Premature ejaculation which is defined by quick ejaculation (1-2 minutes), inability to delay or control ejaculation, and distress about the condition. There are several options for treatment. Topical anesthetics (numbing medications) are one option. Lidocaine/prilocaine cream can be used when applied topically to the penis.
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Written by Dr Yasmin Aghajan, MD
Information last reviewed 06/21/19
Lidocaine/Prilocaine cream is a local anaesthetic. This means that you apply it to the skin and it will numb the area. This makes it an effective treatment for premature ejaculation. The reduced sensation into the skin of the penis, should help to reduce sexual stimulation and therefore delay ejaculation.
Lidocaine/Prilocaine (EMLA) cream works by numbing the local area to which it is applied, by affecting the flow of sodium into the neurons. It works within 5-10 minutes of application and lasts 15-20 minutes.
Lidocaine/Prilocaine Cream (EMLA) contains the following active ingredients:
Both lidocaine and prilocaine are anaesthetics that help to numb the skin.
Lidocaine/Prilocaine Cream also contains the following inactive ingredients: polyoxyethylene fatty acid esters (as emulsifiers), carboxypolymethylene (as a thickening agent), sodium hydroxide to adjust to a pH approximating 9, and purified water to 1 gram.
Please note that the inactive ingredients may vary between manufacturers. The ingredients listed above are found in the EMLA brand of Lidocaine/Prilocaine Cream.
A small amount of EMLA cream may be applied to the penis 5 minutes before intercourse. For external use only. Do not apply to open wounds, near the eyes or ears. Squeeze a narrow strip from the tube. A small amount will be systemically absorbed, but in studies this was not enough to be significant.
Use as directed by your doctor. For premature ejaculation, apply a small amount of cream to the penis 5 minutes before intercourse.
Lidocaine/Prilocaine cream should not be applied to open wounds, near the eyes, or in the ears. Allergic reactions may occur.
Small amounts applied to the skin are generally well-tolerated. The most common reactions include local redness (21-30%) application site burning (17%), swelling and itchiness. Rare cases of severe allergic reactions are reported.
There is a low risk of drug interactions when a small amount of lidocaine is applied topically. However, caution should be used if you are taking anti-arrhythmic drugs (such as tocainide or mexiletine).
Allergy to local anesthetics (such as procaine, tetracaine, benzocaine, lidocaine) or any other ingredients in EMLA.
There are no adequate and well-controlled studies in pregnant women. Lidocaine/Prilocaine Cream should only be used during pregnancy if clearly needed and prescribed by a doctor.
Avoid using Lidocaine/Prilocaine Cream while breastfeeding, as a small amount may be present in breast-milk.
EMLA Cream is a branded version of Lidocaine/Prilocaine Cream. EMLA Cream is a local numbing medication, used to treat premature ejaculation.
EMLA is made by APP Pharmaceuticals. It is also available as a generic cream as Lidocaine/Prilocaine.
Lidocaine/Prilocaine Cream can be used to treat premature ejaculation. It is also used to numb the skin before dermatologic procedures.
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