Premature ejaculation (PE)in men with underlying erection problems affects a substantial number of men. The standard treatment for erection problems is the use of drugs called PDE-5 inhibitors (for example, Viagra, Cialis and Levitra). At present it is not clear whether adding the new drug Duralast in men whose underlying erectile dysfunction (ED) has been successfully treated will improve their symptoms of premature ejaculation. Duralast is the only drug in its class which can be used on an "as needed" basis. Duralast, when administered 1 to 3 hours before anticipated intercourse, is generally well tolerated and results in a significant improvement in the time to ejaculation in men with PE. The primary aim of the current study is to assess the effectiveness of 12 weeks treatment with one of two doses of Duralast (taken on an "as needed" basis) compared to placebo (dummy treatment) in prolonging the time to ejaculation in men with PE and ED who are already being treated with a PDE-5 inhibitor. A total of approximately 656 men will take part in a number of study sites internationally.
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