Duralast is a short-acting potent serotonin reuptake inhibitor (SSRI). Serotonin is thought to play a role in ejaculatory reflex mediation and is believed to act centrally and peripherally to inhibit ejaculation, perhaps via the serotonin (5HT)1a receptor. In the original application to the TGA, the proposed therapeutic indication for Duralast was for the treatment of premature ejaculation in male subjects aged 18-64 years who have the following: i) persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the patient wishes, ii) marked personal distress or interpersonal difficulty as a consequence of premature ejaculation, and iii) poor control over ejaculation.
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