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When this sequence is interrupted by circulation problems or other factors, such as diabetes or anxiety, then it can be difficult for the individual to achieve and preserve an erect penis.

In cases where the issue persists, this is called erectile dysfunction in medical terms, but it can also be referred to as impotence.

Erectile dysfunction can affect younger men, but it is more common in older men. It is estimated that roughly 40 per cent of men over 60 and fifty per cent of men over 70 will experience the condition.

This might be due to decreased circulation, which can result in a lack of adequate blood flow. Those who experience the problem at a younger age tend more often to develop the condition through stress; whether it is through indirect anxiety related for instance to work; or that more directly related to the act of sex itself.

It is not uncommon for the anxiety which comes with being with a new partner and being eager to impress to induce erectile hesitancy.

Treatment for erectile dysfunction aims to ease the flow of blood to the penis. Alprostadil does this by mimicking the action of PGE1, which helps to relieve tension in blood vessels around the penis, and increase blood flow.

This enables the person using the treatment to get and stay erect for longer during sex. In the case of MUSE, this synthetic hormone is released into the inside of the penis via the applicator, and absorbed by the urethral wall.

MUSE is a little more complex to apply than more conventional ED treatments , such as oral tablets: but the benefits of this method of application are that it gets to work incredibly quickly, and is preferable for those who prefer not to use injections or swallow whole pills.

The medication is designed to work as part of a sexual experience, and therefore requires the user to be sexually aroused in order for it to work at its optimum.

The functioning agent in MUSE is a man-made hormone called alprostadil. This works in much the same way to prostaglandin E1 PGE1 , which is a naturally-occurring substance in the body.

Firstly, PGE1 performs an important function in allowing blood vessels and muscular tissue around the penile area to loosen, facilitating the easier flow of blood to the penis during moments of sexual arousal.

Secondly, in order to maintain an erection, other blood vessels need to restrict the flow of blood leaving the penis and help it to stay there, and PGE1 also assists with this process.

Impotence can be caused by numerous circumstances. Stress, conditions like diabetes, and decreased circulation can all contribute to erectile dysfunction.

In cases where someone is experiencing ED, medication can expedite the biological processes required to obtain an erection by helping the user to achieve a regular pattern of blood flow.

MUSE is available in , or microgram doses. The version you are prescribed will be determined by whether you have used this or any other ED treatment before, and whether those medicines proved effective.

The typical introductory dose is micrograms. This may be increased, decreased or kept the same, depending on how you react to the treatment.

Please note that there is currently no generic version of this medication on the market in the UK. If you have used this medication before, you can renew your MUSE prescription online with our simple, confidential service.

Take our questionnaire, and one of our clinical staff will assess your responses. Once approved, our UK pharmacy will issue your item and ship it via secure courier.

To be effective, it is important to ensure you apply MUSE as instructed by your doctor, and that you follow the step-by-step guide supplied with the medicine.

Doing so may also help to limit the risk of possible side effects. You must not take recreational drugs if you are using erectile dysfunction medicine, as this can be very dangerous.

Read the directions carefully before using this medication, and ask your doctor for advice if you are still unsure.

MUSE mcg. In the case of MUSE and all other treatments for erectile dysfunction , it is vital before using them to be knowledgeable of the potential side effects they might cause, so that you can take the appropriate steps if you experience them later on.

Perineal pain, swollen veins in the legs, increased heart rate, fainting, urinary tract infections, prolonged erections priapism.

This is not a full list of potential side effects. For a more complete account, refer to the information leaflet supplied or speak to your doctor.

If you experience a prolonged erection or any other side effects, it is imperative to seek immediate medical attention.

If you are using prescription, over-the-counter or even remedial medication, you should notify your doctor prior to or during consultation for MUSE.

Do not start or stop using any of these medications without first checking with your prescribing physician. Alprostadil may amplify or inhibit the effects of: aliskiren; clonidine; diazoxide; alpha-blockers including tamsulosin and doxazosin; beta-blockers including atenolol and propranolol; calcium-channel blockers, for instance diltiazem and nifedipine; minoxidil; nitrate-based medications; diuretics; hydralazine; methyldopa; moxonidine; losartan and valsartan.

Please note that the information provided here is not a comprehensive account of the restrictions which apply to this drug.

If you want to know more, speak to your doctor or refer to the patient information for this product. You must not take recreational drugs if you are planning to use MUSE.

Doing so can be very dangerous and cause a severe harmful reaction. If your partner is pregnant or may be pregnant, you will need to use a condom when using MUSE.

Possible side effects include dizziness. Do not drive or operate machines if you are affected by any side effects that may inhibit your capacity to do so safely.

You can drink alcohol while using most treatments for impotence. However, because this treatment has very specific application instructions, and because alcohol consumption can be a contributing factor to erectile dysfunction, we would advise against it.

While this medication should not directly affect your ability to drive, you should refrain from doing so if you experience any side effects which might affect your judgment or motor skills.

MUSE will be delivered to you in a cold-pack. Always keep away from children and in the original packaging. The two ingredients used to make MUSE are alprostadil and macrogol.

Do not take this medicine if you are allergic to these substances. You will need to undergo consultation with a doctor prior to using this medicine to ensure that it is safe for you.

Patients who have not used MUSE before should speak to their doctor in person. They will need to provide advice and demonstrate how to use the medication before first use.

Men looking to renew their MUSE prescription online can do so using our confidential service. All orders are checked by either a GMC-registered doctor or a pharmacy prescriber , and approved orders are dispensed at our regulated pharmacy.

Covid update: Our service is operating as normal. Read more. Please note that we only provide this treatment to patients who are already using it, or have used it before.

Before ordering this treatment from us, you will also need to have been shown how to use it by a doctor or nurse.

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