Fortacin Spray Review: Can it Treat Premature Ejaculation?

This Fortacin Spray review will cover everything you should know about this product. Find out how effective it is as a premature ejaculation treatment.

The Promescent Team
Hands on, practical experience – this is our expertise
by The Promescent Team Last updated 12/01/2022

Fortacin is one of many delay sprays for men with premature ejaculation. Our Fortacin spray review will go over how effective it is and if it’s the best treatment option.

Ejaculating prematurely is a top concern for men in the bedroom. As many as one in three men struggle with premature ejaculation (PE).

Quick FAQs

Fortacin Delay Spray is a product designed to treat premature ejaculation through desensitizing the penis.

In reviews it's been stated that the effects of the product can last up to an hour.

Fortacin Spray is made with a combination of Prilocaine and Lidocaine.

One prescription treatment option in several countries is Fortacin spray. While it may soon be available in the U.S, it’s important to learn how it works, what ingredients it has, and more below.

Pros and Cons of Fortacin Delay Spray

Here are a few pros and cons to consider with Fortacin spray:

Pros:

  • Fortacin appears to be produced by a reputable company
  • The spray has been evaluated through clinical trials
  • Fortacin spray comes with ample safety guidelines regarding how to use
  • May help to delay ejaculation by reducing sensitivity levels in the penis
  • Starts working in about five minutes

Cons:

  • Fortacin is not yet available in the U.S.
  • The spray will likely only be available with a prescription once approved by the FDA
  • May reduce sensitivity to the extent that it causes problems with keeping an erection
  • May cause a burning sensation around the genitals (both the male user and female partner)
  • May take longer to wear off than other desensitizing sprays like Promescent Delay Spray

What Is Fortacin Delay Spray?

Fortacin is a topical delay spray made with a combination of lidocaine and prilocaine used to treat PE in men.

Fortacin was initially approved by the European Medicines Agency (EMA) for prescription use in 2013. 

The treatment has been available with a doctor's prescription for nearly a decade, but only in the European Union and United Kingdom.

In addition to the name Fortacin, the medication has commonly been referred to as PSD502 and TEMPE in clinical studies.

While Fortacin spray has been available in other countries, it has not been available in the United States.

The latest word from the manufacturers in 2021 stated the product was slated to go through phase III clinical trials and then anticipated to be submitted to the U.S. Food and Drug Administration for approval. 

This could mean Fortacin would be available in the U.S. by the end of 2023. Fortacin works by temporarily blocking nerve signal transmissions in the penis. 

The lidocaine and prilocaine seep into the skin to disrupt these signals temporarily, which helps to delay ejaculation during sex.

How to Use Fortacin Spray

According to usage guidelines supplied by the EMA, the recommended dose of Fortacin is three sprays applied specifically to the glans (head) of the penis.

The usage guidelines state that topical applications should be done as follows:

  1. Shake the spray bottle and spray it three times in the air to prime the spray
  2. Retract foreskin if you are uncircumcised
  3. Spray three sprays onto the glans (each spray covers approximately one-third)
  4. Wash your hands
  5. Wait five minutes after application
  6. Wipe away any excess spray on the penis

Does Fortacin Work?

Fortacin has been shown to be effective for premature ejaculation.

Due to the fact that Fortacin has been approved for pharmaceutical use by the EMA, the spray has undergone extensive clinical testing.

In one of the initial studies published in 2009, 300 men with PE were randomized to receive either PSD502 or a placebo. 

The baseline intravaginal ejaculatory latency times (IELT) for these men was just over half a minute (0.60 minutes). 

During three months of treatment, men given Fortacin spray had increased IELT times to an average of 3.8 minutes. Secondary benefits were reported as well, such as sexual satisfaction scores.

A second study published in the Journal of Sexual Medicine in 2010, 256 men with PE were given either PSD502 or a placebo for three months. 

IELT increased from about a half a minute to just over 2.5 minutes for the PSD502 group. The group given the placebo only had marginal improvements. 

IELT times stayed below one minute. One of the latest mentions of Fortacin in clinical literature was in 2022 in the International Journal of Impotence Research

The cross-sectional retrospective analysis looked at how men responded to treatment for PE with Fortacin at 6 and 12 months. At the 6-month mark, IELT times had significantly improved. 

However, at 12 months, only about one-fourth of the men initially given Fortacin were still using the compound even though IELT times had improved.

How Long Does Fortacin Last?

There are no up-front specifics given by the EMA regarding how long Fortacin spray will deliver the desensitizing effects.

Nevertheless, the aforementioned guidelines provided by the EMA do state that Fortacin should only be used three times in a 24-hour period. 

The user should also wait at least four hours after use to reapply. One Fortacin spray review stated that the product started working in about five minutes and the effects lasted for more than an hour.

What Ingredients Are Used to Make Fortacin?

Fortacin is made with the combination of lidocaine and prilocaine. Lidocaine is a common topical anesthetic agent that can be found in over-the-counter products, such as oral desensitizing gel for a toothache or lotions for sunburn pain. 

Currently, products made with a combination of lidocaine and prilocaine, however, are only available with a prescription in the U.S.

Three sprays, or one dose of Fortacin spray, yields 22.5 mg of lidocaine and 7.5 mg of prilocaine. Each bottle of Fortacin contains 150mg/ml of lidocaine and 50mg/ml of prilocaine.

