Viridal Duo 10 Continuation Pack contains the active ingredient alprostadil, which is part of a group of drugs used to treat erectile dysfunction. This medicine works by widening blood vessels and increasing blood flow to your penis. As a result, you should be able to get and maintain an erection long enough for sexual intercourse.
This product is intended for use by men who have already used Viridal Duo 10 and have been satisfied with the results. If you have never used this medicine before, please consult your doctor or pharmacist.
Viridal Duo 10 is easy to use: simply insert the pellet into the tip of your penis and push the plunger
What is Viridal Duo 10 Continuation Pack used for?
Viridal Duo 10 is used in adult males:
• to help you get and maintain an erection
• by your doctor to test whether you suffer from impotence.
Viridal Duo comes in a glass cartridge with two chambers. One chamber contains alprostadil, the other contains sodium chloride solution. These are mixed together to make a solution that is injected into the penis.
Viridal Duo and Caverject Injection
Both product’s active ingredient is alprostadil. Viridal duo and caverject are used in the same manner for erectile dysfunction.
Viridal Duo and Muse
Both product’s active ingredient is alprostadil. The method of administration of the products differ.
What is Erectile Dysfunction?
Erection problems (impotence) are very common, particularly in men over 40. It’s usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem.
Most men occasionally fail to get or keep an erection.
This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical health or emotional problems.
See a GP or go to a sexual health clinic if:
erection problems keep happening
It could be a sign of an underlying health condition such as diabetes.
How sexual health clinics can help with erection problems
Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery.
Many sexual health clinics offer a walk-in service, where you do not need an appointment.
They’ll often get test results quicker than GP practices.
The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having.
They’ll carry out basic health checks, such as taking your blood pressure.
They’ll also examine your genitals to rule out any obvious physical cause.
If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate.
Treatments for erectile dysfunction are usually effective and the problem often goes away.
There are also specific treatments for some of the causes of erectile dysfunction.
Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It’s also available from pharmacies.
Because of changes in regulations, you no longer need a prescription to get sildenafil.
But you’ll have to have a consultation with the pharmacist to make sure it’s safe for you to take it.
There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way.
You’ll still need a prescription to get these medicines.
Healthy lifestyle changes can sometimes help erectile dysfunction.
DO
lose weight if you’re overweight
stop smoking
eat a healthy diet
exercise daily
try to reduce stress and anxiety
DON’T
do not cycle for a while (if you cycle for more than 3 hours a week)
do not drink more than 14 units of alcohol a week
EMOTIONAL (PSYCHOLOGICAL) PROBLEMS
It’s more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.
A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
There’s usually a long wait for these services on the NHS.
You can also pay to see someone privately.
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How to use Viridal Duo 10
Always use this medicine exactly as your doctor has told you. Check with your doctor if you
are not sure.
Important:
Before you use Viridal Duo at home, you must be taught how to prepare and inject it by your
doctor. You should never start treatment without talking to your doctor first.
Remember: If you find it difficult to use your hands properly or if you cannot see very well
your partner can be taught how to give you the injection.
Discuss this with your doctor if necessary.
How much Viridal Duo to use
To test for impotence and to find out the dose of Viridal Duo you need:
For erectile dysfunction of primary neurological origin
Your doctor will give you a starting dose of 2.5 or 5 micrograms. However, if your
impotence is due to neurological problems, your doctor will give you a starting dose
of 1.25 micrograms.
Your doctor will then increase your dose by 2.5 or 5 micrograms at a time
Your correct dose is the one which produces an erection which lasts for no longer
than 1 hour.
For an erection:
• Most men need between 10 and 20 micrograms for each injection
• Do not use more than 40 micrograms in one injection.
• Do not use more than 2 or 3 times a week with at least 24 hours between the injections.
All deliveries are subject to the availability of the product and product sale conditions been met.
Order & Collect
Free next-day collection from In-Store
UK Delivery
Standard Delivery within the UK £3.50 Delivery time 3-4 days First Class Delivery within the UK £5.90 Delivery time 1-2 days Priority Delivery within the UK £7.10. Next day delivery by 1pm. Order must be placed by 1pm. Priority delivery is only available Monday to Thursday.
Europe Delivery
Standard Delivery within EEC from £12.50 Delivery time up to 5 days depending on the local delivery service within your country. Expedited Delivery within EEC £39.50 Delivery time 2 days. Delivery by DHL, UPS or TNT.
Rest of the World
Standard Delivery Rest of the World from £16.10 Delivery Time 10 – 15 Days Expedited Delivery Rest of the World £55.09 Delivery 5 days. Delivery service by DHL, TNT or UPS
What you need to know before you use Viridal Duo 10
Do not use Viridal Duo:
if you are allergic to alprostadil or any of the other ingredients of this medicine (listed
in section 6).
if you have a deformity or disease of your penis
if you have sickle-cell disease (abnormal red blood cells)
if you have leukaemia (cancer of blood cells)
if you have multiple myeloma (tumour of the bone marrow)
if you have an implant in your penis
if you have been told not to have sex for health reasons such as heart problems or a
recent stroke
if you have Peyronie’s disease or any scarring or deformity of the penis or foreskin.
If any of the above applies to you talk to your doctor or pharmacist.
Warnings and precautions
Talk to your doctor or pharmacist before using Viridal Duo
if you have one or more cardiovascular risk factors (these might include high blood
pressure, tobacco use, raised blood glucose, raised blood cholesterol, overweight and
obesity)
if you have or have ever had any heart problems
if you have or have ever experienced fainting and blackouts
if you have had short-term changes to your speech, hearing or vision
if you suffer from lung problems
if you have one or more risk factors for stroke (these might include high blood
pressure, raised blood cholesterol, coronary artery disease, heart arrhythmia, diabetes)
if you suffer from blood clotting disease
if you have or have ever had stomach bleeding or bleeding from the intestines.
