Vitaros Cream is an easy-to-apply, fast-acting topical treatment for erectile dysfunction.

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Erectile dysfunction (ED) can affect you at any stage of your life and may be linked to factors such as stress, anxiety, lifestyle habits or underlying health conditions. For many men, ED can have an emotional impact too, affecting confidence, intimacy and relationships.
Vitaros is a fast-acting topical erectile dysfunction cream that’s applied directly to the tip of the penis. Also known as alprostadil cream, Vitaros may help men achieve an erection suitable for sexual activity within 5–30 minutes.
It’s available on prescription in the UK for men over 18 following a short online consultation.
*Moncada I et al, Clinical efficacy and safety of Vitaros©/Virirec© (Alprostadil cream) for the treatment of erectile dysfunction
Vitaros Cream is a prescription-only erectile dysfunction cream used to treat ED in adult men. The treatment contains alprostadil and is applied directly to the penis with a single-use applicator.
Designed as an alternative to oral ED medications, including Viagra or Cialis, Vitaros may be suitable for men who prefer not to take tablets or who have found treatments such as Viagra or Cialis unsuitable.
It’s supplied in convenient single-dose AccuDose applicators, with four applicators included in each pack.
The active ingredient in Vitaros is alprostadil, a type of medicine known as a prostaglandin. Alprostadil is a vasodilator that works by relaxing and widening blood vessels to increase blood flow to the penis, helping to get and keep an erection during sex.
Applied directly into the opening at the tip of the penis (the urethra), Vitaros Cream offers a fast-acting, localised treatment for ED.
Vitaros Cream should be applied 5–30 minutes before sexual activity. Effects typically last for 1–2 hours. Do not use more than 1 dose in 24 hours or more than 2–3 doses within 7 days.
Avoid urinating immediately after applying Vitaros, as this may reduce how well the treatment works. Do not use a second dose to replace any cream that may not have entered the opening of the penis.
Using too much Vitaros Cream or applying it more frequently than recommended can increase your risk of side effects and won’t improve the effectiveness of the treatment or produce a stronger erection.
You should only use one single-use AccuDose container at a time and no more than one dose within a 24-hour period, or 2–3 times a week.
If you use more Vitaros than prescribed and experience symptoms such as:
Seek medical assistance or call NHS 111 for medical advice immediately.
Looking into Vitaros Cream? The Independent Pharmacy makes it easy to request treatment online. Complete a short consultation from the comfort of home and a UK-registered prescriber will check whether Vitaros is suitable for you.
You'll also have access to our experienced clinical team, who can answer any questions you may have about your treatment.
Yes. Vitaros Cream can be prescribed through regulated UK online pharmacies, including The Independent Pharmacy. When requesting treatment online, it's important to use a trusted provider that sources medicines through legitimate supply chains and stores them according to the manufacturer's requirements.
At The Independent Pharmacy, one of our UK-registered prescribers will review your consultation to check whether Vitaros is safe and suitable for you. If it isn't, they can discuss alternative treatment options that may be more appropriate.
No. Vitaros Cream is a prescription-only medicine, so it isn't available over the counter in the UK. A prescriber must first check that it's safe and suitable for you, taking into account your health and any medications you're taking.
Vitaros may be available on the NHS for some men with ED, depending on eligibility criteria and your GP’s assessment. Availability can vary between NHS areas and prescribing policies.
The price of Vitaros Cream can vary depending on the pharmacy supplying it.
Vitaros Cream is available in a 3mg/g strength and contains the active ingredient alprostadil. Each single-use AccuDose container contains 100mg of cream, delivering 300mcg of alprostadil. Every pack contains 4 single-dose applicators.
You should only use the dose prescribed for you and must not apply extra cream. Using more than recommended will not improve erections and may increase your risk of side effects.
