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Get prescribed Emla for Premature Ejaculation by a UK clinician through a free video consultation*. No questionnaires, no hidden fees. You only pay for your medication if approved.
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MEDICAL INFORMATION
Emla Key Facts
Other Related Names or Treatments
Nulbia, LMX4
About Emla cream
Emla numbing cream contains two active substances, lidocaine and prilocaine, which are classed as local anaesthetics. Together they have a numbing effect on the skin for a short time, which provides pain relief during medical procedures such as blood tests and needle procedures.
Emla cream can also be used to:
- Numb the skin before having a wart removed
- Cleanse or remove damaged skin caused by leg ulcers
- Numb the skin when having a tattoo
- Numb the sensitive area on the head of your penis to reduce sensitivity and prolong time until ejaculation. This is an off label use, meaning it is being used to treat a condition other than what it was licensed to treat
NowPatient offers Emla cream as a treatment for premature ejaculation only, following an online consultation with a prescribing clinician.
Key facts of Emla cream
- For the treatment of premature ejaculation
- Emla cream can take 30 to 60 minutes to have a numbing effect
- Emla cream has some common side effects which include local skin reactions on the genital area
- It can be dangerous if you use Emla cream with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Emla cream not suitable for?
Emla cream may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before using Emla cream if you:
- Are allergic to the active ingredients lidocaine or prilocaine, or the inactive ingredients, such as macrogolglycerol hydroxystearate, sodium hydroxide or purified water
- Have glucose-6-phosphate dehydrogenase deficiency
- Have methaemoglobinaemia
- Have a skin rash, cut, grazes or other open wounds
- Have skin conditions such as atopic dermatitis
- Take medication for heart rhythm disorders such as amiodarone
How and where to get Emla cream?
You can buy Emla cream safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of premature ejaculation, you can discuss if Emla cream is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Emla cream for premature ejaculation
Emla cream is available in 5g tubes and 30g tubes, containing 25mg/g of lidocaine and 25mg/g of prilocaine.
Information about how to use Emla cream for premature ejaculation
Emla cream is applied to the sensitive area of skin on the head of your penis to reduce skin sensitivity and prolong the time to ejaculation. Read the patient information leaflet provided with your medication or speak to a healthcare professional for further information.
What happens if you use too much Emla cream?
If you use more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have used too much Emla cream and experience any of the following side effects:
What are the side effects of Emla cream?
Side effects of Emla cream are split into common and serious.
Common side effects include:
- Paleness or redness of the skin
- Burning, itching or warmth at the treated area
- Slight swelling of the skin
- Tingling sensation
- Skin irritation
- Small dot-shaped bleeding (more common on children with eczema, after prolonged application times)
Serious side effects include:
- Methaemoglobinaemia (more common in newborn infants and infants aged up to 12 months)
- Low blood pressure
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient
Information about using Emla cream at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Emla cream. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.
Can Emla cream used for premature ejaculation be used long term?
Emla cream usually lasts for at least 2 hours once it is removed. Speak to your healthcare provider if you are considering using Emla cream long term.
Is there a herbal Emla cream?
No. Herbal Emla cream does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Emla cream?
Women can use Emla cream to numb the skin for minor medical procedures. Lidocaine passes into breast milk. It is not known if prilocaine passes into breast milk. Speak to your doctor before breast-feeding.
Should I avoid any particular food or drink when taking Emla cream?
You can eat and drink normally when using Emla cream.
What lifestyle changes can I make to help me with premature ejaculation?
If you are suffering with premature ejaculation, you may try:
- Masturbating 1 to 2 hours before sex
- Use a thick condom to reduce sensitivity
- Taking a deep breath to temporarily stop the ejaculation
Alternatives to Emla cream
Alternatives for the treatment of premature ejaculation include LMX4, Denela, and Nulbia.
Sources
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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FAQs
Answers to Popular Questions About Emla
What is Emla cream?
Emla is a topical anaesthetic cream containing lidocaine 2.5% and prilocaine 2.5%. It is used to numb the skin before painful procedures such as needle insertion, blood tests, minor skin surgery, and cosmetic procedures. Emla is also used off-label for premature ejaculation, where it is applied to the glans penis to reduce sensitivity. It is available over the counter for some indications and on prescription for others.
How does Emla work?
Emla works by blocking sodium channels in nerve fibres, preventing pain signals from being transmitted. The combination of two local anaesthetics (lidocaine and prilocaine) provides effective numbing of the skin. For premature ejaculation, the desensitising effect on the penile nerves helps delay ejaculation. The anaesthetic effect develops over 30–60 minutes and lasts for 1–2 hours after removal.
How do I use Emla for premature ejaculation?
Apply a small amount of Emla cream to the glans (head) of the penis 20–30 minutes before sexual activity. Cover with a condom or cling film to enhance absorption. Wipe off thoroughly before intercourse to prevent numbing your partner. Some men prefer using a condom over the cream to prevent transfer. Start with a small amount and adjust based on effectiveness — over-application may cause too much numbness, impairing the ability to maintain an erection.
How do I use Emla before a medical procedure?
Apply a thick layer of Emla cream to the intact skin at the procedure site. Cover with an occlusive dressing (provided in the pack). Leave in place for at least 60 minutes (up to 5 hours for maximum effect) before the procedure. Wipe off the cream before the procedure begins. The numbed area will be anaesthetised for 1–2 hours.
What are the side effects of Emla?
Common local effects include temporary skin blanching (whitening), redness, mild burning, and itching at the application site. These are normal and resolve quickly. Allergic reactions are rare. Do not apply to broken skin, mucous membranes, or near the eyes. If used for premature ejaculation, excessive application may cause numbness that impairs erection quality.
Can I buy Emla without a prescription?
Emla cream (5 g tube) is available over the counter from pharmacies for skin numbing before needle procedures. For use in premature ejaculation, it is typically used off-label and your prescriber can advise on appropriate use. NowPatient can prescribe Emla with online consultation and home delivery.
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