Tramadol is usually prescribed for moderate to severe pain. However, researchers have discovered that it may also help men with PE delay ejaculation, if taken two to four hours before sex.
The researchers noted that tramadol appears to be more effective than a placebo at producing delay in ejaculation. They also found that individual trials suggest that tramadol works better as a PE treatment than medications such as paroxetine and sildenafil (Viagra®).
This monoamine reuptake inhibition is believed to contribute to its effectiveness as a painkiller. The effects of immediate-release tramadol will be felt for about 4–6 hours, while the extended-release version provides effects for about 12-24 hours.
Reporting in the International Journal of Impotence Research, they say small doses of tramadol two to three hours before sex increased the time between starting sex and orgasm from just 20 to 60 seconds to between three and ten minutes.
Tramadol is a strong painkiller from a group of medicines called opiates, or narcotics. It's used to treat moderate to severe pain, for example after an operation or a serious injury. If you have long term pain, your doctor may also prescribe it if weaker painkillers no longer work.
Interactions between your drugs
No interactions were found between tramadol and Viagra.
Viagra helps to maintain the erection after ejaculation and reduces the refractory time before a second erection can be obtained. These medications may be combined with various creams aimed at reducing sensitivity.
The “Pause-Squeeze” Technique for Delaying Ejaculation
Many doctors will suggest squeezing the penis for 30 seconds to delay ejaculation, but you might need to do it for longer or shorter. The squeeze method is effective in delaying orgasm multiple times, meaning you can last longer during sex.
Medications like sildenafil (Viagra) or tadalafil (Cialis) may improve sexual function and enhance orgasm in some women. Hormonal therapies, like topical testosterone, can also help with sexual function.
This review demonstrates a significant damage to testicular tissue with chronic tramadol administration. Tramadol was demonstrated to affect male reproductive hormones by decreasing serum testosterone and gonadotrophins and increasing estradiol and prolactin.
Long-term use of tramadol can cause damage to the liver and kidneys. Tramadol can also cause serious and life-threatening breathing problems. Serotonin syndrome may also occur as a result of tramadol use. Serotonin syndrome involves mental status changes, neuromuscular hyperactivity, and autonomic hyperactivity.
The potency of tramadol is reported to be 1/10 (one tenth) to 1/6 (one sixth) that of morphine.
Both tramadol and codeine are prescription painkillers, and they seem to be equally effective in terms of pain relief. There is no evidence that tramadol is any stronger than codeine at relieving pain.
Sildenafil (Viagra) helps people with erectile dysfunction (ED) last longer in sexual situations. It hasn't been tested in treating delayed ejaculation. However, at least one new study indicated that another ED drug, tadalafil (Cialis®), may promote ejaculation.
Most of the participants described tramadol as an effective drug for de-stressing themselves and relieving tiredness or fatigue.
Masturbating regularly can help build up your stamina and enable you to last longer during sex. You can also practice behavioural techniques while masturbating, so you are more comfortable using them during sex. Condoms - Condoms decrease sensitivity and therefore usually increase the time taken to ejaculate.
Healthy lifestyle habits can help your erections feel healthier and last longer. Eating well, exercising, abstaining from smoking or drinking alcohol, getting enough sleep, communicating with your partner, and reducing stress can all play a role in improving your sexual responsiveness.
A penile erection can normally last anywhere from a few minutes to about half an hour. On average, men have five erections a night while they're sleeping, each lasting about 25 to 35 minutes (Youn, 2017).
While there is no definite age at which male ejaculation ceases, it has been suggested that it may happen when a man reaches his late 40s or early 50s. It is important to note, however, that this is not a universal rule and some men may continue to ejaculate at a later age.
The evidence base on erectile dysfunction, decreased libido, hypogonadism, anorgasmia, and risky sexual behaviors in patients abusing tramadol is inadequate. Conclusions: Tramadol may offer a useful intervention for treating PE.
Our study found a statistically significant negative correlation between daily dose of tramadol and both erectile function and sexual desire. This is in consistent with Cushman (1973) who found a significant inverse correlation between opiates dose and serum testosterone level and hence sexual functions.
Important. Do not take medicines called monoamine oxidase inhibitors or MAOIs (which are used to treat depression) with tramadol. The combination can cause significant side effects such as anxiety, confusion and hallucinations.