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While the fda has yet to approve drugs specifically for premature ejaculation (pe), there are medications that are used that are for other problems.
Selective serotonin reuptake inhibitors (ssris) are known to delay time to orgasm. Prozac, zoloft and Paxil (paroxetine) exhibit the greatest amount of delay. If the medication is taken regularly, it is critical to taper off as a withdrawal syndrome can occur. ...Read more
3-12 hours: Blood levels peak 3-12 hours after ingesting tablets but it may take 3 - 5 weeks to reach a consistent level since the drug induces its own metabolism (autoinduction). The dosage may have to be slowly increased to reach the appropriate blood level. I notice you describe pain - if taking tegretol for that reason it may take 4-6 weeks before you notice an improvement. ...Read more
?: If you mean pain during urination, that can be due to urinary tract infection, which yo need to be evaluated for. Urine retention thouh, or difficulty passing urine, can be a side effect of diphehydramine or any antihistaminic, not dose related, if you have so, please see your doctor or go to ER ...Read more
What should my next steps be? I have acute otitis media that was accompanied with hearing loss in my right ear that came from a cold I had last week, I went to th ER and given meds and started the regemine and still have somee pain along with the prolonge
You: You should consult with an ENT in your area. Many times, an episode of acute otitis media will result in a middle ear effusion (fluid behind the eardrum) that may take much more time to resolve than the actual acute infection. I would make sure you have been given the appropriate medications from the er (you did not state what was given) usually an antibiotic aimed at appropriate/common bacteria that cause middle ear infections, and sometimes steroids are prescribed. Unless you had a perforation, ear drops are not effective. It sounds as if your pain has improved, so you are probably resolving the acute infection. The decreased hearing may persist in some cases for weeks after the initial infection, however, a good exam, as well as an audiogram will be helpful in determining where you are in the course of the disease, as well as any potential complications and time course until resolution. In some instances (for example, after a period of observation (3-6 weeks) without any improvement) a small incision in the eardrum may be necessary to alleviate pressure and inflammation and drain the fluid from the middle ear. But that course is, thankfully, usually unnecessary. For now, see your local otolaryngologist, and make sure that you are on the right medicaitons. ...Read more