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	<title>Comments on: Premature Ejaculation May End Soon With New Spray</title>
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	<pubDate>Fri, 10 Feb 2012 21:34:21 +0000</pubDate>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24213</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Fri, 02 Nov 2007 09:31:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24213</guid>
		<description>Paul,

Thanks for the information, I had wondered what effects this spray would have on a woman.A numb clitoris is not a good thing.

Pain management for burn victims,...Thats interesting.</description>
		<content:encoded><![CDATA[<p>Paul,</p>
<p>Thanks for the information, I had wondered what effects this spray would have on a woman.A numb clitoris is not a good thing.</p>
<p>Pain management for burn victims,&#8230;Thats interesting.</p>
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		<title>By: Paul Joannides</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24208</link>
		<dc:creator>Paul Joannides</dc:creator>
		<pubDate>Fri, 02 Nov 2007 07:25:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24208</guid>
		<description>The Plethora Solutions PE (premature ejaculation) medication is a proprietary form of lidocaine and prilocaine. Thereâ€™s nothing new about using lidocaine and prilocaine in trying to help guys last longer. The challenge has been in finding a delivery system that is quick, effective and isnâ€™t a cream, as creams can numb out a partnerâ€™s clitoris. Another challenge is in finding a way to delay ejaculation without numbing out the penis. Plethora Solutions feels they have found such a delivery system.

While Iâ€™ve only been able to read the abstract of their phase II study, it seems that they have reached statistical significance on improving the IELT (time from putting it in to launching a load). However, they did not reach statistical significance on two other measures that Iâ€™m sure they wanted to. These were the index of ejaculatory control (IEC) and sexual quality-of-life (SQoL) scores of patients and their partners.

They also only included statistics from two attempts at intercourse in crunching the numbers for their study. I would want to know why only two, and how those two attempts were selected. And while they have some very competent researchers involved, as with any study, I would want to know the financial relationships between the study authors and Plethora Solutions.

In other words, we need to wait until the phase III trials are done to have a better sense of whether this puppy is going to fly. I certainly hope it does, but I also wouldnâ€™t be surprised if they encounter some stiff hurdles ahead.

As we have learned from the large number of men with ED who are helped by Viagra but never get a refill--relationships are complex. There seems to be more to physical intimacy than a penis that gets hard and stays hard for X number of minutes. In addition, there are also different causes of premature ejaculation in different men. For instance, in one guy, there might by a physical hypersensitivity, while anxiety might be fueling the problem in another man. This isnâ€™t to say that the Plethora PE drug wonâ€™t help both, but it might be for very different reasons.

Iâ€™ve also got to give the marketing people at Plethora their due. Plethora is concurrently developing a â€œmedical device for the objective evaluation of the conditionâ€ in order to â€œpromote reimbursable clinical management of the PE sufferer.â€ In other words, their device attempts to quantify the problem to help you collect from your insurance company.

This seems to be a device that registers the time between erection and ejaculation. On first look, it appears to assume that all men begin intercourse as soon as they become erect. But maybe their device is more sophisticated than the scant bit of information Iâ€™ve seen about it. And their device might be helpful in documenting the extent of the problem for those guys who ejaculate shortly after becoming erect with a partner.

As for the discussion here that anti-depressants cause sexual problems, keep in mind that there is more than one type of anti-depressant. For instance, the kind of sexual problem that you often hear associated with SSRIs is delayed orgasm or anorgasmia,  while ED might be more associated with trycyclic antidepressants. Again, generalizations donâ€™t always work too well, as clomipramine (Anafranil) is a trycyclic that is sometimes used off-label to help delay ejaculation.

