Vitaros Cream: As sexologist we face the situation of what next when Sildenafil (Edegra, Penegra, Suhagra) and Tadalafil oral pills do not work

ERECTION PROBLEM SOLUTION WHEN VIAGRA DOES NOT WORK


Be with the Best: Sexologist Mumbai Dr. Ashok Koparday
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Date last updated: October 19, 2016

Erection Problem NEW Solution: When Viagra Does Not Work

Vitaros© Cream By Sexologist Mumbai Ashok Koparday

Here I discuss who can use and how to use Vitaros cream.

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Erection Problem NEW Solution Vitaros Cream When Viagra Does Not Work

What is Vitaros©/Virirec©?

Vitaros©/Virirec© cream is used for the treatment of Erectile Dysfunction. Vitaros© is the brand name of topical cream that contains Alprostadil, a well known vaso dilator, with permeation enhancer DDAIP Hydrocloride and AccuDose TM delivery system. DDAIP is patented skin permeability technology of NexMed USA, a subsidiary of Apricus Biosciences.

How does Vitaros©work?

DDAIP Hydrocloride helps the active ingredient Alprostadil enter through the skin to directly reach the spongy erectile tissue of penis.
Alprostadil then dilates the arteries of penis causing increased blood flow and engorgement of penis. The veins close trapping the blood inside and causing erection. Vitaros© requires the mind to be in a state of sexual arousal.

Erection Problem NEW Solution: When Viagra Does Not Work
Vitaros Cream by Sexologist Mumbai Ashok Koparday

How is Vitaros©/Virirec© used?

Vitaros© is labeled as 3mg/g cream.
Vitaros© comes in two strengths: 200 and 300 mcg of alprostadil in 100 gm of cream. Only one single dose is used once in 24 hours. Vitaros© is not to be used more than 2 to 3 times in a week.

With AccuDoseTMdelivery system of Vitaros©, measured amount of cream is inserted in the urinary opening.
This acts within 5 minutes to 30 minutes giving a hard on lasting for 1 to 2 hours in the presence of sexual excitement.

Picture showing how to use Vitaros Cream Samadhan Health Studio A1, Namdeep, Barrister Nath Pai Road, Near Vikrant Circle, Barrister Nath Pai Nagar, Ghatkopar East, Mumbai, Maharashtra, IN Phone 09867788877
How to use Vitaros Cream Samadhan Health Studio Best Sexologist Mumbai

Erection Problem NEW Solution Vitaros Cream When Viagra Does Not Work by Top Sexologist Mumbai

Where is Vitaros©/Virirec© available?

Vitaros© was first approved for use in the treatment of erectile dysfunction in Canada. Now it is approved for use by patients in Europe as well.
Apricus Biosciences has licensed the below companies for it’s sell in Canada and Europe.
Abbott sells in Canada
Takeda in United Kingdom
Bracco in Italy
Sandoz in other countries of Europe
Recordati in Russia, Spain and Turkey
Vitaros© Cream is not yet available in India.

What are the side effects of Vitaros©?

Common side effects of Vitaros© (more than 1 in 10 patients) are as follows.

  • Local aching or burning pain and redness of penis
    Rash
  • Itching
  • Swelling Penile edema
  • Irritation and inflammation of tip (glans) of penis (Balanitis)
  • Tingling, throbbing, numbness and burning in penis
  • PARTNER
    may have itching, burning or pain in vagina (vaginitis)

Uncommon side effects of Vitaros©(up to 1 in 100 patients) are given below.

  • light headedness, dizziness
  • Prolonged erection more than 4 hours
  • Fainting
  • Fall in blood pressure
  • Rapid pulse
  • Pain at the tip of penis
  • Increase in sensitivity
  • Narrowing of urinary opening (urethral stenosis)
  • Itching
  • Rash
  • Pain penis, scrotum
  • Fullness in genitals
  • Lack of sensation to penis
  • Urinary tract inflammation
  • PARTNER
    may have Vulvo vaginal pruritis (itching).

Erection Problem NEW Solution Vitaros Cream When Viagra Does Not Work

What are the advantages of Vitaros©/Virirec© over Viagra pills, pellets and needles?

Prostaglandin E1, also called Alprostadil, in the form of cream can be used where PDE 5 inhibitor (Viagra, Cialis, Levitra, Stendra) medicines fail or are contraindicated.

Conclusion Vitaros©/Virirec©

Vitaros© cream is a good option when Viagra © like oral tablets do not work.
The other option, MUSE, pessary inserted in urethra is not popular.
Injections in penis and Vacuum Device are perceived as cumbersome.
Penile prosthetic surgical implants are invasive and expensive. However, more experience with respect to cost, convenience and side effect profile is desirable.

Acknowledgements References

Erection Problem NEW Solution Vitaros© Cream When Viagra Does Not Work
Click to download
patient_information_vitaros

Vitaros®


https://fr.treated.com/media/1765614/Vitaros-Front.png
https://en.wikipedia.org/wiki/Erectile_dysfunction
https://en.wikipedia.org/wiki/DDAIP
https://www.medicines.org.uk/emc/medicine/28866
http://www.vitaros.co.uk/hcp/vitaros-information/
http://www.urologiajournal.com/article/clinical-efficacy-and-safety-of-vitaros-virirec—alprostadil-cream–for-the-treatment-of-erectile-dysfunction
Clinical efficacy and safety of Vitaros©/Virirec© (Alprostadil cream) for the treatment of erectile dysfunction
Urologia 2015; 82(2): 84 – 92Article
Type: REVIEWArticle
Subject: ANDROLOGY/andrologia
DOI:10.5301/uro.5000116
Authors: Ignacio Moncada, Béatrice Cuzin

http://mydoctortells.com/wp-content/uploads/2016/10/vitaros-samadhan-health-studio.jpg

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About ED Doctor Ashok Koparday


Dr. (Mr.) Ashok Koparday

M.B.B.S., F.C.S.E.P. (International)
Accreditation:
Ex. Teaching Faculty

&

and

&
,

Consultant

Psycho-Sexual Medicine
Marriage counselor
Member:
Fellow:
Published by Ashok Koparday

for
Best Treatment Center for Sexual Health

Senior Sexologist (Experience 20 years)
Consulting Hours:

Samadhan Health Studio

A1, Namdeep, Barrister Nath Pai Road,
Near Vikrant Circle, Barrister Nath Pai Nagar,

,
Mumbai , Maharashtra, India400077
09867788877

Note: Prior Appointment is Essential
ONLY FOR APPOINTMENT with
Consultant in Sexual Medicine
Call or WhatsApp ONLY at 8 pm
Telephone: 02225060061
Mobile: +91 9867788877
Email: ask[@]mydoctortells[dot]com
mydoctortells.com on mobile on pc



Homepage:
License: CC-BY-NC-SA-4.0 Attribution as given here:
By Ashok Koparday with a link to http://mydoctortells.com/

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Erection Problem NEW Solution Vitaros Cream by Sexologist Mumbai.
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