Fortacin® Spray

Fortacin® is a topical spray specifically approved for the treatment of premature ejaculation (ejaculatio praecox). It contains a combination of lidocaine (150 mg/ml) and prilocaine (50 mg/ml) and is sprayed onto the head of the penis 5 minutes before sexual intercourse.

Unlike the off-label use of Emla® cream, Fortacin® provides precise and reproducible dosing thanks to its spray mechanism. Each spray delivers a defined amount of active ingredient, which makes application simpler.

Mechanism of action:

• Lidocaine and prilocaine block sodium channels in sensory nerve fibers
• Reduce the sensitivity of the head of the penis
• Prolong the intravaginal ejaculatory latency time (IELT)

Specially developed formulation:

• Metered-dose spray for precise dosing
• Rapid onset of action: 5 minutes
• Spray formulation spreads evenly

Clinical results:

• Average 3–6-fold prolongation of the IELT
• Significant improvement in sexual satisfaction
• Significant improvement in control over ejaculation

Fortacin® is suitable for:

• Men aged 18 and over with premature ejaculation
• Primary (lifelong) premature ejaculation

Compared with Emla®:

• Official approval for this indication
• Precise dosing thanks to the spray mechanism
• Shorter contact time (5 minutes vs. 15–20 minutes)
• No need to wash off (if a condom is used)

Not suitable:

• Allergy to local anesthetics (amide type)
• Use on injured skin/mucous membranes

Dosage:

• 3 sprays onto the head of the penis, 5 minutes before sexual intercourse
• 1 spray = 7.5 mg lidocaine + 2.5 mg prilocaine
• 3 sprays = 22.5 mg lidocaine + 7.5 mg prilocaine

Maximum dose:

• No more than 3 sprays per application
• A maximum of 3 applications within 24 hours (at least 4 hours apart)

Note: Test the first application without a partner first to assess the individual effect.

Application: 1. Shake the bottle well 2. Distribute 3 sprays over the head of the penis (corona and frenulum) 3. Leave on for 5 minutes 4. BEFORE sexual intercourse: wipe off excess spray with a cloth 5. OR: use a condom (erectile dysfunction and numbness in the genital area may occur more often with this)

Important notes:

• Spray only onto the head of the penis, not onto the shaft of the penis
• Wipe off excess spray before vaginal contact or use a condom (numbing of the partner!)
• Do not use with polyurethane condoms (male or female): these can be damaged, and protection against pregnancy and sexually transmitted diseases may be reduced → condoms made of latex, polyisoprene, nitrile or silicone can be used
• Test the first application without sexual intercourse
• If numbing is too strong: reduce the dose to 2 sprays

Fortacin® must not be used:

• In case of allergy to lidocaine, prilocaine or other amide-type local anesthetics
• On injured or inflamed skin

Caution in case of:

• Congenital methemoglobinemia
• G6PD deficiency
• Concomitant use of methemoglobin-inducing medications
• A partner with known sensitivity to local anesthetics

Common (1–10%):

• Erectile dysfunction (temporary, with too much active ingredient)
• Burning, numbness at the application site
• Reduced vaginal sensitivity in the partner (if not wiped off)

Uncommon (0.1–1%):

• Local skin rash
• Headache
• Difficulty reaching orgasm

Rare:

• Contact dermatitis
• Systemic reactions (not expected when used as directed)

Note: The temporary erectile dysfunction occurs when the dose is too high. Reduce the number of sprays if sensation is reduced too much.