And finally, I couldnâ€™t help but note that another very cool application for the Plethora Solutions PE drug might be for pain management in burn victims who are undergoing skin transplants.</description>
		<content:encoded><![CDATA[<p>The Plethora Solutions PE (premature ejaculation) medication is a proprietary form of lidocaine and prilocaine. Thereâ€™s nothing new about using lidocaine and prilocaine in trying to help guys last longer. The challenge has been in finding a delivery system that is quick, effective and isnâ€™t a cream, as creams can numb out a partnerâ€™s clitoris. Another challenge is in finding a way to delay ejaculation without numbing out the penis. Plethora Solutions feels they have found such a delivery system.</p>
<p>While Iâ€™ve only been able to read the abstract of their phase II study, it seems that they have reached statistical significance on improving the IELT (time from putting it in to launching a load). However, they did not reach statistical significance on two other measures that Iâ€™m sure they wanted to. These were the index of ejaculatory control (IEC) and sexual quality-of-life (SQoL) scores of patients and their partners.</p>
<p>They also only included statistics from two attempts at intercourse in crunching the numbers for their study. I would want to know why only two, and how those two attempts were selected. And while they have some very competent researchers involved, as with any study, I would want to know the financial relationships between the study authors and Plethora Solutions.</p>
<p>In other words, we need to wait until the phase III trials are done to have a better sense of whether this puppy is going to fly. I certainly hope it does, but I also wouldnâ€™t be surprised if they encounter some stiff hurdles ahead.</p>
<p>As we have learned from the large number of men with ED who are helped by Viagra but never get a refill&#8211;relationships are complex. There seems to be more to physical intimacy than a penis that gets hard and stays hard for X number of minutes. In addition, there are also different causes of premature ejaculation in different men. For instance, in one guy, there might by a physical hypersensitivity, while anxiety might be fueling the problem in another man. This isnâ€™t to say that the Plethora PE drug wonâ€™t help both, but it might be for very different reasons.</p>
<p>Iâ€™ve also got to give the marketing people at Plethora their due. Plethora is concurrently developing a â€œmedical device for the objective evaluation of the conditionâ€ in order to â€œpromote reimbursable clinical management of the PE sufferer.â€ In other words, their device attempts to quantify the problem to help you collect from your insurance company.</p>
<p>This seems to be a device that registers the time between erection and ejaculation. On first look, it appears to assume that all men begin intercourse as soon as they become erect. But maybe their device is more sophisticated than the scant bit of information Iâ€™ve seen about it. And their device might be helpful in documenting the extent of the problem for those guys who ejaculate shortly after becoming erect with a partner.</p>
<p>As for the discussion here that anti-depressants cause sexual problems, keep in mind that there is more than one type of anti-depressant. For instance, the kind of sexual problem that you often hear associated with SSRIs is delayed orgasm or anorgasmia,  while ED might be more associated with trycyclic antidepressants. Again, generalizations donâ€™t always work too well, as clomipramine (Anafranil) is a trycyclic that is sometimes used off-label to help delay ejaculation.</p>
<p>And finally, I couldnâ€™t help but note that another very cool application for the Plethora Solutions PE drug might be for pain management in burn victims who are undergoing skin transplants.</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24186</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Fri, 02 Nov 2007 00:43:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24186</guid>
		<description>I don't see why the efficacy or otherwise of antidepressants in children should even be introduced into this topic. It has no real relevance does it? I understand your point of course, but it's made in the wrong place. Use of antidepressants to fix PE is one thing - not good - but they aren't used to bring on ED, which is also not good and different from PE. Anyway, probably enough on this one. G'night</description>
		<content:encoded><![CDATA[<p>I don&#8217;t see why the efficacy or otherwise of antidepressants in children should even be introduced into this topic. It has no real relevance does it? I understand your point of course, but it&#8217;s made in the wrong place. Use of antidepressants to fix PE is one thing - not good - but they aren&#8217;t used to bring on ED, which is also not good and different from PE. Anyway, probably enough on this one. G&#8217;night</p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24176</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Thu, 01 Nov 2007 20:46:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24176</guid>
		<description>Hey Guys,

What I am saying is this,Antidepressants can, and do, cause PE &#38; ED.And as I said earlier, this spray may be a godsend to those adults who need their antidepressant medications.

We are talking about adults here,"NOT CHILDREN"

Remember that antidepressants in children lack efficacy...</description>
		<content:encoded><![CDATA[<p>Hey Guys,</p>
<p>What I am saying is this,Antidepressants can, and do, cause PE &amp; ED.And as I said earlier, this spray may be a godsend to those adults who need their antidepressant medications.</p>
<p>We are talking about adults here,&#8221;NOT CHILDREN&#8221;</p>
<p>Remember that antidepressants in children lack efficacy&#8230;</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24175</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Thu, 01 Nov 2007 20:45:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24175</guid>
		<description>James,
No - not missing the point just making a different one. Numerous studies have pointed to prevalence of PE in between 21-33% of males based on widely accepted criteria. Off label use of antidepressants is seen but as I think I pointed out, it's not a particularly sensible thing to do. And it's physicians who prescribe, not pharma companies. Sorry to hear about your sister - puzzled about her having PE though as it does seem to be a male problem, unless you mean her partner had it. But then again it doesn't exist, does it?</description>
		<content:encoded><![CDATA[<p>James,<br />
No - not missing the point just making a different one. Numerous studies have pointed to prevalence of PE in between 21-33% of males based on widely accepted criteria. Off label use of antidepressants is seen but as I think I pointed out, it&#8217;s not a particularly sensible thing to do. And it&#8217;s physicians who prescribe, not pharma companies. Sorry to hear about your sister - puzzled about her having PE though as it does seem to be a male problem, unless you mean her partner had it. But then again it doesn&#8217;t exist, does it?</p>
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		<title>By: James</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24167</link>
		<dc:creator>James</dc:creator>
		<pubDate>Thu, 01 Nov 2007 20:24:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24167</guid>
		<description>No no no, Huh? and Chris, you miss the point.  Off-label prescribing of anti-depressants for a made-up condition like PE.  There's really no such thing!  And if there is, I'm sure only 20 people in the world have it.  I'm sure vitamins and exercise can cure it.  My sister had it, and she took anti-depressants for it, and it made her life hell!

