Endurance Kit

Men with premature ejaculation who aren’t relieved with Sertraline alone, who may also have erectile dysfunction contributing to sexual dysfunction, frustration and relationship anxiety. This sublingual tablet can be taken 2-4 hours before sexual activity.

Sildenafil/Sertraline/Propranolol (sublingual tablets)

Men who have sensitivity to Sildenafil, Sertraline, or Propranolol should not take this. Some man prefer Sildenafil because they might be able to predict when sexual activity will occur, and they do not expect to eat a fatty meal 2-3 hours before sex. Also, you should not take this compounded tablet if you

• have been told not to have sex, not to engage in sexual activity /actions that widen your blood vessels
• have peyronie's disease, curved or bent penis
• have low blood pressure (hypotension)
• have blood vessel problems (aortic stenosis, idiopathic subaortic stenosis)
• have had a stroke lately
• have unstable angina
• have had a heart attack
• have a history of non-arteritic anterior ischaemic optic neuropathy (this condition causes a sudden loss of vision)
• have sickle cell anemia, blood disorders, leukemia

‍
Benzocaine/Lidocaine/Tetracaine (cream)

Anyone with a known allergy to any of the ingredients should not use Benzocaine/Lidocaine/Tetracaine. Tell your doctor if you’re taking other local anaesthetics. Also, you should not take this compounded cream if you:

• don’t have the enzyme glucose-6-phosphate dehydrogenase in your blood (G6PD deficiency)
• have methemoglobinemia (red blood cell disorder)
• have anemia
• are taking medications that can cause anaemia or methemoglobinemia
• are taking medication to treat an irregular heartbeat, like amiodarone
• have atopic dermatitis (eczema) on your penis or genital area
• have broken skin, sores, or open wounds on your penis

Note: Methemoglobinuria may occur when using local anaesthetics concurrent with the use of: Nitrates/Nitrites, Antineoplastic agents, Antibiotics, Chloroquine/primaquine or Anticonvulsants. Caution should be exercised in patients receiving: Reserpine, Verapamil, Digitalis, or Haloperidol.

Sildenafil - Side effects can vary among PDE5-inhibitors, but nasal stuffiness, flushing, dizziness and upset stomach are possible side effects. Please report to your doctor if experience any side effects, including:

• pain in your back/muscles/head
• migraines
• getting flushed/going red
• indigestion
• feeling and or being sick
• getting a blocked or runny nose
• vision disturbances

‍

‍Sertraline - Side effects from taking sertraline close in time to an MAOI are serious or even life threatening, including:

• high fever
• rapid changes in heart rate or blood pressure
• uncontrolled muscle spasms
• confusion
• stiff muscles
• loss of consciousness (pass out)

‍

The most common side effects include:

• nausea or loss of appetite
• diarrhea or indigestion
• increased sweating
• tremor or shaking
• agitation
• change in sleep habits including increased sleepiness or insomnia
• sexual problems including decreased libido and ejaculation failure
• feeling tired or fatigued
• anxiety

‍

Benzocaine/Lidocaine/Tetracaine - This compounded cream should improve sex if it’s used properly and if it works to treat your premature ejaculation. It shouldn’t have negative effects, if you don’t use too much or leave it on too long. Excessive numbing may occur with over application of cream. Uncommon side effects include itchiness, redness, burning sensation, lightening of your skin, or a warm sensation. The following side effects are rare:

• Slow or shallow breathing
• Pale, bluish skin around the mouth and lips
• Dizziness
• Fainting
• A fast, slow, or irregular heartbeat
• Mood changes, like confusion or nervousness
• Seizures
• Severe drowsiness
• Blisters on the skin on the penis

For a list of all known side effects and warnings read the patient leaflet supplied with your medication.