Safety and Recommendations for Using Anesthetic Creams for Premature Ejaculation

Regarding the use of anesthetic creams for premature ejaculation?

Hello Doctor, I would like to ask about the following anesthetic creams used on the glans.
Are there any dangers or recommendations you have regarding them?
1.
Primalido Cream 5%
2.
EMLA Cream 5% (which contains 2.5% Lidocaine and 2.5% Prilocaine)
Do these two actually represent the same product since they contain the same active ingredients?
3.
Bufo Gargarizans Ointment with ingredients: 16mg of Bufo Gargarizans and 16mg of Moschus.
I would appreciate your advice on these medications, as premature ejaculation is quite a concern for me.
Thank you.

Niming, 20~29 year old female. Ask Date: 2010/06/15

Dr. Xu Weikai reply Urology

Hello, generally speaking, if the active ingredients are the same, the effects should be similar.
It is advisable to choose medications that have the approval number from the Department of Health for better assurance.
However, sometimes the excipients (the substances used to form the medication) can also affect the efficacy.
When used appropriately, local anesthetics can effectively improve the condition of premature ejaculation.
Of course, there are also side effects.
You can refer to the medication insert for more information.
If there are any unclear points, feel free to ask again for further discussion and research.
This message is from the Department of Urology, Taitung Hospital, under the Ministry of Health and Welfare, responding to your concerns.

Reply Date: 2010/06/15

More Info

When considering the use of anesthetic creams for conditions such as premature ejaculation, it is essential to understand both the safety and efficacy of these products. The two creams you mentioned, Primalido Cream and EMLA Cream, both contain lidocaine and prilocaine, which are local anesthetics. They work by temporarily numbing the area where they are applied, which can help delay ejaculation by reducing sensitivity.

Safety Considerations
1. Skin Sensitivity and Allergic Reactions: Both lidocaine and prilocaine can cause skin irritation or allergic reactions in some individuals. It is crucial to perform a patch test before applying these creams extensively. Apply a small amount to a less sensitive area of skin and wait 24 hours to see if any adverse reaction occurs.

2. Application Area: While these creams are generally safe for external use, care should be taken when applying them to sensitive areas such as the glans (the head of the penis). Avoid applying too much cream, as excessive use can lead to systemic absorption, which may cause side effects such as dizziness, drowsiness, or even more severe reactions.

3. Dosage and Duration: Follow the recommended dosage and application instructions provided by your healthcare provider or the product label. Typically, these creams are applied 15-30 minutes before sexual activity. Overuse or prolonged application can increase the risk of side effects.

4. Interactions with Other Medications: If you are using other topical or systemic medications, consult with your healthcare provider to ensure there are no potential interactions.

Recommendations
1. Consult a Healthcare Provider: Before starting any new treatment, especially for conditions like premature ejaculation, it is advisable to consult a healthcare provider. They can provide personalized recommendations based on your medical history and specific needs.

2. Consider Alternatives: While anesthetic creams can be effective, they are not the only option for managing premature ejaculation. Behavioral techniques, pelvic floor exercises, and other medications may also be beneficial. Discuss these alternatives with your healthcare provider.

3. Monitor for Side Effects: After using the cream, pay attention to how your body responds. If you experience any unusual symptoms, such as prolonged numbness, rash, or difficulty breathing, seek medical attention immediately.

4. Avoid Combining with Other Products: Do not use the anesthetic cream in conjunction with other topical treatments unless advised by a healthcare provider. This can help prevent any potential interactions or increased risk of side effects.

Conclusion
In summary, both Primalido Cream and EMLA Cream can be effective for managing premature ejaculation due to their numbing properties. However, it is essential to use them cautiously, adhering to safety guidelines and consulting with a healthcare provider for personalized advice. By doing so, you can minimize risks and find the most effective treatment for your condition.

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