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Samadhan Health Studio

Dr. Ashok Koparday
Dr. Hetal Gosalia

Dr. Ashok Koparday | Dr. Hetal Gosalia

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By TOP SEXOLOGIST in Mumbai Dr. Ashok Koparday

डॅाक्टर अशोक कोपर्डे

TOP FEMALE SEXOLOGIST, Mumbai Dr. Hetal Gosalia

डॉक्टर हेतल गोसालिआ

Center of Excellence

Trusted by the world

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Top Female Sexologist, Dr. Hetal Gosalia, tells [click] how even with ED or PE man can fully satisfy a woman

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 the penis causing increased blood flow and engorgement of the penis. The veins close trapping the blood inside and causing an 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 its sell in Canada and Europe.
Abbott sells in Canada
Takeda in the 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
  • Itching
  • Swelling Penile edema
  • Irritation and inflammation of tip (glans) of penis (Balanitis)
  • Tingling, throbbing, numbness and burning in penis
    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
    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 the 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

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
Authors: Ignacio Moncada, Béatrice Cuzin


About ED Doctor Ashok Koparday

डॉक्टर अशोक कोपर्डे
Dr. Hetal Gosalia Sex Counselor

Dr. (Mr.) Ashok Koparday
M.B.B.S., F.C.S.E.P. (International)
Accreditation: M.M.C. of India
Ex. Teaching Faculty
Seth G. S. Medical College
King Edward Memorial
K. E. M. Hospital

Grant Medical College
Sir J. J. Group of Hospitals ,
University of Mumbai


Psycho-Sexual Medicine
Marriage counselor
Member: Indian Medical Association
Fellow: Council of Sex Education & Parenthood (International)
Published by Ashok Koparday

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,

Ghatkopar East ,
Mumbai – 400077 , Maharashtra, India


Note: Prior Appointment is Essential
Consultant in Sexual Medicine
Call or WhatsApp ONLY at 2 pm
Telephone: 02225060061
Mobile: +91 9867788877
Email: ask[@]mydoctortells[dot]com on mobile on pc

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Erection Problem NEW Solution Vitaros Cream by Sexologist Mumbai.
Date published: October 19, 2016

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