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Caverject

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Product Details

What Is Caverject?

What Is Caverject?

Caverject is a prescription injectable medication that contains alprostadil, a prostaglandin E1 (PGE1). It is used in adult men for the treatment of erectile dysfunction (ED). Caverject is administered as an intracavernosal injection, meaning it is injected directly into the penis, where it works locally to produce an erection. It is available only by prescription and should be used exactly as instructed by a trained healthcare provider.

What Is Caverject Injection Used For?

According to FDA prescribing information, Caverject (alprostadil) is indicated for:

  • Treatment of erectile dysfunction (ED)
Quick Facts About Caverject

Quick Facts About Caverject

CategoryDetails
Generic NameAlprostadil
Brand Name(s)Caverject, Caverject Impulse
Drug ClassProstaglandin E1 (PGE1) analog
FDA‑Approved UseTreatment of erectile dysfunction (ED) in men; adjunctive diagnostic aid for ED
Form(s)Sterile lyophilized powder for intracavernosal injection
Strength(s)20 mcg (20 µg) per vial (also available in 5, 10, 40 mcg)
Route of AdministrationIntracavernosal injection
Prescription RequiredYes (Rx‑only)
Manufacturer(s)Pfizer (Pharmacia & Upjohn Company LLC)
Common Side EffectsPenile pain, injection site pain, prolonged erection, minor bleeding, or bruising
Serious Side EffectsPriapism (erection >4 hours), penile fibrosis, hypotension, fainting

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What Are the Benefits of Caverject?

What Are the Benefits of Caverject?

Key benefits of Caverject 20 mcg (20 µg) include:

  • Produces an erection independent of sexual stimulation
  • Acts locally, though systemic effects such as hypotension may occur
  • Effective in men who do not respond to oral erectile dysfunction medications
  • FDA‑approved with well‑established clinical use in erectile dysfunction management
How Does Caverject Injection Work?

How Does Caverject Injection Work?

Caverject (alprostadil) works by relaxing smooth muscle and dilating blood vessels in the penis, which increases blood flow and produces an erection. Alprostadil is a synthetic form of prostaglandin E1 (PGE1) and acts locally at the injection site.

When administered as an intracavernosal injection, Caverject:

  • Relaxes trabecular smooth muscle in the corpora cavernosa
  • Dilates cavernosal arteries
  • Increases penile blood flow
  • Produces an erection sufficient for sexual intercourse
How Do You Inject Caverject?

How Do You Inject Caverject?

Caverject (alprostadil) is administered as an intracavernosal injection and must be used only after proper training by a healthcare provider. You should follow the instructions provided by your prescriber. Here are general administration guidelines for Caverject:

  • Caverject is injected into the corpora cavernosa of the penis.
  • It is intended for self-administration only after physician instruction.
  • The medication is prepared according to the product formulation (vial kit or Caverject Impulse dual‑chamber system).
  • Do not use more than one dose in 24 hours or more than 3 times per week.
  • Injection sites should be alternated to reduce the risk of penile injury or fibrosis.
  • The first dose of this injection must be administered under medical supervision to monitor response and safety.
What Is the Difference Between Caverject and Muse?

What Is the Difference Between Caverject and Muse?

Caverject and Muse are both FDA-approved prescription medications that contain alprostadil and are used to treat erectile dysfunction (ED). While Caverject and Muse share the same active ingredient, they differ in route of administration, dosage form, and dosing method, which may affect patient preference and response.

AspectCaverjectMuse
Generic NameAlprostadilAlprostadil
FormulationLyophilized powder (vials) or dual‑chamber injection system (Caverject Impulse)Intraurethral suppository
Route of AdministrationIntracavernosal injection into the corpora cavernosaInserted into the urethra using an applicator
Onset of Action5–20 minutes5–10 minutes
Duration of EffectUp to ~60 minutesUp to ~60 minutes
FDA StatusFDA‑approved, prescription onlyFDA‑approved, prescription only
Key DifferenceDirect penile injectionUrethral suppository delivery

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What Is the Success Rate of Caverject (alprostadil)?

What Is the Success Rate of Caverject (alprostadil)?

According to clinical studies, Caverject (alprostadil) injection has shown a high success rate in men with erectile dysfunction when used as directed under medical supervision.

Key findings from a 6-month NIH-indexed clinical study include:

  • In a 6-month self-injection study, approximately 94% of injections produced an erection sufficient for sexual activity
  • About 87% of patients and 86% of partners rated the sexual activity as satisfactory
  • Effective in men with erectile dysfunction caused by diabetes, vascular disease, or nerve damage
  • Demonstrated benefit in patients who did not respond to oral ED medications
  • An erection typically developed within 5 to 20 minutes after intracavernosal injection

These results indicate that Caverject has demonstrated effectiveness in clinical studies when used as prescribed and monitored by a healthcare professional.

What Are the Side Effects of Caverject?

What Are the Side Effects of Caverject?

This is not a complete list of Caverject side effects. If you notice other adverse reactions, tell your doctor right away.

