Tramadol For Premature Ejaculation: Plus Top 4 Best Alternatives

There are a few over-the-counter options for treating premature ejaculation, but some medicines are also used in ways that are not approved by the FDA. Tramadol for premature ejaculation , which is usually given for pain, has been shown to help slow down the time it takes for men to ejaculate.
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tramadol for premature ejaculation uses
You may know Tramadol as a painkiller, but it can also be used to stop men from ejaculating too soon.

Tramadol for premature ejaculation does have some side effects, so it may not be the best choice for every man. Here’s a closer look at what you need to know about using Tramadol to treat premature ejaculation, as well as some safer and possibly more effective alternatives.

What Is Tramadol?

Tramadol is a medication that is usually given by a doctor to treat moderate to severe pain.

The drug is in a class of painkillers called opioid analgesics. It’s important to talk about how dangerous and addictive opioids like Tramadol are, and how they’ve hurt a lot of families. Make sure to talk to your doctor about the risks of this type of treatment for premature ejaculation.

You can get tramadol for premature ejaculation in the form of extended-release capsules, a liquid solution, or regular tablets. Tramadol blocks pain signals between nerves and the brain by affecting the central nervous system (CNS).Most of the time, this medicine is given to people who have pain that doesn’t go away or keeps coming back.

It can be taken in either an extended-release or regular form, and it works well for both short-term and long-term pain. But all people who are given the drug have to be checked regularly for side effects.

It is important to know that Tramadol can cause both physical and mental dependence. Either type of dependence can lead to withdrawal symptoms if a person suddenly stops taking the medicine after using it for a long time.

So, products like Promescent Delay Spray can be a safer way to stop ejaculation before it’s time.

How it’s Supposed to Work

Tramadol comes in many different forms, such as liquid solutions, tablets, capsules, and tablets that release the drug slowly over time.

It’s also a flexible medicine. It can be given quickly to treat pain that is happening right now, or it can be given slowly over time to treat pain that is happening all the time.

In some cases, you can take it with or without food, but you should always take it exactly as your doctor tells you to for your own needs.

It’s important not to stop taking tramadol all of a sudden without the help of a medical professional, as this can lead to withdrawal symptoms.

Does Tramadol Work For Premature Ejaculation?

Tramadol helps PE by changing the way people feel things during sex. A few small studies have shown that some men may be able to stop ejaculating too early by taking Tramadol.

In 2013, the Indian Journal of Psychological Medicine published a small study that looked at the use of Tramadol for premature ejaculation and the differences between daily treatment and treatment that isn’t done every day.

The test group was made up of 60 men between the ages of 28 and 45 who had been diagnosed with PE and took less than a minute to ejaculate.

With daily treatment, men in the treatment group had ejaculation times that were about three times longer than the baseline (just over three minutes).

About the same results came from sporadic treatment (almost four minutes). Men in the placebo group did have delayed orgasms compared to their baseline, but it still took less than two minutes for them to ejaculate.

A systematic review of the existing Tramadol studies on premature ejaculation came out in 2015. Researchers looked at a total of eight studies. Compared to non-opioid treatments like Paxil (paroxetine) or Zoloft, Tramadol was shown to be effective for PE (sertraline).

Tramadol, on the other hand, has been linked to a number of negative side effects, including:

  • Erectile dysfunction
  • Dizziness
  • Drowsiness

At that time, there wasn’t enough evidence to know if taking Tramadol for premature ejaculation led to addiction problems.

Tramadol Dosage For Premature Ejaculation

Most of the studies mentioned above looked at a dose of 100mg of Tramadol for premature ejaculation. Tramadol dosage levels can vary from person to person, though. It is very important to talk to your doctor about how much Tramadol you should take.

If you take too much Tramadol, you could have trouble breathing or become addicted. Doctors often give people a low dose of Tramadol to start with.

How to take Tramadol for premature ejaculation

If a doctor tells you to take Tramadol for premature ejaculation, you should always do what they say.

Tramadol comes in different forms and is taken in different ways. For example, you should only take extended-release tablets or capsules once a day.

