4.8

Our average rating based on 3331 reviews.

Starting from £18.67
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Starting from £18.67
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Your treatment delivered in secure packaging, the very next day.
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We’ll check in with you regularly to see how your treatment is going.
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Buy Viridal Duo online

Viridal Duo is an injection treatment for ED. It’s injected into the side of the penis and starts to work from five minutes later.

Get expert help for erectile dysfunction. Talk to us to get tailored advice and order Viridal Duo online.

Starting from £18.67
Here’s what's included in the price:
Consultation
Answer a few questions about your health so we can get to know you better.
Free 24h delivery
Your treatment delivered in secure packaging, the very next day.
Aftercare
We’ll check in with you regularly to see how your treatment is going.
View all prices  
Viridal Duo Alprostadil

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.

Viridal Duo Alprostadil

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.

Medically reviewed by
Dr Daniel Atkinson
GP Clinical Lead
on August 02, 2022.
Meet Daniel  
Daniel
This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Viridal Duo Alprostadil
Viridal Duo Alprostadil

FAQ: Viridal Duo

Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

Who is Viridal Duo for?

Answer:
If you’re tried oral treatments for ED and these haven’t worked, or if you can’t take Viagra or Cialis because you’ve got a medical condition or are taking something that could interfere with them, a clinician will normally suggest an alternative.

Viridal Duo is a treatment that’s more often used when other medications have failed. It’s an injection so is a little more invasive than a tablet, but it can help men who’ve had no success with tablets.

Which Viridal injection pack do I need?

Answer:
Viridal Duo comes in several injection pack sizes:

  • 1 Viridal cartridge, 1 injection needle

  • 2 Viridal cartridges, 2 injection needles

  • 6 Viridal cartridges, 6 injection needles


The packs with one or two cartridges can come with or without the Easy-Duo injector. The six cartridge doesn’t come with the Easy-Duo. If you’re just starting Viridal Duo, you’ll need the one or two cartridge starter pack that contains the Easy-Duo plunger. The packs without the Easy-Duo are called continuation packs.

The Viridal Duo continuation pack with six doses is intended for men who have found the right dose and have some practice at using the injection

How do I store Viridal Duo injections?

Answer:
You should keep Viridal Duo out of direct sunlight. Storing it in the packaging until you are ready to use it will help protect it from the sun. You don’t have to keep it in your refrigerator as long as you keep it below 25°C.

How long does Viridal Duo keep at room temperature?

Answer:
Room temperature is 20 degrees Celsius on average. As long as your room temperature doesn’t exceed 25 degrees Celsius, you can store your Viridal Duo at room temperature until it’s expiration date.

How is Viridal Duo different from Caverject?

Answer:
Caverject and Viridal Duo are both injectable forms of alprostadil used to treat erectile dysfunction. They both come in 10mcg, 20mcg, and 40mcg strength doses.

Viridal Duo is a closer equivalent to Caverject Dual Chamber than standard Caverject, because it contains two compartments in the plunger: one holding a powder, the other a solution. These mix together when you’re preparing the injection.

The medicines are clinically the same, but the plungers themselves (and the instructions for them) are slightly different.

Can you get generic Viridal Duo?

Answer:
Viridal Duo isn’t available as a generic treatment. Caverject is the same medication but it's marketed by a different company. If you want to consider other alprostadil medications, our clinician can recommend Vitaros Cream or MUSE. These aren’t generics, but they are the same medications only in a different form.

Why should I buy Viridal Duo online with Treated?

Answer:
It isn’t always easy settling on the perfect ED, particularly if you’ve tried a few before and they haven’t worked. But we can help. Talk to us to get personalised recommendations from our medical experts. They’ll show you what treatments could work for you, so you can have the final choice on what to use.

And once you’ve received your treatment, it doesn’t stop there. We’ll keep in touch with you regularly to see how your treatment is going. If there’s anything you want to ask or need advice on, our clinical team are on hand to help, anytime you need.
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This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

Review highlights

Excellent services and really helpful

Excellent services and really helpful finding a right solution to right medication.

Hassan N. on January 31, 2023.
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Your partners in health

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Registered with GMC (No. 4624794)

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What’s included? Everything.

Delivery, consultation, treatment. It’s all included in the price.