Active ingredient: alprostadil
Other ingredients:purified water, anhydrous ethanol, ethyl laurate, hydroxypropyl guar gum, dodecyl-2-N,N-dimethylaminopropionate hydrochloride, potassium dihydrogen phosphate, sodium hydroxide (for pH adjustment) and phosphoric acid (for pH adjustment).
Do not use Vitaros Cream if you:
Notes:
Seek urgent medical advice if:
Before using Vitaros Cream, tell your prescriber if you have any existing medical conditions or if you take, have recently taken or intend to take any other medications while using Vitaros, including:
Please read all packaging and the Patient Information Leaflet contained within the packaging.
The first time you use Vitaros, it may not be fully effective. Use it for at least four applications on separate occasions before switching treatments. Never apply more than one dose of Vitaros at a time, even if it’s ineffective.
Lifestyle changes and non-medicated approaches may also help improve erectile dysfunction symptoms, including:
If you don't feel that Vitaros is the right treatment for you there are a number of treatments available in tablet form that you may find more effective.
Viagra is a well-known prescription treatment for ED that contains the active ingredient sildenafil. It works by increasing blood flow to the penis to help achieve and maintain an erection suitable for sexual activity.
Viagra typically starts working within 30 to 60 minutes and its effects can last for up to 4 hours. It’s available in 25mg, 50mg and 100mg strengths and is usually taken when needed before sex.
Viagra Connect is the over-the-counter version of Viagra available without a prescription. It contains 50mg of sildenafil.
Viagra Connect works in the same way as Viagra and typically starts working within 30 to 60 minutes. It may be a convenient option for men looking for accessible erectile dysfunction treatment without the need for a GP appointment. Read reviews of Viagra Connect.
Sildenafil is the generic version of Viagra and one of the most commonly prescribed ED treatments in the UK. It contains the same active ingredient as Viagra but it’s often available at a lower cost.
Sildenafil is typically taken 30 to 60 minutes before sex and can remain effective for up to 4 hours. It’s available in 25mg, 50mg and 100mg strengths and may be suitable for men looking for a more affordable erectile dysfunction treatment option. Find out what people think of sildenafil by reading reviews.
Cialis is a prescription-only ED tablet containing tadalafil. It’s known for its long-lasting effects, helping some men achieve erections for up to 36 hours after taking a dose.
Because of its longer duration of action, Cialis is often referred to as the “weekend pill”. It can be taken as needed or as a lower-dose daily tablet depending on individual treatment needs. See reviews from men using Cialis.
Tadalafil is the generic version of Cialis and contains the same active ingredient, tadalafil. It helps increase blood flow to the penis to support erections during sexual stimulation.
Tadalafil can remain effective for up to 36 hours and is available in both daily and on-demand treatment options. Generic tadalafil is often chosen as a cost-effective alternative to Cialis. See how tadalafil has worked for other men.
Levitra is an erectile dysfunction treatment containing vardenafil, a medicine that helps improve blood flow to the penis. It’s designed to help men achieve and maintain an erection suitable for sex.
Levitra typically starts working within 25 to 60 minutes and may remain effective for up to 5 hours. Some men may find Levitra effective if other ED tablets haven’t worked as well for them. Discover what users think of Levitra.
Spedra is a fast-acting ED tablet containing avanafil. It’s designed to work quickly and may start helping some men achieve an erection in as little as 15 minutes.
Spedra may be a suitable option for men looking for a more spontaneous ED treatment. Its effects can last for up to 6 hours and it’s available in several strengths depending on your needs. Read what Spedra users say.
