Erectile dysfunction (ED) is a common problem, especially as you get older. Some estimates show that as many as 4 in 10 men over age 40 experience ED. There can be physical and psychological causes for ED.
One treatment option for ED is alprostadil. This medication is a vasodilator, which means it widens your blood vessels, allowing for increased blood flow. When it comes to ED, alprostadil helps increase blood flow to the penis.
Alprostadil can be administered in a few different ways. It can be injected directly into the penis, inserted into the urethra as a suppository, or applied topically as a cream. This article will focus on alprostadil cream, sometimes sold under the brand name Vitaros. We’ll provide a step-by-step guide on how to use alprostadil cream safely and effectively.
Understanding Alprostadil Cream: Vitaros
What is Vitaros?
Vitaros is a cream you apply to your penis. It contains the drug alprostadil, and doctors prescribe it to treat erectile dysfunction (ED). It comes in a single-use applicator that delivers a pre-measured dose of alprostadil (for example, 300mcg of alprostadil in 100mg of cream).
Alprostadil helps you get an erection by relaxing the muscles and blood vessels in your penis. This relaxation increases blood flow, which is necessary for an erection.
How Effective is Vitaros?
Clinical trials show that Vitaros helps many men with ED get better erections.
For example, in one 12-week study, 52% of men who used Vitaros said their erections improved, compared to only 20% of men who used a placebo (a cream with no medicine in it).
Keep in mind that everyone is different, and your results may vary.
Important Precautions and Contraindications
Like any medication, alprostadil cream isn’t for everyone. There are some important things to consider before using it.
When NOT to Use Vitaros
Don’t use Vitaros if you have any of the following pre-existing medical conditions:
- Low blood pressure (Vitaros can lower it further)
- Heart issues (can strain the heart)
- Allergies to alprostadil (obvious reasons!)
- Conditions that may lead to priapism (more on that in a bit)
Also, avoid using Vitaros with other ED treatments, especially ED tablets called PDE-5 inhibitors. These include familiar names like Viagra, Levitra, and Cialis. Combining them can increase the risk of priapism and other unwanted side effects. The same goes for other injectable or topical ED treatments—don’t mix and match!
Special Warnings
Priapism is a real concern with Vitaros. It means having an erection that lasts for four hours or more. This is a medical emergency! Left untreated, priapism can cause permanent damage. While it only affects between 1 in 1000 to 1 in 100 men, it’s important to be aware of the risk and seek immediate medical attention if it happens.
Also, your partner might experience some vaginal irritation. It’s worth discussing this possibility beforehand.
Finally, effective contraception is a must during Vitaros use. There are potential risks to an unborn baby. If you or your partner are pregnant or breastfeeding, it’s essential to talk to a doctor before using Vitaros to understand the potential risks and benefits.
Step-by-Step Guide: How to Use Alprostadil Cream
If your doctor has prescribed alprostadil cream (Vitaros), here’s a breakdown of how to use it effectively, and it’s also important to find your perfect fit when considering other ED solutions.
Preparation
- Storage: Vitaros needs to be kept in the refrigerator. Don’t leave it out.
- Warming: Before you use it, let the applicator warm up to room temperature (around 77°F or 25°C). This makes it easier to apply.
- Hygiene: Always wash and dry your hands really well before you start.
Application
- Open the applicator: Be careful when you open the single-dose applicator. You don’t want to spill any.
- Apply the cream: Gently squeeze the whole applicator so that all the cream goes onto the tip of your penis.
- Massage: Gently rub the cream into your penis until it’s all absorbed. Don’t rush this step.
- Proper disposal: After you’re done, throw away the used applicator the right way. Don’t reuse it.
Post-Application Instructions
- Avoid washing: Don’t wash the area you treated right away. Give the cream time to work.
- Monitor for side effects: Keep an eye out for any side effects. If you notice anything weird or concerning, call your doctor.
- Timing: Use Vitaros a little while before you plan to have sex.
Dosage and Frequency
- The usual starting dose is one applicator.
