

Alprostadil Prescription

What is alprostadil?
Alprostadil is a prescription medication typically prescribed to adults to treat erectile dysfunction (ED).1, 2 It comes in two forms: as a powder mixed with a provided liquid that is injected into the penis, and as a suppository or small pellet that is placed within the opening of the urethra (known as transurethral alprostadil).1, 2 Injectable alprostadil is sold under the brand names of Caverject, Edex, and Prostin VR, while the brand name of the alprostadil suppository is Muse.1, 3
While we do not currently prescribe alprostadil, our board-certified doctors are happy to discuss men’s health and sexual health make a referral to a physician who can prescribe this or other ED medications.
How does alprostadil work?
Alprostadil is a type of medication called a vasodilator.1, 2 Vasodilators work by opening up the blood vessels by relaxing their walls and preventing them from contracting.4 In the case of alprostadil, the injection into the penis dilates the blood vessels that allow blood to flow in and erection to occur.1, 2
Erections typically occur within 5-10 minutes of administering an injection of alprostadil and within 5-20 minutes of inserting the suppository, and erections should last 30 minutes to an hour with each use and may persist even after ejaculation occurs.1, 3
Research has indicated that the injectable form of alprostadil tends to be more effective than the suppository form when treating erectile dysfunction.3, 5 About 80% of men can obtain and sustain an erection that is firm enough to have sexual intercourse when using injectable alprostadil.2, 3
Uses of alprostadil
Alprostadil side effects
Like all medications, alprostadil can come with unwanted side effects alongside the desired ones. If you experience any uncomfortable or lasting reactions to injectable or transurethral alprostadil, you should talk to your doctor as soon as possible.
Common side effects
Rare but serious side effects
How to get alprostadil
If you are suffering from erectile dysfunction and are interested in learning more about alprostadil, you should make an appointment to discuss whether this prescription medication is right for you.
Can PlushCare prescribe alprostadil?
How PlushCare can help
Our board-certified doctors are happy to discuss men’s health and sexual health overall. If you are looking for help treating erectile dysfunction specifically, our medical practitioners can make a referral to a physician who can prescribe ED medications.
Alprostadil FAQs
Are there any risks associated with alprostadil?
Using alprostadil does have some risks associated with it, and those risks differ based on whether you are using the injectable form or the suppository.2 The suppository, known as transurethral alprostadil, may cause urethral scarring, dizziness or fainting, a prolonged erection (known as priapism), pain, hypotension, and more. Alprostadil injections, meanwhile, can cause hypotension or hypertension, priapism, dizziness, swelling of or rash on the penis, bruising, and in rare cases, infection.
Before starting on alprostadil, it is important to discuss all risks with your medical provider to create a safe and personalized treatment plan.
How long does alprostadil last?
What should I do if I experience side effects from alprostadil?
Can alprostadil be used with other erectile dysfunction medications?
Who should not use alprostadil?
Alprostadil should not be used if you are not diagnosed with erectile dysfunction, nor should it be taken in larger quantities or more frequently than instructed by your doctor and pharmacist.2 Improper use may cause permanent damage to the penis. You should also not use alprostadil without a condom if your partner is pregnant or planning to become pregnant, as it is currently unknown if the medication can harm unborn babies.1
If you have a history of priapism (prolonged erections), a penile implant, or any conditions that impact your penis, you should discuss your medical history with your doctor prior to taking alprostadil.2
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More to learn about alprostadil and ED
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
- MedlinePlus. Alprostadil: Drug Information. Accessed on February 3, 2025, at https://medlineplus.gov/druginfo/meds/a695022.html.
- Cleveland Clinic. Alprostadil Treatment Overview. Accessed on February 6, 2025, at https://my.clevelandclinic.org/health/treatments/10051-alprostadil.
- WebMD. Alprostadil for Erectile Dysfunction. Accessed on February 3, 2025, at https://www.webmd.com/erectile-dysfunction/alprostadil-treat-ed.
- Cleveland Clinic. Vasodilators: Overview and Uses. Accessed on February 6, 2025, at https://my.clevelandclinic.org/health/drugs/23207-vasodilators.
- PubMed Central (PMC). Alprostadil Drug Profile. Accessed on February 3, 2025, at https://www.ncbi.nlm.nih.gov/books/NBK542217/.
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.