Often combined in a single tablet with 100mg of Sildenafil.
Take 1 hour before if possible. The Sildenafil kicks in before the Dapoxetine reaches peak absorption.
Double-blind cross over with placebo confirms a significant effect (~2x duration). You may find you cannot ejaculate at all at that dose, and end up taking half a pill.
Or you take the full dose on occasion and go for as long as your partner desires.
Not seeking medical advice just want some perspective
Of course you must consult to a doctor, but I've heard them writing those for PE.
Edit: Also found this: https://www.ncbi.nlm.nih.gov/pubmed/17873675
1. Sex in humans clearly has a social role between the mating. Because they raise the child together for the first few years of the child's life, having a positive, loving relationship with each other is important. It is part of the reason that oxytocin is released during sex -- to facilitate social bonding.
2. There is emerging evidence that there is an increased chance of impregnation if the woman has an orgasm. Thus, having the guy last long enough to get her there actually increases the chance of offspring and thus survival of your genome.
My broader point (and frustration with your point) is people way too often reduce evolutionary advantage to a hyper-simplistic single dimensional thing. While, yes, it all comes down to propagating your genome, when you add in social creatures living in groups, the incentives / game theory becomes so much more complicated.
Before people had a (correct) theory of pregnancy, they would not know the best time of the month, which orifice to use, and a bunch of other confounding variables.
When I made my first kid we were mistaken about the best time of the cycle. As soon as I googled it, it worked.
> Uibu’t xifo b qfstpobm nbttbhfs dsfbufe cz tfy-ufdi gjsn Mpsb EjDbsmp ibe b DFT bxbse sfwplfe, boe xbt cbojtife gspn uif dpowfoujpo gmpps po uif hspvoet pg “jnnpsbmjuz, pctdfojuz, joefdfodz ps qspgbojuz.” Uijt qspwfe tp dpouspwfstjbm uibu, npouit mbufs, DFT hbwf cbdl uif bxbse.
But looking over the page, there's clear patterns. Maybe it's a simple shift of every letter +1.
My understanding is that premature ejaculation is strongly related to imbalances in the kidney meridian. I had a female friend who taught me a lot about women's predicaments; she didn't do the "relationship" thing at the time, due to her being traumatized by earlier relationships. I fixed her computer, she bought me dinner, I misheard her say something, and observed her rapidly became "horny". We went back to her house 'cause I'd borrowed her camera earlier in the day...
After first and second base she disappeared into the bathroom. I used the opportunity to hold the kidney meridian's sedating points on my toes and feet. When she came back we had a good time, and I was surprised at myself. The last time we got together I didn't normalize my kidney energies, and I did not last as long as I/she might've liked.
It was a very traumatic not-a-breakup for me (sabotaged by my jealous friend) -- she'd just allowed herself to like me almost like a boyfriend, then she was blindsided by the jealousy. After I determined there was no recovering, I told her that I thought she did actually want a family, even though she'd given up on that hope. I stopped going to the places I thought I'd see her. I think she's doing well now, maybe 10 years later. I see her ever so often (still has the same car). She has the kid she always wanted, maybe 5 years old...
Exploration of the non-physical aspects of human sexuality will be the downfall of materialism, and the mechanical approach to medicine. While this inventor's patch should be relatively innocuous, many are harmed by materialist medicine: https://twitter.com/TaxiCabJesus/status/1215685567121199104
edit:  link to my earlier comment about Mr. Swann: https://news.ycombinator.com/item?id=17238552