- Don’t use more than one applicator in a single day (24-hour period).
- Talk to your doctor about how often you should use Vitaros. They’ll give you the best advice based on your situation.
Potential Side Effects and What to Do
Like any medication, alprostadil cream can cause side effects. It’s important to be aware of these and know what to do if they occur.
Common Side Effects
Some of the more common side effects are usually mild and localized to the area where the cream is applied. These can include:
- Penile pain, redness, swelling, rash, or itching
- Vaginal irritation, itching, or discomfort in partners
- Warmth
- Dizziness
Serious Side Effects
Although rare, more serious side effects can occur. Seek immediate medical attention if you experience any of the following:
- Priapism: A persistent, painful erection lasting longer than 4 hours. This is a medical emergency and can cause permanent damage if not treated promptly.
- Allergic reactions: Difficulty breathing or swelling of the face, lips, or tongue.
Managing Side Effects
Mild side effects often resolve on their own. If you experience severe or persistent side effects, it’s important to consult a doctor. They can assess the situation and provide guidance on how to manage the side effects or whether to adjust the dosage or discontinue the medication.
Medication and Substance Interactions
Here are a few things to keep in mind about Vitaros and other substances:
- Don’t use Vitaros with other ED medications, especially PDE-5 inhibitors.
- Vitaros may not work as well if you are taking certain medications.
- Tell your doctor about all medications, supplements, and herbal remedies you use.
- Be careful when drinking alcohol, as it can increase the risk of dizziness or low blood pressure.
Lifestyle Changes and Other ED Treatments
Sometimes erectile dysfunction can be improved by addressing lifestyle factors. Eating a healthy diet, getting regular exercise, and managing stress can all improve ED symptoms.
Other ED treatments include: inflatable implants (oral medications like Viagra or Cialis)
- PDE-5 inhibitors (oral medications like Viagra or Cialis)
- Vacuum pumps
- Penile injections
- Intraurethral alprostadil
- Surgical implants
If alprostadil cream isn’t working for you, talk to a urologist. There are many other effective treatment options available.
Frequently Asked Questions
What is the success rate of alprostadil cream?
Clinical trials suggest that alprostadil cream, like Vitaros, has a success rate of around 60-70% in helping men achieve an erection. However, individual results can vary depending on the underlying cause of erectile dysfunction and other personal health factors.
How do you apply Vitaros cream?
Vitaros cream comes in a single-use AccuDose container. To apply, gently pull back the foreskin (if uncircumcised), and slowly release the entire contents of the applicator onto the tip of the penis. Gently massage the cream into the tip of the penis until absorbed.
What is the average cost of alprostadil?
The cost of alprostadil can vary depending on the formulation (cream, injection, suppository), dosage, and location. Alprostadil cream (Vitaros) typically costs somewhere between $30 to $40 per application.
What are the alternatives to alprostadil?
Alternatives to alprostadil for treating erectile dysfunction include oral medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Other options include vacuum erection devices, penile implants, and lifestyle changes like diet and exercise.
How to apply alprostadil?
To apply alprostadil cream (Vitaros), make sure to wash and dry your hands. Then, following the instructions provided, gently pull back the foreskin, and slowly release the cream onto the tip of the penis. Gently massage the cream into the tip until absorbed. Dispose of the applicator after use.
Key Takeaways
Alprostadil cream, like Vitaros, can be a useful tool for managing erectile dysfunction (ED). Using it correctly means paying attention to the proper application technique, being aware of potential side effects, and knowing when to talk to your doctor.
Always read the Patient Information Leaflet (PIL) that comes with your prescription. It has important details about how to use the cream safely and effectively.
Don’t be shy about talking to your doctor about ED. It’s a common problem, and there are several treatment options available. They can help you decide if alprostadil cream is right for you, or if there are other treatments you might want to try.
If you have any concerns or experience side effects that don’t go away, be sure to seek medical attention. Your doctor can help you manage any issues and ensure that you’re getting the best possible care.