Product Details

What you need to know before you use Viridal Duo 40
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.