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Sunday November 08 2009 | Biotechnology feed | All feeds
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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.
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