CialisTadalafil

  • 2.5mg
  • 5mg
  • 10mg
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Quantity Starting from
28 Tablets £74.00
56 Tablets £138.00 Save £10.00
84 Tablets £204.00 Save £18.00
Quantity Starting from
28 Tablets £74.00
56 Tablets £140.00 Save £8.00
84 Tablets £204.00 Save £18.00
Quantity Starting from
4 Tablets £48.00
8 Tablets £82.00 Save £14.00
12 Tablets £118.00 Save £26.00
16 Tablets £154.00 Save £38.00
20 Tablets £190.00 Save £50.00
24 Tablets £226.00 Save £62.00
28 Tablets £262.00 Save £74.00
32 Tablets £298.00 Save £86.00
Quantity Starting from
4 Tablets £48.00
8 Tablets £82.00 Save £14.00
12 Tablets £118.00 Save £26.00
16 Tablets £154.00 Save £38.00
20 Tablets £190.00 Save £50.00
24 Tablets £226.00 Save £62.00
28 Tablets £262.00 Save £74.00
32 Tablets £298.00 Save £86.00

LevitraVardenafil

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  • ODT - 10mg
Quantity Starting from
4 Tablets £29.00
8 Tablets £45.00 Save £13.00
12 Tablets £63.00 Save £24.00
16 Tablets £79.00 Save £37.00
20 Tablets £99.00 Save £46.00
24 Tablets £113.00 Save £61.00
28 Tablets £129.00 Save £74.00
32 Tablets £147.00 Save £85.00
Quantity Starting from
4 Tablets £35.00
8 Tablets £57.00 Save £13.00
12 Tablets £79.00 Save £26.00
16 Tablets £101.00 Save £39.00
20 Tablets £123.00 Save £52.00
24 Tablets £145.00 Save £65.00
28 Tablets £169.00 Save £76.00
32 Tablets £191.00 Save £89.00
Quantity Starting from
4 Tablets £43.00
8 Tablets £75.00 Save £11.00
12 Tablets £105.00 Save £24.00
16 Tablets £139.00 Save £33.00
20 Tablets £169.00 Save £46.00
24 Tablets £199.00 Save £59.00
28 Tablets £229.00 Save £72.00
32 Tablets £259.00 Save £85.00
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4 Tablets £39.00
8 Tablets £65.00 Save £13.00
12 Tablets £91.00 Save £26.00
16 Tablets £117.00 Save £39.00
20 Tablets £145.00 Save £50.00
24 Tablets £171.00 Save £63.00
28 Tablets £197.00 Save £76.00
32 Tablets £223.00 Save £89.00

SildenafilSildenafil

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4 Tablets £17.00
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20 Tablets £35.00 Save £50.00
24 Tablets £39.00 Save £63.00
28 Tablets £43.00 Save £76.00
32 Tablets £47.00 Save £89.00
Quantity Starting from
4 Tablets £17.00
8 Tablets £21.00 Save £13.00
12 Tablets £25.00 Save £26.00
16 Tablets £29.00 Save £39.00
20 Tablets £35.00 Save £50.00
24 Tablets £39.00 Save £63.00
28 Tablets £43.00 Save £76.00
32 Tablets £47.00 Save £89.00
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4 Tablets £17.00
8 Tablets £21.00 Save £13.00
12 Tablets £25.00 Save £26.00
16 Tablets £29.00 Save £39.00
20 Tablets £35.00 Save £50.00
24 Tablets £39.00 Save £63.00
28 Tablets £43.00 Save £76.00
32 Tablets £47.00 Save £89.00

SpedraAvanafil

  • 50mg
  • 100mg
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4 Tablets £30.00
8 Tablets £48.00 Save £12.00
12 Tablets £66.00 Save £24.00
16 Tablets £82.00 Save £38.00
20 Tablets £102.00 Save £48.00
24 Tablets £118.00 Save £62.00
28 Tablets £136.00 Save £74.00
32 Tablets £152.00 Save £88.00
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4 Tablets £33.00
8 Tablets £53.00 Save £13.00
12 Tablets £73.00 Save £26.00
16 Tablets £93.00 Save £39.00
20 Tablets £113.00 Save £52.00
24 Tablets £133.00 Save £65.00
28 Tablets £153.00 Save £78.00
32 Tablets £173.00 Save £91.00
Quantity Starting from
4 Tablets £41.00
8 Tablets £69.00 Save £13.00
12 Tablets £99.00 Save £24.00
16 Tablets £125.00 Save £39.00
20 Tablets £155.00 Save £50.00
24 Tablets £183.00 Save £63.00
28 Tablets £209.00 Save £78.00
32 Tablets £239.00 Save £89.00

