Hi Dev,

Yes, some doctors prescribe Prozac to help with premature ejaculation, however, it is considered an "off label" use of the drug, which means that the FDA has not approved Prozac for this treatment.  That does not necessarily mean it is unsafe.

20 mg a week is not a lot of Prozac when you think about the fact that people taking it for depression are taking at least that much every single day.  But if you're concerned, there are certainly other things you can try, such as wearing a condom, masturbating an hour or two prior to intercourse just to name a few.

Regards,

Jennifer L. Fee, Psy.D.

The Stress Masters

*Jennifer Fee, Psy.D. is a Psychologist, not a Psychiatrist. Psychiatrists prescribe medications, Psychologists study them, but the majority of Psychologists are not authorized to prescribe meds. or give you specific advice about them. Dr. Fee's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.

Hi Dev:

I agree with Dr. Fee regarding it being an off label application, however, research is under way to determine the effectiveness of Prozac for premature ejaculation.

Prozac is one of the oldest antidepressants and therefore a tremendous amount is known about it. 

Since it is an SSRI, one of the typical side effects is decreased sex drive. It is likely that you would know by now if you had this as a problem. Salipax is a name for fluoxetine that is produced outside the United States, and thus not under the supervision of the FDA for production. You can read more about Prozac here.

As far as paranoia, I wouldn't be concerned about this unless you are diagnosed with Depression with Psychotic Features, Bipolar Disorder (the old name was manic depression), Schizoaffective Disorder or Schizophrenia. Prozac will not cause severe mental illness symptoms if you are not already at risk.

If you are tolerating it well and are still concerned with the health hazzards, you should speak with your doctor.

Best of luck,

Dr. Diana Walcutt

*Dr. Walcutt is a Psychologist. Dr. Walcutt's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.