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Alprostadil

Latest prescription information about Alprostadil. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Alprostadil
Pronunciation : al-PROS-ta-dil
Therapeutic Classification : cholinergic agents
Trade Name(s): 
India- Alpostin Amp, Bioglandin Amp, Prostin Vr Inj.
International- Caverject, Edex, Muse.
Why it is prescribed (Indications) : 
This medication is a vasodilator, prescribed for erectile dysfunction (impotence; inability to get or keep an erection) in men. It is also used to improve blood flow in newborn babies with a certain genetic heart condition and who depend on patent ductus arteriosus for survival.
This injection is also sometimes used in combination with other tests to diagnose erectile dysfunction. It relaxes the muscles and blood vessels in the penis to keep enough blood in the penis so that an erection can occur.

When it is not to be taken (Contraindications): 


Contraindicated in patients with hypersensitivity,and hyaline membrane disease.

Pregnancy Category :

A B C D X
Category C : Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.


When it is to be taken : 
IV- The recommended starting dose is 0.1 micrograms per kilogram of body weight per minute.
How it should be taken : 
It comes as a powder to be mixed with the liquid provided in the package and injected into the penis and as a urethral suppository (pellet to be placed into the urinary opening of the penis), and newborns injection administered into the vein.
Special Instruction : 
* Treatment should be given for patients who experience prolonged and painful erection that lasts for more than 4 hours.
* This drug does not prevent transmission of sexually transmitted diseases. Patients are advised to use barrier contraceptives to protect themselves or their partners from sexually transmitted diseases.
* If your partner experiences vaginal dryness or painful vaginal sensations, talk with your doctor.
* It may cause dizziness, lightheadedness, and fainting. Do not drive a car or operate machinery after using this medication until you know how this medication affects you.
* Regular check up needed while taking this medication.
* Caution needed in case of COPD (chronic obstructive pulmonary disease).
* Neonates receiving PGE1 for more than 120 hours should be closely monitored for gastric outlet obstruction.
Side Effects : 
Heart- Flushing, slow heart rate, low blood pressure, cardiac arrest, edema. Other rare, but serious, cardiovascular effects include heart failure, second-degree heart block, shock, uncoordinated contraction of the cardiac muscle.
Central Nervous System- Fever, seizures, cerebral bleeding.
Gastrointestinal- Diarrhea.
Genitourinary- Urethral pain, urethral burning, urethral bleeding/spotting, testicular pain, penile pain, prolonged erection, penile fibrosis, injection-site blood clot, penis disorder.
Blood- Pathological activation of blood clotting, bleeding.
Respiratory- Breathing during sleep
Miscellaneous- Cortical proliferation of long bones; sepsis; back pain; pain; pelvic pain; accidental injury.
Other Precautions : 
*Monitor blood pressure, blood oxygenation and blood pH continually.
Storage Conditions : 
Store it at room temperature and away from excess heat and moisture.

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