therapy, or both — most men see real improvement in control and confidence.