There ought to be a law!  The drug companies are evil.  EVIL!</description>
		<content:encoded><![CDATA[<p>No no no, Huh? and Chris, you miss the point.  Off-label prescribing of anti-depressants for a made-up condition like PE.  There&#8217;s really no such thing!  And if there is, I&#8217;m sure only 20 people in the world have it.  I&#8217;m sure vitamins and exercise can cure it.  My sister had it, and she took anti-depressants for it, and it made her life hell!</p>
<p>There ought to be a law!  The drug companies are evil.  EVIL!</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24166</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Thu, 01 Nov 2007 20:02:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24166</guid>
		<description>If I may - I think the main 'sexual' side effect seen with antidepressants is decreased libido - more a case of not wanting to get the noodles out of the packet let alone overcook them. The 'wet noodle syndrome' is different, and is presumably ED, as Huh? points out. PE can be helped by use of antidepressants (off label) but to get an effect they must be used chronically which does not seem particularly advisable.</description>
		<content:encoded><![CDATA[<p>If I may - I think the main &#8217;sexual&#8217; side effect seen with antidepressants is decreased libido - more a case of not wanting to get the noodles out of the packet let alone overcook them. The &#8216;wet noodle syndrome&#8217; is different, and is presumably ED, as Huh? points out. PE can be helped by use of antidepressants (off label) but to get an effect they must be used chronically which does not seem particularly advisable.</p>
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		<title>By: Huh?</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24165</link>
		<dc:creator>Huh?</dc:creator>
		<pubDate>Thu, 01 Nov 2007 19:53:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24165</guid>
		<description>"wet noodle syndrome" as you so delightfully term it is completely irrelevant to the problem. PE isn't ED. 

The point is that this preparation may offer an alternative for people who currently turn to off-label use of the very drugs you so strongly protest. One would think you would welcome that development.</description>
		<content:encoded><![CDATA[<p>&#8220;wet noodle syndrome&#8221; as you so delightfully term it is completely irrelevant to the problem. PE isn&#8217;t ED. </p>
<p>The point is that this preparation may offer an alternative for people who currently turn to off-label use of the very drugs you so strongly protest. One would think you would welcome that development.</p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24157</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Thu, 01 Nov 2007 17:47:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24157</guid>
		<description>HUH?

Antidepressants and your Libido

http://www.medicinenet.com/script/main/art.asp?articlekey=51118

http://www.nytimes.com/specials/women/warchive/960515_1126.html</description>
		<content:encoded><![CDATA[<p>HUH?</p>
<p>Antidepressants and your Libido</p>
<p><a href="http://www.medicinenet.com/script/main/art.asp?articlekey=51118" rel="nofollow">http://www.medicinenet.com/script/main/art.asp?articlekey=51118</a></p>
<p><a href="http://www.nytimes.com/specials/women/warchive/960515_1126.html" rel="nofollow">http://www.nytimes.com/specials/women/warchive/960515_1126.html</a></p>
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		<title>By: Lisa Van S</title>
		<link>http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24155</link>
		<dc:creator>Lisa Van S</dc:creator>
		<pubDate>Thu, 01 Nov 2007 17:23:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/10/premature-ejaculation-may-end-soon-with-new-spray/#comment-24155</guid>
		<description>HUH?
Yes I read the Post!!....Have you read the PI of antidepressants,they can increase, "AND DECREASE" a man's sexual performance...Duh!...</description>
		<content:encoded><![CDATA[<p>HUH?<br />
Yes I read the Post!!&#8230;.Have you read the PI of antidepressants,they can increase, &#8220;AND DECREASE&#8221; a man&#8217;s sexual performance&#8230;Duh!&#8230;</p>
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