Common Side Effects of Caverject Injection

  • Penile pain (most frequent)
  • Injection site pain or mild bruising
  • Prolonged erection (sometimes lasting more than desired)
  • Minor bleeding at the injection site

Caverject Serious Side Effects (require medical attention)

  • Priapism (erection lasting more than 4 hours; can cause permanent damage if untreated)
  • Penile fibrosis (scarring or curvature of the penis with repeated use)
  • Hypotension (low blood pressure, dizziness, fainting)
  • Hematoma or significant bleeding at the injection site
Caverject Dosage Guide

Caverject Dosage Guide

Caverject (alprostadil) dosing is individualized and must be initiated under a healthcare provider's supervision.

AspectGuidance
Initial DoseAdministered under physician supervision; usually 2.5 mcg to 20 mcg depending on patient response.
TitrationDose is adjusted in small increments until the lowest effective dose is identified.
Maximum Dose60 mcg, only if lower doses are ineffective.
Frequency of UseNot more than once in 24 hours and no more than 3 times per week.

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What Are the Contraindications for Caverject?

What Are the Contraindications for Caverject?

Caverject (alprostadil) is contraindicated in patients with certain medical conditions where its use may increase the risk of serious adverse effects. Caverject should not be used in patients who have:

  • Hypersensitivity to alprostadil or any component of the formulation
  • Conditions that predispose to priapism, such as:
    • Sickle cell anemia or sickle cell trait
    • Multiple myeloma
    • Leukemia
  • Anatomical deformation of the penis, including:
    • Penile angulation
    • Cavernosal fibrosis
    • Peyronie’s disease
  • Penile implants
  • Men for whom sexual activity is inadvisable due to underlying cardiovascular conditions

Use of Caverject 20 mcg (20 µg) in these situations may result in prolonged erection, priapism, or penile injury.

What Should I Tell My Doctor Before Using Caverject?

Before starting Caverject, inform your healthcare provider if you have:

  • A history of prolonged erections or priapism
  • Bleeding disorders or are taking anticoagulants (risk of injection-site bleeding)
  • Heart disease, stroke, or blood pressure problems
  • Any penile abnormalities or prior penile surgery
  • Known allergies to medications, especially prostaglandins
What Precautions Should Be Taken When Using Caverject?

What Precautions Should Be Taken When Using Caverject?

Before using Caverject, consider the following precautions during Caverject therapy:

  • Initial dosing must be performed under physician supervision
  • Use the lowest effective dose of Caverject to reduce the risk of priapism
  • Do not inject more than once in 24 hours and no more than 3 times per week
  • Injection sites should be rotated to help lower the risk of fibrosis and hematoma
  • Use caution in patients taking anticoagulants or antiplatelet medications

The safety and effectiveness of Caverject have not been established in women or children.

What Drugs Interact with Caverject Injection?

What Drugs Interact with Caverject Injection?

Caverject (alprostadil) is administered as an intracavernosal injection and acts primarily at the site of injection. Because of the local mechanism of action, systemic drug interactions are generally limited compared to oral ED medications. Here are certain Caverject drug interactions you should be aware of:

Drug ClassExamplesInteraction Concern (FDA‑Based)
Other erectile dysfunction therapies (PDE5 inhibitors)Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra)Concurrent use has not been adequately studied and should be used with caution.
Other intracavernosal agentsPapaverine, PhentolamineCombination intracavernosal therapy may increase the risk of priapism and penile fibrosis; use only under close medical supervision.
Antihypertensive drugsBeta‑blockers (atenolol), Calcium channel blockers (amlodipine), ACE inhibitors (lisinopril)Alprostadil may cause vasodilation and hypotension; additive blood pressure–lowering effects may occur.
Anticoagulants / Antiplatelet agentsWarfarin, Aspirin, Heparin, ClopidogrelMay have an increased risk of bleeding or injection‑site hematoma due to the intracavernosal route of administration.

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Is There a Substitute for Caverject?

Is There a Substitute for Caverject?

If Caverject is not suitable or causes side effects, your healthcare provider may consider other FDA-approved alprostadil-based treatments for erectile dysfunction.

  • Edex (alprostadil)
  • Muse (alprostadil)
Why Buy Caverject from Canada?

Why Buy Caverject from Canada?

Many patients choose to buy Caverject from Canada because it is often more affordable than U.S. retail pricing while maintaining high quality and safety standards. At Polar Bear Meds, we partner with a network of licensed Canadian and international pharmacies that operate under regulated dispensing practices to help ensure medication authenticity and proper handling.

By ordering Caverject online through our pharmacy, patients may benefit from significant cost savings compared to typical U.S. pharmacy prices, along with reliable delivery and customer support.

A valid prescription from a licensed healthcare provider is required to buy Caverject from Canada. Polar Bear Meds also offers additional savings options, including:

  • 10% off your first order with a Caverject coupon
  • Competitive, transparent pricing
  • Referral programs
Important Disclaimer

Important Disclaimer

The information provided about Caverject is for general educational purposes only & does not replace professional medical advice, diagnosis, or treatment. Caverject (alprostadil) is a prescription intracavernosal injection used for the treatment of erectile dysfunction and should be used only under the guidance of a licensed healthcare provider. Always consult a qualified healthcare professional before stopping, starting, or changing any medication.

Caverject FAQs

Caverject FAQs

Learn more about Caverject and related topics

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