PMID- 31171764 OWN - NLM STAT- MEDLINE DCOM- 20200116 LR - 20221207 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 25 DP - 2019 Jun 7 TI - Efficacy and Safety of "On-Demand" Dapoxetine in Treatment of Patients with Premature Ejaculation: A Meta-Analysis. PG - 4225-4232 LID - 10.12659/MSM.913606 [doi] AB - BACKGROUND The aim of this study was to assess the efficacy and safety of "on-demand" dapoxetine in the treatment of premature ejaculation (PE). MATERIAL AND METHODS We performed a meta-analysis of intravaginal ejaculatory latency time (IELT), patient-reported global impression of change (PGIC), perceived control over ejaculation (PCOE), and drug-related adverse effects (AEs). We searched Medline, PubMed, Embase, CNKI, Wanfang, and VIP databases up to May 30, 2018 with the following search terms: "dapoxetine" or "SSRIs" and "premature ejaculation" or "sexual dysfunction". RESULTS Our analysis included 11 RCTs (8521 cases and 4338 controls). We found that IELT, PGIC, and PCOE in PE patients with "on-demand" dapoxetine were significantly higher than in the control group, and we observed higher proportions in 60 mg vs. 30 mg dapoxetine. The AEs were mild and tolerable. CONCLUSIONS "On-demand" dapoxetine is effective and safe for patients with PE, and a dose of 60 mg may be more effective than 30 mg. FAU - Du, Yuefeng AU - Du Y AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). AD - Oncology Research Lab, Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi'an, Shaanxi, China (mainland). FAU - Jiang, Yumei AU - Jiang Y AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). AD - Oncology Research Lab, Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi'an, Shaanxi, China (mainland). FAU - Zhang, Jing AU - Zhang J AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). FAU - Tian, Ge AU - Tian G AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). FAU - Zhang, Na AU - Zhang N AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). FAU - Wu, Dapeng AU - Wu D AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). FAU - Bai, Xiaojing AU - Bai X AD - Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland). AD - Oncology Research Lab, Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi'an, Shaanxi, China (mainland). LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20190607 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Benzylamines) RN - 0 (Naphthalenes) RN - 0 (Serotonin Uptake Inhibitors) RN - GB2433A4M3 (dapoxetine) SB - IM MH - Adult MH - Benzylamines/*administration & dosage/pharmacology MH - Drug-Related Side Effects and Adverse Reactions MH - Ejaculation/drug effects MH - Humans MH - Male MH - Middle Aged MH - Naphthalenes/*administration & dosage/pharmacology MH - Premature Ejaculation/*drug therapy MH - Selective Serotonin Reuptake Inhibitors/therapeutic use MH - Treatment Outcome PMC - PMC6570993 COIS- Competing interests None. EDAT- 2019/06/07 06:00 MHDA- 2020/01/17 06:00 PMCR- 2019/06/07 CRDT- 2019/06/08 06:00 PHST- 2019/06/08 06:00 [entrez] PHST- 2019/06/07 06:00 [pubmed] PHST- 2020/01/17 06:00 [medline] PHST- 2019/06/07 00:00 [pmc-release] AID - 913606 [pii] AID - 10.12659/MSM.913606 [doi] PST - epublish SO - Med Sci Monit. 2019 Jun 7;25:4225-4232. doi: 10.12659/MSM.913606.