Viridal Duo 10 Starter Pack contains the active substance alprostadil which belongs to a group of drugs used to treat If you’re struggling with erectile dysfunction, Viridal Duo 10 starter pack could be the perfect solution for you. This medicine contains alprostadil, which is used to treat ED by widening blood vessels and increasing blood flow to the penis. With just one dose, you can experience improved erection quality and sexual performance. So why wait any longer? Give Viridal Duo 10 a try today and see for yourself how it can help you enjoy a better sex life.
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.
Both product’s active ingredient is alprostadil. Viridal duo and caverject are used in the same manner for erectile dysfunction.
Both product’s active ingredient is alprostadil. The method of administration of the products differ.
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.
It could be a sign of an underlying health condition such as diabetes.
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.
lose weight if you’re overweight
stop smoking
eat a healthy diet
exercise daily
try to reduce stress and anxiety
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
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.
Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).
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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Viridal Duo 10 is available to buy with a prescription at Dock Pharmacy Essex UK, UK Online Pharmacy.
Viridal Duo 10 Starter Pack is not available to buy over the counter. You need a prescription to buy Viridal Duo 10 Starter Pack
Dock Pharmacy
128 Dock Road, Tilbury, Essex, RM18 7BJ
Tel: 01375846316
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.
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.
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
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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