Is Fortacin Spray Safe?

When used according to the manufacturer's guidelines, Fortacin spray is safe for most men.

According to clinical safety data, systematic exposure to prilocaine and lidocaine metabolites remain low even when more than the recommended dose is used. 

Both male subjects using the product and female volunteers who directly applied Fortacin spray to their genitals had low plasma levels after application.

Unfortunately, there has not been clinical analysis to determine if Fortacin is safe for people of all ages. Safety and efficacy for people who are over the age of 65 has also not been established. 

Nevertheless, adverse reactions are a possibility with Fortacin spray use for premature ejaculation. 

In clinical trials mentioned in the clinical safety data, however, less than one percent of study participants discontinued treatment due to adverse reactions.

There is also a chance of experiencing an allergic reaction to the ingredients in Fortacin. If you have a history of sensitivity to local anesthetics, you should not use this product. 

The same applies if a user’s partner has experienced allergic reactions to prilocaine, lidocaine, or other Fortacin ingredients in the past.

What Are the Side Effects of Fortacin?

According to the aforementioned clinical safety data, the two most common side effects include over-desensitization (4.5%) and erectile dysfunction (4.4%). 

A burning sensation in the penis was also common with use. Other side effects that are uncommon include:

  • Inability to orgasm
  • Headache
  • Skin irritation
  • Fever
  • Throat irritation

Female partners may also experience adverse reactions with exposure. Almost four percent of female partners reported genital burning sensations and one percent reported over-desensitization.

Other side effects were uncommon but possible for female partners, including:

  • Vaginal candidiasis
  • Headache
  • Vaginal pain
  • Throat irritation
  • Oral numbness

Does Fortacin Interact with Other Drugs?

Fortacin should be used only under a doctor's guidance if someone is already using other topical treatments or taking certain medications.

Methemoglobinemia may be a bigger risk if the user is concurrently using medication that is also related to the condition, such as:

  • Sulfonamides
  • Benzocaine
  • Chloroquine
  • Dapsone
  • Naphthalene
  • Nitrates or nitrites
  • Nitrofurantoin
  • Nitroglycerin
  • Quinine

Also, even though specific studies have not yet been conducted, it is advised to use Fortacin with caution if antiarrhythmic medications like mexiletine or amiodarone are being taken.

The manufacturer also says that beta-blockers may reduce the rate at which lidocaine is cleared from the body. 

This could generate problems with toxic buildup if using high doses of Fortacin in a short time frame. However, with standard topical use, this should not be an issue.

FAQs About Fortacin Spray

Does Fortacin spray transfer to your partner?

The EMA guidelines for Fortacin spray explicitly state that a small amount of the medication may indeed be transferred to a partner during intercourse.

As noted above, clinical trials results did show that female partners of male study participants experienced some side effects while their partner used the spray. 

For example, a common reported side effect was genital burning and another was genital desensitization.

With all this considered, there may be a greater risk of partner transference with Fortacin than some other delay sprays. 

However, there has not been enough formal research into the topic with other options to make definitive statements.

Can you use Fortacin spray during oral sex?

Fortacin's manufacturers do not state whether the product can be used during oral sex.

However, the guidelines from the EMA do state that there is a chance the product can affect other "mucous membranes," which would include the mouth, throat, and nose.

The guidelines further state that numbness may last a "short while." And, if numbness occurs in the mucosal membranes, caution should be taken to avoid injury.

In the event Fortacin is used during oral sex, the penis should be washed thoroughly to lower the risk of oral transference.

Can you use Fortacin with condoms?

Fortacin delay spray should not be used with polyurethane condoms. The prilocaine and lidocaine may deteriorate the material and make them ineffective.

Is Fortacin safe during pregnancy or when trying to conceive?

Fortacin use during pregnancy should be avoided to deter the possibility of fetal exposure. 

The guidelines state avoidance during pregnancy just as a precaution; no fetal toxicity has been reported.

And, while there are no substantial human studies to show Fortacin affects the quality or motility of sperm, animal studies have shown the product to slow sperm motility. 

Therefore, Fortacin should not be thought of as a contraceptive, but may need to be avoided if someone is trying to conceive.

Takeaways

Fortacin is a topical spray applied to the penis that is prescribed for the treatment of PE throughout Europe. This prescribed delay spray may soon be available in the U.S.

Fortacin has been extensively studied and been shown to be effective at delaying ejaculation and enhancing sexual satisfaction.

However, because the spray is a combination of lidocaine and prilocaine, a heightened chance of certain adverse side effects may be possible.

While Fortacin may eventually be an option, over-the-counter delay sprays like Promescent Delay Spray have been shown to be just as effective. And, Promescent is available without a visit to the doctor.

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The Promescent Team

The Promescent Team

Our team has over a decade of experience in the sexual wellness field and are experts in sexual dysfunctions, like premature ejaculation. We help couples and individuals better understand treatment options available for different types of sexual needs and educate the public on all things related to intimacy. All of our authored content is medically reviewed for accuracy and reliability.

Sources:

Absorption Pharmaceuticals LLC (Promescent) has strict informational citing guidelines and relies on peer-reviewed studies, academic or research institutions, medical associations, and medical experts. We attempt to use primary sources and refrain from using tertiary references and only citing trustworthy sources. Each article is reviewed, written, and updated by Medical Professionals or authoritative Experts in a specific, related field of practice. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

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The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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