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Arshad A, Irfan M, Inam M, Hussain NHN, Ismail SB. Levosulpiride for Premature Ejaculation: A Systematic Review and Meta-Analysis. Am J Mens Health 2022; 16:15579883221124832. [PMID: 36154321 PMCID: PMC9515538 DOI: 10.1177/15579883221124832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Premature ejaculation (PE) is one of the major causes of sexual dysfunction. Levosulpiride is an off-label medicine used to treat PE, but no review on its efficacy exists. A systematic review and meta-analysis was performed to determine the efficacy of levosulpiride in treating PE. Databases PubMed, Science Direct, and Google Scholar were searched. Randomized control trials (RCTs) comparing levosulpiride with placebo or other medicine were selected. Odds ratio (OR) of improved intravaginal ejaculation latency time (IELT) was calculated. A total of 97 articles were retrieved from database search, of which only four RCTs containing 203 men met the selection criteria. All four RCTs were included in systematic review while only two were included in meta-analysis. A high selection and detection bias was found in both of these studies. Meta-analysis also showed the odds of improving IELT in PE patients using levosulpiride to be significantly higher (p < .05) compared with those who used placebo, OR: 100.81, 95% confidence interval (CI) [13.12-774.90], I2 = 0%. Odds of improving IELT for > 5 min (500% improvement) were also significantly higher (p < .05) compared with the placebo groups (OR: 38.88, 95% CI [5.12-295.29], I2 = 0%). The odds of improving IELT for > 1 min, but < 5 min were also significantly higher (p < .05) than placebo groups (OR: 32.84, 95% CI [4.15-259.75], I2 = 0%). Levosulpiride improved IELT, but even so, limited studies are available on this topic. Additional research is thus required to support the present review's findings.
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Affiliation(s)
- Adina Arshad
- Department of Zoology, Wildlife
and Fisheries, Pir Mehr Ali Shah, Arid Agriculture University, Rawalpindi,
Pakistan
| | - Muhammad Irfan
- Department of Zoology, Wildlife
and Fisheries, Pir Mehr Ali Shah, Arid Agriculture University, Rawalpindi,
Pakistan
| | - Muhammad Inam
- Department of Zoology, University
of the Punjab, Lahore, Pakistan,BISP, C & T Wing, Pakistan
Secretariat, Islamabad, Pakistan
| | - Nik Hazlina Nik Hussain
- Women’s Health Development Unit,
School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang
Kerian, Malaysia
| | - Shaiful Bahari Ismail
- Department of Family Medicine,
School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang
Kerian, Malaysia,Shaiful Bahari Ismail, Department
of Family Medicine, School of Medical Sciences, Health Campus,
Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
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