You may need to have further tests before your doctor can give you this treatment (for
example, a stress resistance test and tests to check for other treatable underlying causes of
impotence).
Erection lasting over four hours can be dangerous therefore you should report immediately to
your doctor, or, if unavailable, seek immediate medical assistance for any erection that
persists for longer than four hours.
Viridal Duo will not protect you or your partner from sexually transmitted diseases like
chlamydia, gonorrhoea, herpes simplex virus, viral hepatitis, HIV, genital warts or syphilis.
As you may get a small amount of bleeding at the injection site, it is especially important that
you use a condom to avoid sexually transmitted diseases.
Viridal Duo should not be used by patients with drug addiction, mental illness or intellectual
disability.
You may need to have regular follow up examinations by your doctor to check for the
formation of scar tissue on the penis.
Other medicines and Viridal Duo
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines.
Tell your doctor if you are taking any of the following medicines:
Drugs to treat depression known as MAOIs such as phenelzine. When taken with
Viridal Duo, these can cause very high blood pressure
Other drugs injected into the penis for the treatment of erection difficulties such as
papaverine or phentolamine. Taking Viridal Duo as well could cause a dangerously
prolonged erection
Any other medicines used to treat erection difficulties including sildenafil. When used
in combination with Viridal Duo, they could induce prolonged erection
Medicines to thin your blood such as warfarin. These can cause bleeding at the site of
injection of Viridal Duo
Drugs to lower your blood pressure and change the diameter of your blood vessels.
Viridal Duo may increase their effects and cause very low blood pressure.
Any other medicine, including medicines obtained without a prescription.
Other medicines to treat blood clotting as you may need special attention.
Pregnancy, breast-feeding and fertility
You should wear a condom if your partner is, may be or could become pregnant. This is to
avoid causing irritation of her vagina or possibly damaging the unborn baby.
If you have any questions on this or if your partner is breast-feeding, please ask your doctor
or pharmacist for advice.
Viridal Duo does not interfere with ejaculation and fertility.
Driving and using machines
If you feel dizzy or faint after using Viridal Duo you should not drive or use machinery or tools.
How to store Viridal Duo
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the label and carton
after EXP. The expiry date refers to the last day of that month.
Do not store above 25°C. Store in the original package in order to protect from light.
Do not use this medicine if you notice some moisture in the powder.
When you have mixed the powder with the liquid in the injector, use immediately.
This cannot be stored.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Side Effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. Seek immediate medical help if you have any of the following symptoms: An erection that lasts for more than 4 hours Serious allergic reactions which causes difficulty in breathing or dizziness Skin reactions such as rashes and blistering. Very common: may affect more than 1 in 10 people Pain in the penis Common: may affect up to 1 in 10 people Burning sensation during injection which quickly gets better Pain at the site of injection Lumps at the site of injection or in your penis after long-term use. Spot-like bruising (blood spots under the skin) at the site of injection Fluttering or vibrating feeling sensation due to uncontrollable muscle movement Erections might occur more often and longer in duration Bend or kink in the penis, especially after long-term use Uncommon: may affect up to 1 in 100 people Reddening, itching, swelling, blistering, numbness, tenderness or a feeling of warmth at the site of injection Bleeding at the site of injection Headache Priapism (prolonged erection of more than 4 hours) Fungal infection Common cold Reduced sense of touch or sensation Heightened sense of touch or sensation Dilation of the pupils Changes to heart rhythm or increased heart rate Low blood pressure Raised creatinine Decreased or altered blood flow to the arms or legs Feeling sick Dry mouth Skin rash Excessive sweating Pain when urinating, urinating more frequently or a sudden need to urinate Bleeding in the urethra, which can cause there to be blood in your urine A general increase in iron stores in the body Problems attaining or maintaining an erection Problems with ejaculation Painful or swollen testicles Lumps on the testicles Pain in the pelvis Pain, swelling or reddening of the scrotum Pain, swelling or reddening at the tip of the penis Rare: may affect up to 1 in 1,000 people Serious allergic reactions which causes difficulty in breathing or dizziness Skin reactions such as rashes and blistering Drop in blood pressure, which may cause dizziness or fainting Scarring of the inside of the penis after long-term use. Rare nervous system disorders like vertigo (disorientation with spinning sensation), dizziness If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. Very rare: may affect up to 1 in 10,000 people Isolated cases of thrombocytopenia (abnormal drop in the number of platelets) Not known: frequency cannot be estimated from the available data Loss of memory Stroke Insufficient blood flow to the heart muscle via the coronary arteries, often resulting in chest pain (angina pectoris); heart attack Bleeding of the stomach and intestines Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via: Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store By reporting side effects, you can help provide more information on the safety of this medicine
Ingredients
What Viridal Duo 10 contains The active substance is alprostadil. There are three strengths of Viridal Duo that contain the active substance alprostadil 10 micrograms. The other ingredients of the powder are lactose monohydrate and alfadex. The liquid contains sodium chloride and water for injection. What Viridal Duo looks like and contents of the pack Viridal Duo is a powder and solvent for solution for injection. Viridal Duo comes in a glass cartridge with two chambers. One chamber contains a white powder with the active ingredient alprostadil. The other contains a clear, colourless solution of sodium chloride solution. This is used to dissolve the powder.
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