EMLA Cream 5% 30g

Premature Ejaculation Doctor Service

Emla 5% Cream is a local anaesthetic cream, often used by doctors for minor surgical procedures for Adults, Adolescents and Children.

This cream can be also used to treat premature ejaculation in adult men.

Premature ejaculation is when a man ejaculates with little sexual stimulation and before the man wants. This can cause problems for the man and may cause problems in sexual relationships.

EMLA Cream contains two active substances called lidocaine and prilocaine. These belong to a group of medicines called local anaesthetics.

How This Medicine Works

Emla Cream works by numbing the surface of the skin for a short time and can be used to decrease sensitivity in the penis, however you may still have the feelings of pressure and touch. This medicated cream can help men deal with premature ejaculation and has positive results. 

• Increases the time it takes to ejaculate and can improve the control over the ejaculation. This may reduce the frustration or worry about fast ejaculation.

This medication is indicated to be used for men before 15-20 minutes of sexual intercourse.

Priligy is not suitable for people living with certain conditions or those taking certain medicines. Always use Emla Cream exactly as described in the Patient Information Leaflet or as your doctor, pharmacist or nurse has told you. Check with your doctor, pharmacist or nurse if you are not sure.

A good self care guide and information for premature ejaculation is available on the NHS website.

NHS - Ejaculation problems

What Is Premature Ejaculation?

Premature ejaculation is a common sexual problem. It's where the male ejaculates too quickly during sexual intercourse.

A study looking at 500 couples from 5 different countries found the average time taken to ejaculate during intercourse was around 5-and-a-half minutes. However, it's up to each couple to decide if they’re happy with the time taken – there's no definition of how long sex should last.

Occasional episodes of premature ejaculation are common and are not a cause for concern. However, if you're finding that around half of your attempts at sex result in premature ejaculation, it might help to get treatment.

Various psychological and physical factors can cause a man to suddenly experience premature ejaculation.

Common Physical Causes Include:

• Prostate problems
• Thyroid problems – an overactive or underactive thyroid gland
• Using recreational drugs
  Biological reasons – some men may find their penis is extra sensitive

Common Psychological Causes Include:

• Depression, stress, or other emotional problems
• Anxiety about your relationship or sexual performance

Like all medicines, this medicine can cause side effects, although not everybody gets them. 

• Do not use it, if you are allergic to any of the ingredients.
• For a full list of side effects, please read the patient information leaflet.

Possible Side Effects

If you experience any of the following effects while you are using Emla Cream, stop using it and

check with your doctor or pharmacist as soon as possible:

• A mild reaction (paleness or redness of the skin, slight puffiness, initial burning or itching) may occur
  on the area on which EMmla is used. These are normal reactions to the cream and the anaesthetics and
  will disappear in a short while without any measures being needed.
• Allergic reactions, which in rare cases (skin rash, swelling, fever, respiratory difficulties and fainting) during treatment of skin, genital mucosa or leg ulcers.
• Methaemoglobinaemia (blood disorder), which in rare cases may develop during treatment of the skin, and may cause signs and symptoms of hypoxaemia. Methemoglobinaemia is more frequently observed, often in connection with overdose, in newborn infants and infants aged 0 to 12 months.

Very common side effects (may affect up to 1 in 10 people):

• Transient local skin reactions (paleness, redness, swelling) in the treated area during treatment of
  skin, genital mucosa or leg ulcers.
  An initially mild sensation of burning, itching or warmth at the treated area during treatment of
  genital mucosa or leg ulcers.

Uncommon side effects (may affect up to 1 in 100 people):

• Numbness (tingling) in the treated area during treatment of genital mucosa.
• An initially mild sensation of burning, itching or warmth at the treated area during treatment of
  the skin).
• Irritation of the treated skin during treatment of leg ulcers.

Rare side effects (may affect up to 1 in 1,000 people):

• Small dot-shaped bleeding on the treated area (particularly on children with eczema after longer
  application times) during treatment of the skin.
• Irritation of the eyes if Emla Cream accidentally comes into contact with them during treatment
  of the skin.

If you get any side effects, talk to your doctor, our Rightdose pharmacists or nurse. This includes any possible side effects not listed in this leaflet.

You can help to make medicines safer by reporting any side-effects to the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

Patient Information Leaflet Emla 5% Cream

What you need to know before you use EMLA Cream

Do not use Emla Cream:

• If you are allergic to lidocaine or prilocaine, other similar local anaesthetics.
• If you are allergic to any of the ingredients. 

