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Alprostadil Side Effects

Medically reviewed by Drugs.com. Last updated on Apr 14, 2025.

Applies to alprostadil: intracavernosal powder for solution.

Other dosage forms:

Precautions

Do not use alprostadil if you have a penile implant unless advised by doctor.

If too much of this medicine is used, the erection lasts too long and does not reverse when it should. This condition is called priapism. If the erection is not reversed, the blood supply to the penis may be cut off and permanent damage may occur.

Contact your doctor immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated right away to prevent permanent damage.

If you notice bleeding at the place where you injected the medicine, put pressure on the spot until the bleeding stops. If it doesn't stop within 5 minutes, check with your doctor. If you have an infection that is spread through blood, this could increase the risk of giving the infection to your sexual partner.

This medicine does not prevent pregnancy. Use birth control if you do not want pregnancy to occur.

This medicine will not protect you or your partner from sexually transmitted diseases.

This medicine contains benzyl alcohol, which may cause serious reactions (eg, gasping syndrome) to newborn or premature babies. Discuss this with your doctor if you are concerned.

Common side effects of alprostadil

Some side effects of alprostadil may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common side effects

  • bleeding and pain at the injection site (short-term)
  • painful erection

Rare side effects

  • bruising or clotted blood in the penis at the injection site, usually caused by an incorrect injection

Serious side effects of alprostadil

Along with its needed effects, alprostadil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking alprostadil:

Rare side effects

  • curving of penis with pain during erection
  • erection continuing for 4 to 6 hours
  • erection continuing longer than 6 hours with severe and continuing pain of the penis
  • swelling in or pain of the testes

For healthcare professionals

Applies to alprostadil: compounding powder, injectable kit, injectable powder for injection, injectable solution, transurethral suppository.

General adverse events

The most common side effects were penile pain, local bleeding, fever, urethral pain, urethral burning, apnea, and flushing.[Ref]

Genitourinary

Cardiovascular

Local

Respiratory

Other

Musculoskeletal

Metabolic

Nervous system

Dermatologic

Gastrointestinal

Immunologic

Hematologic

Ocular

Hepatic

Renal

Psychiatric

See also:

References

1. (2001) "Product Information. Edex (alprostadil)." Schwarz Pharma

2. "Product Information. Caverject (alprostadil)." Pharmacia and Upjohn

3. (2001) "Product Information. Muse (alprostadil)." Vivus LLC.

4. "Product Information. Prostin VR Pediatric (alprostadil)." Pharmacia and Upjohn

5. Cerner Multum, Inc. "UK Summary of Product Characteristics."

6. Cerner Multum, Inc. "Australian Product Information."

Further information

Alprostadil side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.