Therapy*	Recommended dosage † ‡
Oral therapies
Clomipramine (Anafranil)	25 to 50 mg daily
		or
	25 mg four to 24 hours before intercourse
Fluoxetine (Prozac)	5 to 20 mg daily
Paroxetine (Paxil)	10, 20, or 40 mg daily
		or
	20 mg three to four hours before intercourse
Sertraline (Zoloft)	25 to 200 mg daily
		or
	50 mg four to eight hours before intercourse
Topical therapy
Lidocaine/prilocaine (Emla)	Lidocaine 2.5 percent/prilocaine 2.5 percent, 20 to 30 minutes before intercourse