Below, we’ve provided clear, comprehensive information about how Eroxon® works, its benefits, and how it should be used. Objective: To repeat a previous study on the use of a topical treatment for erectile failure using a vasoactive cream.
New Cream for Erectile Dysfunction: MED3000, an FDA-Approved Gel
Without proper treatment, it can cause permanent damage to your penile tissue. The average cost of alprostadil is over $500 for a 5-milliliter (teaspoon size) vial. The cost per dose depends on how much you need to inject, which varies from person to person. The lower the volume that you need to inject, the more doses per vial you’ll get, which makes it cheaper per dose. The cost of alprostadil vardenafil 5 mg may also depend on: The pharmacy where you pick up your prescription.
Application Tips for Maximum Effectiveness
Alprostadil can help treat erectile dysfunction and improve your sex life. ED can cause a lot of different feelings — frustration, embarrassment, shame and even humiliation. You may even experience these feelings when you seek help from a healthcare provider. But ED is common, and providers are available to help you and make you as comfortable as possible with your questions and concerns. Ask a provider if alprostadil is the best treatment for you or if another medication is better. Patients and methods: Fourteen patients with erectile failure who had previously responded to intracorporeal injection therapy were enrolled in a randomized placebo-controlled trial. They were given two topical applications, comprising either a cream containing aminophylline, isosorbide dinitrate and co-dergocrine mesylate, or a placebo cream of similar appearance containing no pharmacologically active ingredients. Each patient received 16 applications, eight of the active cream and eight placebo.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Soft Tabs | 100 mg | 32 Pills | 120.11€ 114.39€ | |
| Cialis Generic | 20mg | 270 + 10 Pills | 335.21€ 319.25€ | |
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Kamagra Effervescent Tablets | 100 mg | 63 + 7 Pills | 171.99€ 163.80€ | |
| Levitra Generic | 60mg | 60 + 4 Pills | 198.85€ 189.38€ | |
| Levitra Generic | 10mg | 60 + 6 Pills | 112.98€ 107.60€ | |
| Kamagra Gold | 100 mg | 12 Pills | 55.64€ 52.99€ | |
| Tadalista Super Active | 20mg | 90 + 10 Pills | 314.14€ 299.18€ | |
| Kamagra Oral Jelly | 100mg | 10 Sachets | 54.55€ 51.95€ | |
| Levitra Generic | 60mg | 30 + 2 Pills | 109.43€ 104.22€ | |
| Viagra Generic | 100mg | 270 + 10 Pills | 270.47€ 257.59€ | |
| Levitra Generic | 40mg | 360 + 10 Pills | 704.99€ 671.42€ | |
| Levitra Generic | 10mg | 120 + 10 Pills | 178.59€ 170.09€ | |
| Viagra Generic | 50mg | 360 + 10 Pills | 225.33€ 214.60€ | |
| Levitra Generic | 20mg | 90 + 8 Pills | 180.78€ 172.17€ | |
| Kamagra Soft Tabs | 100 mg | 272 + 12 Pills | 593.42€ 565.16€ |
The creams were applied alternatively on successive occasions and the results recorded. Results: The active cream, applied on 77 occasions, resulted in three good and 13 partial erections. The placebo cream, applied on 76 occasions, yielded four good and 13 partial erections.
Conclusion: Make the Change That Matters Most
This medication is considered the next step up in therapy. Before taking alprostadil, tell your doctor if you: Have had an allergic reaction to alprostadil. Have allergies to foods, preservatives or dyes. Are taking any prescription or over-the-counter (OTC) medications, including herbal or dietary supplements. Have a history of painful, long-lasting erections (priapism).
Stopping smoking
Have any medical conditions, including congenital conditions (abnormalities since birth) that affect your penis, severe curvature when you have an erection (Peyronie’s disease), a penile infection or a condition that slows down your blood flow (such as leukemia, multiple myeloma, polycythemia vera, sickle cell disease or essential thrombocythemia). You may inject alprostadil by itself or as a mix with other medications to increase its effectiveness. Names for the alprostadil mix may include Bimix, Trimix and Quadmix. As a single ingredient, alprostadil comes in powder form. You must mix it with a liquid before you inject it into the side of the penis with a tiny needle. Conclusions: We were unable to reproduce the successful results reported by others; in the present study the active cream performed no better than placebo.
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Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Learn more about the Health Library and our editorial process. Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards. Alprostadil (Injectable and Transurethral) ( Updated 8/3/2021. Treasure Island, FL: StatPearls Publishing; 2023 Jan-.
Sex therapy
At Cleveland Clinic, we offer specialty care that’s focused on you. We understand that patients often have questions about any new treatments they take. This FAQ is meant to supplement your advice and recommendation, providing further clinical information on the efficacy and safety of Eroxon®. Eroxon® is the first and only FDA-cleared, topical, OTC product to help treat erectile dysfunction (ED). It’s fast-acting and offers a safe treatment option for both patients and their partners. Reviewed by Howard E.
Is Eroxon® right for you?
Transurethral alprostadil should start to work within 10 minutes. Alprostadil isn’t a cure for erectile dysfunction. But when you use it correctly, it’s a safe, effective, long-term treatment for erectile dysfunction. Many people choose to use alprostadil for a long time. The primary benefit of alprostadil is that it helps you to get and maintain an erection firm enough to have sexual intercourse.
