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Expanding the therapeutic benefit of sildenafil to the treatment of premature ejaculation

The launch of sildenafil has heralded a mass of research aimed at identifying new targets for both erectile dysfunction and the parallel female arousal disorder (click here to visit our recent dossier on this subject). Likewise other sexual dysfunctions are receiving increased attention. Premature ejaculation represents a major market, and indeed in the age-range of 18-59 years old, premature ejaculation represents the predominant sexual dysfunction affecting 28.5% of men. Today, there is no approved medical therapy for the treatment of premature ejaculation and successful pharmaceutical development in this field may therefore reap immense rewards. Selective serotonin reuptake inhibitors (SSRIs) offer a treatment strategy, with, for example citalopram improving premature ejaculation in over 60% of sufferers. Likewise sertraline has also provided therapeutic benefit. This introduces a paradox however, since the SSRIs are frequently associated with reduced desire and erectile dysfunction. The concomitant use of SSRIs and sildenafil may therefore represent an appropriate approach.

Chen et al have now taken this concept one step further showing that sildenafil may actually improve the efficacy of paroxetine in treating premature ejaculation in addition to overcoming its adverse effects. In 100 patients treated with paroxetine alone, 42 reported improvement as determined by both a subjective scoring system and intravaginal ejaculatory latency time. Of the remaining 58 patients, 56 that received a combination of paroxetine and sildenafil reported improvement. The dual use of SSRIs and sildenafil may therefore offer a useful approach to patients with premature ejaculation.

An in depth evaluation of this field can be requested by clicking the request button above or scroll down for information on our CustomReport service. <Should this project be the subject of a full DiscoveryDossier? Click the request button above>

Entry date March, 2003

Adapted from Chen et al, Urology 2003 Jan;61(1):197-200 - Interested in collaborating with this group? Contact LeadDiscovery or the authors direct.

The Phosphoinositide 3-Kinase/AKT1 Pathway Involvement in Drug and All-Trans-Retinoic Acid Resistance of Leukemia Cells.

 

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