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You will get a free prescription issued by our doctors.

Note: By continuing with this order, you confirm that you are over the age of 18 and have the mental capacity to make decisions for your health.If your consultation is approved, you will be offered treatment for you and the prescriber to jointly consider. However, the final decision always will be the prescriber's.

Learn more about Premature Ejaculation on the NHS website.

From £22.99
From £31.99

Premature Ejaculation

Priligy

From £22.99

ABOUT YOU

Are you a male aged between 18 - 64?

Does premature ejaculation cause you personal distress or inter-personal difficulty with your partner?

Do you drink alcohol?

Do you suffer any pain whilst ejaculating, or do you have any difficulty or pain passing urine?

YOUR SYMPTOMS

Do you ejaculate before you want to?

Does it take you less than 2 minutes to ejaculate after penetration?

Have you been suffering from premature ejaculation for more than 6 months?

Do you find it difficult to achieve or maintain an erection before ejaculation?

YOUR HEALTH

Do you have low blood pressure (below 90/50)?

  • If you do not know your blood pressure you can have this measured at your local pharmacy/GP surgery.

Do you have a tendency to faint or get light-headed when you stand up from a lying position?

Are you allergic (hypersensitive) to Priligy or dapoxetine?

Have you ever suffered from any of the problems listed below?

  • mental health conditions such as depression, mania, bipolar disorder or schizophrenia
  • Heart conditions (e.g. angina, chest pain, heart failure, irregular heartbeats, heart attack or narrowing of any heart valve)
  • a history of bleeding or blood clotting problems
  • a history of glaucoma or have been told you are at increased risk of glaucoma due to family history raised intraocular pressure
  • kidney problems
  • prostate problems
  • epilepsy
  • recurrent fainting
  • moderate or severe liver problems galactose intolerance, the Lapp lactase deficiency or glucose−galactose malabsorption
  • any serious medical condition which may require immediate hospitalisation

YOUR MEDICATION

Are you currently taking any medication (including over the counter, prescription or recreational drugs)?

AGREEMENT

Fill in this field if you would like us to notify your GP surgery.

Do you agree with the following?

  • You will read the patient information leaflet supplied with your medication
  • You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start a new medication or if your medical conditions change during treatment.
  • The treatment is solely for your own use
  • You give permission to access you NHS Summary Care Record in order to identify you correctly, check your medical history and provide the best possible care.
  • You give permission to contact your GP to inform them of your treatment.
  • You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.
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