And if treatment is only needed occasionally, the medicine can only be taken right before sex. Even if the drug is only used sometimes, there will likely be strict rules about how often it can be used.

Tramadol’s risks and side effects

The long list of side effects that can happen when taking Tramadol is its biggest weakness.

Tramadol shouldn’t be taken with a number of other drugs, both over-the-counter and prescription, as well as some vitamins and supplements.

Patients should also stay away from the drug if they have problems with their intestines, seizures, fertility issues, or other health problems.

Some people who take Tramadol have trouble breathing. During treatment, doctors keep a close eye on patients for shortness of breath, slow breathing, and long pauses between breaths.

Because of this, Tramadol is usually not given to people who already have trouble breathing because of an illness.

Some of the most common Tramadol for premature ejaculation side effects are:

  • Drowsiness
  • Headache
  • Nervousness
  • Muscles get tight
  • Mood swings
  • Indigestion
  • Constipation
  • Shaking

Some less common side effects, like agitation, swelling of the face, eyes, tongue, or limbs, an irregular heartbeat, vomiting, or even seizures, can be more serious. People who have been taking Tramadol for a long time and suddenly stop taking it can have withdrawal symptoms.

Some of the signs of withdrawal are:

  • Feelings of fear or panic
  • Sweating
  • Sleep disturbances
  • sneezing, a cough, or a runny nose
  • Physical pain
  • Nausea, diarrhea, or problems with the stomach
  • Shaking
  • Hair feels like it is standing up
  • Hallucinations

Tramadol vs. Other Treatments For PE

Even though Tramadol for premature ejaculation does work to treat the condition, it comes with a lot of risks and side effects. Men who have trouble ejaculating too quickly have a lot of options, and they may want to look into some of them.

Here are some other ways to treat PE that can work just as well.

1. Delay sprays

Delay sprays, like Promescent Delay Spray, are topical solutions made with lidocaine that reduce sensitivity and make sex last longer.

To use delay spray, just spray the desensitizing agent on the sensitive parts of the penis a few minutes before sex (about 10 minutes). The lower levels of sensitivity help to put off ejaculation.

Sprays that delay ejaculation have been shown to work, and they do this with a very low risk of side effects. In an event-level study of Promescent spray, men who used it took an average of 11.6 minutes longer to ejaculate than men who didn’t use it.

2. Delay wipes

Delay wipes are pre-moistened wipes that have a desensitizing agent in them to make the penis less sensitive and put off orgasm. A solution of benzocaine is used to make delay wipes like the ones made by Promescent.

Another drug that can be bought without a prescription is benzocaine. You can also use these wipes to help with ejaculation that happens too soon.

3. Exercise

Kegel exercises, which are also called exercises for strengthening the pelvic floor, may help you have more control over ejaculation.

When you do Kegel exercises, you work to strengthen the pelvic floor muscles. These are the same muscles that men use to stop their urine from flowing. One study showed that more than 82% of the men who did kegel exercises felt stronger in the bedroom.

4. Sex techniques

During sex, there are a few ways to delay ejaculation that work well. And any desensitizing product, like delay wipes or delay spray, can be used with these methods.


Edging (the start/stop method) involves finding the “point of no return” during sex, which can take some trial and error.

Once you know your stopping point, you can have sex or enjoy stimulation until you reach this point and then stop.

Let the feeling of orgasm go away, and then start making love again. Edging can be used over and over to make a sexual session last longer.

The squeeze technique

The squeeze method is similar to edging, but there is one difference. When you stop, you squeeze the head of the penis hard until you no longer feel the need to ejaculate. After that, sexual activity can start up again.

In Conclusion

So is tramadol for premature ejaculation an effective treatment?

Tramadol might help with PE, but there are some side effects to think about. It is a painkiller that needs a doctor’s prescription, which means it affects the brain and nervous system and could lead to addiction.

Since there are so many other less risky ways to treat premature ejaculation, this might be something you only try if you’ve tried everything else.

When you want to delay ejaculation, delay sprays and wipes, kegel exercises, and certain other techniques can be very helpful.

And you don’t have to worry about the more dangerous side effects that come with Tramadol when you use these alternatives.


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