Other medicines and Emla Cream

Tell your doctor or pharmacist if you are using / taking, have recently used / taken or might use / take any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because EMLA Cream can affect the way some medicines work and some medicines can have an effect on EMLA Cream.

In particular, tell your doctor or pharmacist:

• Medicines used to treat infections, called ‘sulphonamides’ and nitrofurantoin.
• Medicines used to treat epilepsy, called phenytoin and phenobarbital.
• Other local anaesthetics.
• Medicines to treat an uneven heartbeat, such as amiodarone.
• Cimetidine or beta-blockers, which may cause an increase in the blood levels of lidocaine. This interaction is of no clinical relevance in short-term treatment with Emla Cream in recommended doses

Pregnancy, breastfeeding and fertility

• If your partner is pregnant or breastfeeding, or think may be pregnant or are planning to have a baby, ask
  your doctor or pharmacist for advice before using this medicine.
• Occasional use of Emla Cream during pregnancy is unlikely to have any adverse effects on the
  foetus.
• The active substances in Emla Cream (lidocaine and prilocaine) are passed into breast milk. However, the amount is so small that there is generally no risk to the child.

How to store Emla Cream

• Keep this medicine out of the sight and reach of children.
• Do not store above 30°C and do not freeze.
• Do not use this medicine after the expiry date which is stated on the package and tube after “EXP:”. The expiry date refers to the last day of that month.
• Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

Always use Emla Cream exactly as described or your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

This cream has been used to help men who suffer premature ejaculation, by numbing the sensitivity of the penis.

EMLA should be applied around 20 minutes before sexual activity and allowed to absorb into the skin. After this time, you should wash the cream off before having sex.

• Apply the cream only with cleansed hands and on a cleansed penis. Half a 5 g tube corresponds to about 2g Emla Cream, this is a usual amount for an adult patient. Speak to your doctor or pharmacist before using this product so you can be sure that you’re using the right dose for you.
• Allow to absorb into the skin.
• After 15-20 minutes wash off any residue of the cream before sexual activity.

Do not use Emla Cream on the following areas:

• Cuts, grazes or wounds, excluding leg ulcers.
• Where there is a skin rash or eczema.
• In or near the eyes.
• Inside the nose, ear or mouth.
• In the back passage (anus).

Persons frequently applying or removing cream should ensure that contact is avoided in order to prevent the development of hypersensitivity.

Warnings and Precautions

Talk to your doctor, pharmacist or nurse before using Emla Cream:

• If you have a rare inherited illness that affects the blood called ‘glucose-6-phosphate
  dehydrogenase deficiency’.
• If you have a problem with blood pigment levels called ‘methemoglobinaemia’.
• If you have an itchy skin condition called ‘atopic dermatitis’, a shorter application time may be sufficient. Application times of longer than 30 minutes may result in an increased incidence of local skin reaction. 
• If you take particular products for heart rhythm disorders (class III antiarrhythmics, such as
  amiodarone). In that case the doctor will monitor your heart function.

Do not use Emla Cream on areas with skin rash, cuts, grazes or other open wounds, with the exception of a leg ulcer. If any of these problems are present, check with your doctor, pharmacist or nurse before using the cream.

• Avoid getting Emla Cream in the eyes, as it may cause irritation. If you accidentally get Emla Cream in your eye, you should immediately rinse it well with lukewarm water or salt (sodium chloride) solution. 
• Due to the potentially enhanced absorption on the newly shaven skin, it is important to follow the recommended dosage, skin area and application time.
• Emla Cream should not be applied to an impaired eardrum.
• When you use EMLA Cream before being vaccinated with live vaccines (e.g. tuberculosis vaccine),
  you should return to your doctor or nurse after the time period requested to follow-up the vaccination
  result.

Driving and using machines

EMLA Cream has no or negligible influence on the ability to drive and use machines when used at the recommended doses.

EMLA Cream contains macrogolglycerol hydroxystearate

Macrogolglycerol hydroxystearate may cause skin reactions.

Ingredients:

The active substances are lidocaine and prilocaine. Each gram of cream contains 25 mg of lidocaine and 25 mg of prilocaine.

The other ingredients are macrogolglycerol hydroxystearate, Carbomer 974P, sodium hydroxide and purified water.

What EMLA Cream 5% looks like and contents of the pack:

EMLA Cream 5% is a white soft cream.

This product is available in different pack sizes. You will have been provided with a suitable pack size for your intended use.