TadalafilTadalafil

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  • 2.5mg
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4 Tablets £21.00
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20 Tablets £45.00 Save £60.00
24 Tablets £49.00 Save £77.00
28 Tablets £54.00 Save £93.00
32 Tablets £59.00 Save £109.00
Quantity Starting from
4 Tablets £24.00
8 Tablets £30.00 Save £18.00
12 Tablets £36.00 Save £36.00
16 Tablets £42.00 Save £54.00
20 Tablets £48.00 Save £72.00
24 Tablets £54.00 Save £90.00
28 Tablets £60.00 Save £108.00
32 Tablets £66.00 Save £126.00
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28 Tablets £28.00
56 Tablets £48.00 Save £8.00
84 Tablets £68.00 Save £16.00
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28 Tablets £36.00
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84 Tablets £85.00 Save £23.00

VardenafilVardenafil

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24 Tablets £115.00 Save £59.00
28 Tablets £133.00 Save £70.00
32 Tablets £151.00 Save £81.00
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4 Tablets £29.00
8 Tablets £47.00 Save £11.00
12 Tablets £63.00 Save £24.00
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20 Tablets £97.00 Save £48.00
24 Tablets £115.00 Save £59.00
28 Tablets £133.00 Save £70.00
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ViagraSildenafil

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Similar but different.

Erectile Dysfunction: Here are some other options.

Vial of Caverject

Caverject

Alprostadil

Injectable treatment that works from 5 minutes. Good option if tablets haven't worked for you.

  • Starting from £38.00
  • Form Injection
  • Pharmacy status Prescription-only
  • Available doses 10mcg/ml 20mcg/ml 40mcg/ml
  • Active ingredient Alprostadil
See treatments
Blister strip of Cialis tablets

Cialis

Tadalafil

Comes as an on-demand pill that lasts for 36 hours, or as a daily dose that's active all the time.

  • Starting from £48.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 2.5mg 5mg 10mg 20mg
  • Active ingredient Tadalafil
See treatments
Blister strip of Levitra tablets

Levitra

Vardenafil

Lower dose pill. Better option if you're older or have a pre-existing condition like diabetes.

  • Starting from £29.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 5mg 10mg 20mg
  • Active ingredient Vardenafil
See treatments
Blister strip of Sildenafil tablets

Sildenafil

Sildenafil

Like Viagra, but cheaper and works in the same way. Non-branded version of the original ED drug.

  • Starting from £17.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 25mg 50mg 100mg
  • Active ingredient Sildenafil
See treatments
Silver blister pack containing 4 yellow oval tablets

Spedra

Avanafil

Tablet that works from just 15 minutes. Works in the same way as Viagra and lasts for 5 hours.

  • Starting from £30.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 50mg 100mg 200mg
  • Active ingredient Avanafil
See treatments
Blister of Tadalafil tablets

Tadalafil

Tadalafil

Like Cialis, but without the branding (so it's cheaper). 'Weekend' and daily options available.

  • Starting from £21.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 2.5mg 5mg 10mg 20mg
  • Active ingredient Tadalafil
See treatments
Blister strip of Vardenafil tablets

Vardenafil

Vardenafil

Non-branded version of Levitra. Works in the same way, but cheaper.

  • Starting from £27.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 5mg 10mg 20mg
  • Active ingredient Vardenafil
See treatments
Silver blister pack containing 4 diamond shaped blue Viagra pills

Viagra

Sildenafil

The one you've heard of. Works in 30-60 minutes and lasts for up to 5 hours.

  • Starting from £34.00
  • Form Tablet
  • Pharmacy status Prescription-only
  • Available doses 25mg 50mg 100mg
  • Active ingredient Sildenafil
See treatments
Individual Vitaros sachet

Vitaros Cream

Alprostadil

Cream that you apply to the tip of the penis and works from 5 minutes.

  • Starting from £82.00
  • Form Cream
  • Pharmacy status Prescription-only
  • Available doses 3mg/g
  • Active ingredient Alprostadil
See treatments

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