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Vitaros Cream

  • Topical cream used to treat erectile dysfunction
  • Contains alprostadil to help increase blood flow
  • Works within 5 to 30 minutes
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Fast & Free Delivery Options

Variety of delivery options including next day & free delivery.

100% UK-based Pharmacy

Pharmacy, clinic and prescribers based in Greater Manchester.

Free Online Consultations

Start your treatment with a quick and free online consultation.

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Vitaros Cream for Erectile Dysfunction

 

Medication Name Vitaros Cream
Medication Form Single-use topical cream
Used for Treating erectile dysfunction in men
Who can use Adult men aged 18 and over
Active Ingredient(s) Alprostadil (3mg/g)
Usual Dose One applicator used 5 to 30 minutes before sex, as directed by your prescriber. No more than once in 24 hours and no more than 2 to 3 times a week
Common Side Effects Penile pain, burning or redness, rash, genital itching, penile swelling
Prescription Required Yes
Patient Information Leaflet Vitaros Cream Patient Information Leaflet

What is Vitaros Cream used for?

Vitaros is a topical cream used in the treatment of erectile dysfunction (ED) in men, the difficulty getting or keeping an erection firm enough for sex. ED is common and often has more than one cause, including:

  • Poor blood flow to the penis
  • Nerve damage
  • Hormonal changes
  • Emotional factors such as stress or anxiety

Vitaros contains alprostadil. Because Vitaros is applied directly to the tip of the penis rather than swallowed, this topical erectile dysfunction cream can suit men who’d prefer an alternative to ED tablets or who can’t use oral ED treatments. Vitaros cream offers a topical option.

How does Vitaros Cream work?

Once the cream is applied to the tip of the penis, the alprostadil it contains passes through the skin. The cream is absorbed quickly, helping relax and widen the blood vessels so more blood flows into the penis. Vitaros typically produces an erection within 5 to 30 minutes after application, and the effect lasts around 1 to 2 hours, though this varies from person to person. Arousal and foreplay help the cream work.

Who is Vitaros Cream suitable for?

Vitaros is suitable for adult men aged 18 and over who have erectile dysfunction. It can help men who struggle to get or keep an erection for a range of physical, medical or emotional reasons. A short consultation helps determine if Vitaros is a good fit for you.

Vitaros should not be used by everyone. Don’t use it if you:

  • Are allergic to alprostadil or any of the other ingredients
  • Have had a heart attack, or feel faint or dizzy when you stand up
  • Have been told not to have sex for health reasons such as heart problems or a recent stroke
  • Have a condition that can cause long-lasting erections, such as sickle cell anaemia, leukaemia or multiple myeloma
  • Have an abnormally shaped penis, or one that’s inflamed or infected
  • Are prone to blood clots in the veins

How to Use Vitaros Cream

Applying Vitaros cream is straightforward, and each applicator is for single use only. Use it around 5 to 30 minutes before sex, and your prescriber will confirm the right dose of Vitaros cream for you.

  1. Wash your hands before you start.
  2. Bring the applicator to room temperature by rolling it between your hands.
  3. Twist the plunger a few times so it moves easily, then remove the cap.
  4. Pass urine before applying, as it’s easier beforehand.
  5. Gently squeeze the tip of the penis to widen the opening while holding it upright. If you aren’t circumcised, pull the foreskin back first.
  6. Place the applicator tip close to the opening without inserting it, then slowly push the plunger to apply the cream into the opening.
  7. Hold the penis upright for about 30 seconds to allow the cream to penetrate, then gently move any excess cream into the opening with a fingertip.
  8. Wash your hands again, as the cream can irritate the eyes.

Each applicator holds one dose of Vitaros, so don’t use too much Vitaros cream. Use it no more than once in any 24 hours and no more than two to three times a week. Don’t pass urine straight after applying, and don’t use a second applicator if some cream is left over.

Vitaros Cream Side Effects

Like all medicines, Vitaros cream can cause side effects, though not everyone gets them. Most side effects of Vitaros cream are short-lived and settle within 1 to 2 hours.

Combining it with other ED treatments can increase the risk of side effects. An erection lasting more than 4 hours needs urgent medical attention.

Common Side Effects

These may affect more than 1 in 10 people.

  • Mild to moderate aching, burning, pain or redness of the penis
  • Rash
  • Genital itching
  • Swelling of the penis
  • Inflammation of the head of the penis (balanitis)
  • Tingling, throbbing numbness or burning of the penis
  • Mild vaginal burning, itching or vaginitis in your partner

Uncommon Side Effects

Vitaros cream may also cause less common effects. These may affect up to 1 in 100 people.

  • Light-headedness or dizziness
  • Fainting
  • Low blood pressure or a rapid pulse
  • Pain at the application site or in a limb
  • Narrowing of the urethra
  • Increased sensitivity or itching of the penis
  • Genital rash
  • Scrotal pain
  • A feeling of fullness in the genitals
  • Loss of sensation in the penis
  • Inflammation of the urinary tract (UTI)
  • Vulval or vaginal itching in your partner

Serious Side Effects

Contact your doctor straight away if you get:

  • An erection lasting more than 4 hours (this can permanently affect erectile function if left untreated)
  • Fainting or severe dizziness

You can report suspected side effects to the MHRA Yellow Card scheme.

