What is Vitaros?
Vitaros is a cream for local application on the acorn of the penis that contains the active ingredient Alprostadil (Prostaglandin E1). It is an alternative to PDE-5 inhibitors (tablets) in erection disorders.
Alprostadil acts locally in vascular expansion and promotes blood flow into the penis. The cream is applied directly to the urethra opening and allows erection within 5-30 minutes.
Vitaros is particularly suitable for men who cannot take PDE-5 inhibitors or where they do not act sufficiently. It is delivered in the AccuDose single dose system.
Active Ingredients & Mechanism of Action
Active ingredient: Alprostadil (Prostaglandin E1) 300 µg
Alprostadil works locally in vascular expansion:
Active mechanism: 1. Alprostadil is applied to the acorn Two. It enters the swelling body tissue via the urethra opening 3. Activates adenylate cyclase and increases cAMP 4. Smooth muscles relax Five. Arterial blood influx increases 6. Erection arises
Time:
- Effective entry: 5-30 minutes
- duration of action: 1-2 hours
**Subject to PDE-5-Hemmern:* * Alprostadil acts independently of sexual stimulation and directly on the swelling bodies. PDE-5 inhibitors require sexual excitement.
Who is it suitable for?
Vitaros is suitable for:
- Erectile dysfunction in adult men
- Men who don't wear PDE-5 inhibitors
- Men with contraindications against PDE-5-inhibitors (e.g. nitrate intake)
- If PDE-5 inhibitors do not work enough
Advantages:
- Local application (less systemic side effects)
- Works independently of sexual stimulation
- Can be used for nitrate intake
- Alternative to PDE-5-Hemmer failure
Not suitable:
- For penis deformities (Peyronie)
- urethra anomalies
- Balanitis
Available Dosages
Vitaros cream:
- 300 μg Alprostadil per AccuDose single dose
Dosing:
- 1 single dose 5-30 minutes before intercourse
- Maximum: 1 application per 24 hours
- Maximum: 2-3 applications per week
AccuDose system: Premixing system – cream is activated by opening the container.
How to Take
Application: 1. Remove AccuDose containers from the pack Two. Turn the cap and squeeze it carefully 3. Apply drops of cream to the urethra opening (ice tip) 4. Easily circularly distributed Five. 5-30 minutes waiting
Important notes:
- Use condom if partner is pregnant
- Do not apply to damaged skin
- At erection > 4 hours (priapism) immediately not doctor!
- Cooling storage (refrigerator)
Contraindications
Do not apply at:
- hypersensitivity to Alprostadil
- Penis implant
- Balanitis or urethritis
- Sichelzellanemia
- Risk factors for priapism
- penis deformities
Preview at:
- Coagulation disorders
- Antiaggregants/anticoagulants therapy
Partner protection: Use condoms for sexual intercourse with a pregnant woman (Alprostadil can cause pain).
Possible Side Effects
Acid (1-10%):
- Burning at the application site
- reddening of acorn
- Headaches
- Squeeze
Occasionally:
- Pain in the penis
- Genitar itching
- Vaginal burning at the partner
- Squirrel
Selten, but seriously:
- Priapism (duration > 4 hours) – NOTFALL!
** Local firing frequently occurs at the beginning and decreases with repeated application.
Interactions
Reactions:
- Use other erection medications – not at the same time
- Anticoagulants – increased bleeding tendency locally
No problem with:
- Nitrates (other than PDE-5 inhibitors!)
- Blood pressure medications
- Most other medicines
Advantage: Alprostadil has less systemic interactions than oral PDE-5-inhibitors.
Frequently Asked Questions
Similar Medications
Is Vitaros right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor or pharmacist.
Important Safety Information
This service operates under German pharmaceutical law (HWG). For risks and side effects, read the package leaflet and consult your doctor or pharmacist. All medications are dispensed from a licensed pharmacy in Germany.