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In Thailand, Alprostadil is available only as brand name Prostin, 50 mcg, and its use for ED would be off-label.

Dosage depends on the cause of the ED so important it be used under the supervision of a urologist or other physician specializing in ED

Side effects include (frequency in paranthesis)

  • Penile pain (37%)
  • Prolonged erection, 4-6 hr (4%)
  • Penile fibrosis (3%)
  • Injection site hematoma (3%)
  • Injection site echymosis (2%)
  • Penile rash (1%)
  • Penile edema (1%)
  • Priapism, >6 hr (0.4%)
  • Injection site hemorrhage

It is usually effective, but not without risks obviously.

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