Penis sleeve
It causes an erection firm enough for sexual intercourse in about 80% of men. Very rarely, injectable alprostadil may also cause a penile infection. Your erection should last between 30 minutes and an hour. You may continue to have an erection after you orgasm, but it should go away within an hour. Contact a healthcare provider as soon as possible if: You develop a painful curve when you have an erection. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing Men will soon have a new option for treating erectile dysfunction (ED) that supposedly works faster than regular ED medication — and is available without a prescription. In June, the FDA approved the over-the-counter sale of MED3000 (Eroxon), a topical gel treatment for ED. MED3000 is supplied in single-use tubes.
- Topical creams are an option for men who experience upset stomach with pills.
- They may cause less interference with daily activities.
- Applying the cream requires clean, dry skin for better absorption.
- Consistent use as prescribed is essential for optimal effect.
- Do not use more than the recommended amount to avoid side effects.
The contents are rubbed onto the head of the penis immediately before sexual intercourse.
| Ingredient | Function | Typical Use | Safety Profile |
|---|---|---|---|
| L-arginine | Boosts nitric oxide production | Enhances blood flow | Generally safe, few side effects |
| Yohimbine | Vasodilator | Improves erectile response | Potential for increased heart rate |
| Ginseng Extract | Reduces fatigue and improves libido | Libido enhancement | May cause insomnia |
| Maca Root | Increases stamina and energy | Sexual performance support | Allergic reactions possible |
| DHEA | Hormonal precursor | Supports hormonal balance | Should be used with caution |
| Capsaicin | Sensory nerve stimulation | Temporary sensation boost | Skin irritation risk |
The gel contains a combination of volatile solvents which, when applied to the head of the penis, evaporate rapidly, stimulating nerve endings through an initial cooling effect, followed by a warming sensation. This reaction releases nitric oxide, relaxing the smooth muscle tissue inside the penis and increasing blood flow that is needed to obtain an erection.
- Variability in absorption and response makes some creams less predictable.
- Potency effects from creams may diminish over time without proper use.
- Topical ED treatments can be part of a broader sexual health plan.
- Educate yourself thoroughly on how to apply and store the product.
- Be aware of local laws and regulations regarding ED topical treatments.
Clinical trials found that 65% of men who used MED3000 achieved an erection within 10 minutes and maintained it long enough to have sex. Common prescription ED drugs like tadalafil (Cialis) and sildenafil (Viagra) take around 30 minutes to work.
- Creams for ED can provide an alternative for those unable to take pills.
- Common ingredients include alprostadil, papaverine, or phentolamine.
- These agents dilate blood vessels to facilitate erection.
- Side effects can include local burning, redness, or pain.
- Not suitable for individuals with certain allergies or penile conditions.
The common side effects of MED3000 were headaches and nausea, but these occurred in only 1% to 3% of men. No side effects were reported among sexual partners. U.S. prices are not yet available, but in the United Kingdom, where Eroxon is already available over-the-counter, the cost is equivalent to about $32 (U.S.) for a four-pack.
How Eroxon® works
Topical alprostadil comes in the form of a cream or gel. You apply it to the end of your penis before sexual intercourse. However, topical alprostadil doesn’t have United States Food and Drug Administration (FDA) approval. It isn’t available in the U.S. as of yet.
Lifestyle Changes to Support ED Treatment
It’s important that you follow your alprostadil directions carefully. You shouldn’t use injectable alprostadil more than two to three times per week. You should wait at least 24 hours between each time you use it. Avoid using transurethral alprostadil more than twice every 24 hours. You should be able to get an erection within five to 20 minutes of taking injectable alprostadil. Matthew Solan, Former Executive Editor, Harvard Men's Health Watch Howard E.
Understanding Erectile Dysfunction
It’s important to know that there isn’t one set dose for alprostadil. You may need to gradually adjust the dosage according to how your body responds. It may take some time to find the right dose. If a healthcare provider prescribes injectable alprostadil, they’ll teach you how to use it. You inject alprostadil into the side of your penis.
Is there a Viagra gel?
Transurethral alprostadil is a type of suppository. You insert a tiny tablet or pellet into your urethra (the tube in your penis through which pee comes out of your body). It gradually breaks down inside your urethra and absorbs into your body. Studies show that transurethral alprostadil is less effective. There’s also a greater association with pain in your penis and burning. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Eroxon® is a fast-acting treatment gel for erectile dysfunction (ED) that can be applied immediately before sexual activity and is clinically proven to help you get an erection within 10 minutes. As the first-and-only ED gel, Eroxon® offers men and their partners results without the side effects of oral medicines or the inconvenience of getting a prescription. Clinically proven to work within 10 minutes† No one should be forced to plan ahead to enjoy intimate moments, and today’s treatments make it difficult to connect spontaneously.
MeSH terms
Your erection lasts longer than two hours. You have swelling or pain in your testicles, perineum or legs. Veins in your legs start to swell. You develop flu-like symptoms, including fever, chills or nausea and vomiting. You develop scarring or hard areas on your penis.
Ingredients and Potential Allergies
The alprostadil solution looks cloudy, is a different color or has debris. Go to the nearest emergency room if your erection lasts longer than four hours. No, you shouldn’t combine alprostadil with other oral medications for ED. Taking alprostadil in combination with Viagra or other similar drugs may increase toxic effects. The most common complication includes a prolonged erection that lasts longer than four hours. Now, men and their partners have a fast-acting treatment option for ED: Eroxon® gel. Learn how Eroxon®’s easy-to-apply gel helps men and their partners move seamlessly from date night to pillow talk. ...leading to increased blood flow in the penis to help achieve and maintain an erection. In clinical trials, Eroxon® helped men with ED achieve an erection within 10 minutes. * While it may not work for everyone, studies showed success in over 60% of men.