Emla 5% Cream

Emla cream has been utilised outside its licensed indication for managing premature ejaculation. Its numbing properties may help prolong ejaculation by reducing penile sensitivity. The active ingredients, lidocaine and prilocaine, work by temporarily desensitising the area, which can potentially delay climax when applied directly to the skin.

However, it is important to note that Emla cream is not officially approved for treating premature ejaculation. Using it for this purpose is considered off-label, meaning it is being used beyond its intended medical approval. Off-label usage should only be considered under medical supervision, ensuring safe and proper application with appropriate guidance from a healthcare professional.

Emla cream is a topical numbing agent containing lidocaine (2.5%) and prilocaine (2.5%), commonly used to reduce penile sensitivity and help with premature ejaculation (PE). By desensitising the area, it can increase the time between arousal and ejaculation, allowing for longer-lasting sexual performance.

Emla cream works by blocking nerve signals in the skin, reducing sensitivity at the application site. When applied to the underside of the penis near the frenulum, it numbs the area, helping to delay ejaculation. This allows men to experience greater control over climax while maintaining sufficient sensation for pleasure.

The effectiveness of emla varies, and some men may need to adjust the amount used to find the right balance between delaying ejaculation and maintaining enjoyable sensitivity.

• Apply a small, pea-sized amount to the underside of the penis, near the frenulum, 15-30 minutes before intercourse.
• Gently massage it in, ensuring the cream is absorbed.
• Wipe off any excess cream before sex to prevent transfer to a partner.
• If needed, apply a little more over a slightly wider area, but avoid overuse as excessive numbness may reduce sensation too much.

Since emla cream is oil-based, it can weaken latex condoms, increasing the risk of breakage. To prevent this, polyurethane condoms are recommended when using this treatment.

Emla is generally well tolerated, but some users may experience mild side effects, including:

Temporary redness, swelling, or tingling where applied.
Pale skin or slight numbness in the treated area.
Mild itching or burning sensation (rare).

Side effects are usually temporary and mild, but if irritation persists, or if there is an allergic reaction, discontinue use and seek medical advice. Do not apply emla to broken skin, as it may cause further irritation.

Emla is suitable for most men over 18, but some individuals should avoid using it.

Do NOT use emla if you:

• Have G6PD deficiency or methaemoglobinaemia (a blood disorder).
• Have open wounds or broken skin on the penis.
• Are allergic to lidocaine, prilocaine, or any other ingredients in the cream.

Potential Drug Interactions

Emla cream is generally safe to use, but inform your doctor if you take:

• Other medications that affect nerve function or circulation.
• Recreational drugs, as some may interact with local anaesthetics.

A medical consultation ensures that emla is safe and appropriate for your needs.