Viridal Duo

What is Viridal Duo?

Viridal Duo is an alprostadil injection for men with erectile dysfunction. It’s quite similar to Caverject, but the way you prepare the injection is slightly different. Because it’s an injection, it’s intended for men who can’t use oral tablets like Viagra, or who’ve tried these and found that they haven’t worked.

It’s called Viridal Duo because there are two chambers in the injection - one containing powder and another containing liquid that mix together to make the injectable solution.

How does Viridal Duo work?

The active ingredient in Viridal Duo is alprostadil. Alprostadil is a drug that helps to dilate blood vessels, and this helps to improve circulation to the penis.

In men with ED, blood can’t flow into the penis as easily, and it’s this that prevents an erection. There are lots of reasons why this can happen. Stress, anxiety, poor lifestyle or an underlying medical condition can all be possible causes.

When more blood can get into the penis, it helps you to have stronger erections that last for longer.

You should inject Viridal Duo right before engaging in sexual activity. After an injection, you should develop an erection that’s firm enough for sex within 15 minutes. You may have an erection in a much quicker 5 minutes.

How well does Viridal work?

Alprostadil medications, like Viridal Duo, are highly effective treatments for erectile dysfunction. A study of the effects of injectible alprostadil in men with ED found that it produced sufficient erections for nearly 90% of men who took it.

Viridal Duo may work well for you if you haven’t had success when using oral treatments for ED, like Sildenafil. It can also be helpful for you if you can’t take drugs like these because you’re on a medication that could interact with them, or you have a medical condition that makes them unsuitable.

In men with ‘neurogenic ED’ (erectile dysfunction caused by a neurological condition like diabetic neuropathy or multiple sclerosis) alprostadil is estimated to have a 73% success rate.

How to use Viridal Duo

These instructions for Viridal are intended as a guide. You should follow the directions you get with the medication, as these will give you a more detailed overview (with pictures) of how to inject Viridal.

• Clean & prep yourself: Wash your hands and dry them with a clean towel before trying to inject Viridal Duo. Gather your reusable Easy-Duo injector, unopened Viridal Duo cartridge, and an injection needle.
• Assemble your Easy-Duo syringe: Remove the seal from your injection needle and screw it tightly onto the end of the Easy-Duo. After the injection needle is in place, unscrew the plunger. Clean the tip of the cartridge with an alcohol wipe and insert it into the chamber of the Easy Duo. Replace the plunger and hold the assembled syringe vertically.
• Mix your medication: Push the plunger until the two grey stoppers meet in the middle. This will activate the medication by combining the powder and liquid parts of the cartridge. Shaking the syringe may help these components dissolve fully.
• Prepare your injection: While holding the syringe vertically, tap the cartridge so all of the bubbles float to the top. Carefully push the Viridal Duo plunger until you see one drop so that there isn’t any air left inside. Advance the plunger on the syringe until you reach the amount of Viridal Duo that your physician prescribed.
• Inject yourself: Clean your penis prior to proceeding. Identify your injection site and wipe it with an alcohol wipe. Hold your penis straight out from your body with one hand, and hold your Easy-Duo syringe perpendicular to it in the other hand. Insert the needle in a straight line into the injection site. Slowly depress the plunger to administer Viridal Duo for 5-10 seconds. Remove the needle and apply pressure to the injection site for approximately 3 minutes until it stops bleeding.
• Throw away the disposable parts: Disassemble the Easy-Duo syringe. Dispose of the needle in a sharps container.Throw away the empty cartridge in your regular garbage. Wash and dry the Easy-Duo and save it for the next time you take Viridal Duo. Now, you’re ready to participate in sex with your partner!

Do I need a specific dose of Viridal?

Every man with erectile dysfunction responds to treatment differently. If a neurological condition like multiple sclerosis or a spinal cord injury is causing your erectile dysfunction, your doctor may start you on the lowest dose of Viridal Duo: 1.25 micrograms.If you have erectile dysfunction resulting from other medical issues, you might have a higher starting dose of 2.5 micrograms.

After beginning treatment, your clinician will increase your dosage by 2.5mcg or 5mcg as needed. They will continue increasing your dose until you reach an erection that lasts an hour. For most men, this results in a dose between 10mcg and 20mcg, but it may get as high as 40mcg.

Do I need checkups when using Viridal Duo?

Getting the dose right for Viridal Duo requires a few chats with a clinician. It’s recommended that you speak to someone every three months while you’re taking Viridal Duo. This is to help you make sure the dose is working well for you.

We can help you to make sure you’re getting the most out of your treatment. We’ll follow up with you regularly to check in and see how your treatment is going.