Vitaros Cream Ingredients

Vitaros cream contains a single active ingredient. The active ingredient in Vitaros is alprostadil, and each single-use container contains 100mg of cream.

Active ingredient: Alprostadil.

Other ingredients: Purified water, ethanol (anhydrous), ethyl laurate, hydroxypropyl guar gum, dodecyl-2-N,N-dimethylaminopropionate hydrochloride, potassium dihydrogen phosphate, sodium hydroxide and phosphoric acid.

Vitaros contains a small amount of alcohol (ethanol), around 50mg per gram, which can cause a burning feeling on broken skin. If you have any allergies or sensitivities, review the ingredient list and mention them during your consultation before use.

Warnings and Precautions

  • Speak to your doctor before using Vitaros if you’ve had prolonged erections, low blood pressure with dizziness, fainting or liver or kidney problems.
  • Don’t use this cream with other erectile dysfunction treatments, as this raises the risk of a prolonged, painful erection.
  • Don’t use it with medicines that prevent blood clots, because of a possible bleeding risk.
  • Blood pressure medicines, decongestants and appetite suppressants may reduce how well it works, and blood pressure medicines can add to dizziness and fainting, especially in older men.
  • Tell your prescriber about any other medicines you take before use of Vitaros, as some can interact with it.
  • Use a latex condom if your partner is pregnant, breastfeeding or could become pregnant, and to protect against sexually transmitted infections. Only latex condoms have been tested with Vitaros.
  • Vitaros may cause dizziness or fainting, so don’t drive or use machinery for 1 to 2 hours after applying it.

Vitaros Cream Reviews

Vitaros Cream FAQs


Vitaros usually starts to work within 5 to 30 minutes of applying it. The effect then lasts for around 1 to 2 hours, though this varies from person to person. Foreplay and arousal help the cream work. Apply it 5 to 30 minutes before you plan to have sex.

Vitaros shouldn’t be combined with other erectile dysfunction treatments like Cialis tablets, as this can raise the risk of a prolonged, painful erection. It also shouldn’t be used with medicines that prevent blood clots, because of a possible bleeding risk. Blood pressure medicines can add to dizziness and fainting when taken alongside it. Tell your prescriber about everything you take before starting.

Vitaros is a cream applied directly to the tip of the penis, while treatments like Viagra are tablets taken by mouth. Because it’s applied locally, it can suit men who’d rather not take a tablet or who can’t use oral ED medicines. It tends to work within 5 to 30 minutes. Which option is right depends on your health and preferences, so speak to your prescriber for advice.

Vitaros cream is a prescription-only medicine, so you can’t buy it over the counter. You’ll need a short online consultation so a prescriber can check it’s suitable for you. There are several ED treatments available, and Vitaros cream is available on prescription once it’s approved for you.

Too much alcohol can make it harder to get an erection, so it may reduce how well Vitaros works. There’s no strict ban on alcohol with the cream itself, but keeping your intake low is sensible. The cream also contains a small amount of alcohol (ethanol), which can sting if it touches broken skin. If you’re unsure, speak to your pharmacist for advice.

If your partner is pregnant, could become pregnant or is breastfeeding, you should use a latex condom when using Vitaros. This protects your partner from exposure to the medicine. If you’re actively trying to conceive, talk to your prescriber first so they can advise on the safest approach.

Vitaros isn’t suitable if you’ve had a heart attack or if you’ve been advised not to have sex for health reasons, such as heart problems or a recent stroke. Sexual activity itself puts extra demand on the heart. If you have any heart or circulation condition, tell your prescriber so they can decide if it’s safe for you.

There’s no need to wash the cream off after applying it, as it needs time to absorb. Do wash your hands thoroughly afterwards, since the cream can irritate the eyes. Avoid passing urine straight after applying, as this can wash the medicine away before it works.

Store Vitaros cream in a fridge between 2°C and 8°C and don’t freeze it. Unopened applicators can be kept out of the fridge below 25°C for up to 3 days, then used or thrown away. Vitaros cream is supplied in single-use applicators, so keep them in the original sachet to protect from light and out of the reach of children.

Each pack of Vitaros contains single-use applicators, so replace the cap and put the used one back in its opened sachet, then fold and dispose of it. Don’t flush any medicine down the toilet or put it in household waste. Vitaros is supplied in packs of 4 or 12, and any unused applicators can be taken to your pharmacist to dispose of safely.

Vitaros isn’t suitable for everyone. It shouldn’t be used by men with certain heart or blood pressure conditions, those prone to long-lasting erections or anyone allergic to alprostadil. A prescriber will review your health and medicines to check it’s right for you.

Our Experienced UK-based Pharmacy Team

Clinical Consultant
MUDr, MRCEM, EBCEM, FRCEM
GMC no. 7176414

Pharmacist
MPharm
GPhC no. 2065469

Pharmacist
MPharm
GPhC no. 2046514

Page content authored by Mr Mohammed, last reviewed by Amjad Khan on 27th August 2026.