Active ingredient | Branded or generic | How quickly does it work? | How long does it last? | How do you take it? | |
Vitaros | Alprostadil | Branded | 5–30 minutes | 1–2 hours | Applied directly to the tip of the penis with a single-use applicator |
Viagra | Sildenafil | Branded | 30–60 minutes | Up to 4 hours | Tablet taken before sex |
Viagra Connect | Sildenafil | Branded | 30–60 minutes | Up to 4 hours | Tablet taken before sex |
Sildenafil | Sildenafil | Generic | 30–60 minutes | Up to 4 hours | Tablet taken before sex |
Cialis | Tadalafil | Branded | 30–60 minutes | Up to 36 hours | Tablet taken before sex or daily at a lower dose |
Tadalafil | Tadalafil | Generic | 30–60 minutes | Up to 36 hours | Tablet taken before sex or daily at a lower dose |
Levitra | Vardenafil | Branded | 25–60 minutes | Up to 5 hours | Tablet taken before sex |
Spedra | Avanafil | Branded | As little as 15 minutes | Up to 6 hours | Tablet taken before sex |
There’s no specific warning against drinking alcohol while using Vitaros Cream. However, alcohol can contribute to ED and may increase the risk of side effects such as dizziness or low blood pressure.
No, Vitaros should not be used alongside other erectile dysfunction treatments, including Viagra, sildenafil, tadalafil or Cialis, unless specifically advised by your doctor. Combining ED medications may increase the risk of side effects such as low blood pressure, dizziness or prolonged erections.
Yes, Vitaros cream is a prescription-only medicine in the UK. Before treatment can be supplied, you’ll need to complete a medical assessment with a doctor or qualified prescriber to ensure it’s safe and suitable for you.
Vitaros is a fast-acting alprostadil cream that can start working within 5 to 30 minutes after application. Its effects typically last for around 1 to 2 hours.
Vitaros Cream contains the active ingredient alprostadil, a type of medicine known as a prostaglandin. Alprostadil is a synthetic version of prostaglandin E1, a naturally occurring chemical involved in the process of achieving an erection.
An erection is caused by a complex chain of events. The nervous system sends signals that trigger the release of active chemicals, which includes prostaglandin E. This chemical causes the blood vessels that enter the penis to widen, and the vessels that exit the penis to constrict. This allows for more blood to enter, whilst stopping blood from leaving the penis. The increased blood flow to the penis causes the erectile tissue to swell, resulting in an erection.
The active ingredient in Vitaros (alprostadil) is a synthetic form of the naturally occurring chemical prostaglandin E. This chemical plays a pivotal role in the erection process. When administered directly into the urethra (the opening of the penis), alprostadil will widen and constrict the necessary blood vessels, causing the penis to become rigid and erect.
Unopened Vitaros Cream sachets should be stored in a refrigerator between 2–8°C. Do not freeze the medication.
Vitaros Cream can be kept outside the fridge at temperatures below 25°C for up to 3 days. If not used within this time, it should be safely disposed of.
Vitaros Cream may cause dizziness or light-headedness for up to 2 hours after use. Do not drive or operate machinery until you know how the treatment affects you.
Because Vitaros Cream can transfer to your partner during sex, using a condom is recommended during vaginal, oral and anal sex. This may help reduce the risk of irritation in your partner and provides protection against sexually transmitted infections (STIs).
If you experience an erection lasting longer than 4 hours, seek urgent medical advice immediately, as prolonged erections can cause permanent damage if left untreated.
Vitaros should also be used with caution in men with liver or kidney problems.
Before using Vitaros Cream, tell your doctor or prescriber about any medicines you’re taking, including prescription medicines, over-the-counter treatments and herbal remedies.
If you’re taking anticoagulants (blood thinners), you may have a higher risk of bleeding after using Vitaros Cream.
Examples of blood pressure medications that may interact with Vitaros include:
Vitaros is not known to cause drowsiness, but it can cause dizziness or fainting in some men. If you’re affected, avoid driving or operating machinery until the symptoms have passed.
Yes, Vitaros may cause vaginal burning, itching or irritation in some partners during sex. Because Vitaros is a topical erectile dysfunction cream, using a condom can help reduce the risk of transferring the medication.
No, this treatment does not protect against STIs. Using a condom can help reduce the risk of passing on or catching STIs.
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