Product image of Muse (Alprostadil) supplied by GNH India

Muse

Active Ingredient:
Alprostadil
Origin:
EU

Muse (Alprostadil)

Alprostadil, the active ingredient in Muse, is a prostaglandin E1 analog presented as a urethral suppository for urethral administration. It facilitates erection by increasing blood flow to the corpus cavernosum and is prescribed for the treatment of erectile dysfunction in adult men.

GNH India supplies Muse as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality and regulatory conformity across EU and global markets. The company provides reliable sourcing, batch traceability and compliance documentation for regulated distribution.

Manufacturer / TM Owner

Viatris Aps

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Indications & Clinical Uses

  • Alprostadil is a prostaglandin E1 analog used to manage erectile dysfunction by enhancing penile blood flow.
  • Erectile dysfunction (organic): improves erectile response in men with vascular causes.
  • Erectile dysfunction (psychogenic): assists in achieving erection when psychological factors are present.
  • Penile rehabilitation after radical prostatectomy: facilitates blood flow to support tissue recovery.

How It Works

  • Alprostadil acts as an analog of prostaglandin E1 and binds to prostaglandin E1 receptors on smooth muscle cells of the corpus cavernosum. This activation stimulates adenylate cyclase, raising intracellular cyclic AMP levels, which leads to relaxation of smooth muscle, vasodilation of penile arteries, and increased arterial inflow. The resulting engorgement of the corpora cavernosa produces an erection.

Side Effects

Alprostadil may cause a range of local and systemic adverse reactions.

Common Side Effects

  • Urethral irritation: mild burning or discomfort at the site of administration.
  • Penile pain: transient aching during erection.
  • Erythema: redness of the urethral mucosa.
  • Headache: mild headache following dosing.

Serious or Rare Side Effects

  • Priapism: prolonged erection lasting more than four hours requiring medical attention.
  • Hypotension: significant drop in blood pressure causing dizziness or fainting.
  • Allergic reaction: rash, swelling, or anaphylaxis in susceptible individuals.

Precautions & Warnings

When prescribing or handling Muse, several safety considerations should be observed.

  • Contraindication: avoid use in patients with known hypersensitivity to alprostadil or prostaglandin E1 analogs.
  • Cardiovascular risk: use cautiously in men with severe coronary artery disease or recent myocardial infarction.
  • Bleeding disorders: consider risk of increased bleeding in patients on anticoagulants.
  • Use in pediatric population: not indicated; safety not established.
  • Drug interactions: review concomitant medications for potential additive vasodilatory effects.
  • Store at room temperature: keep below 25°C, in original packaging, protected from moisture and light.

Avoid Interactions

Alprostadil can interact with other agents that affect vascular tone or hemostasis.

Major Interactions (Avoid)

  • Nitrates: combined vasodilation may cause severe hypotension.
  • Alpha‑blockers: additive blood pressure lowering effect.

Moderate Interactions (Monitor Closely)

  • Anticoagulants/antiplatelet agents: increased risk of bleeding.
  • PDE5 inhibitors: may enhance erectile response and risk of priapism.
  • Sildenafil or other PDE5 inhibitors when used concurrently may require dose adjustment.

Frequently Asked Questions

Muse is a urethral suppository containing alprostadil that is prescribed to treat erectile dysfunction in adult men. By delivering the drug directly into the urethra, it promotes increased blood flow to the penis, helping to achieve and maintain an erection sufficient for sexual activity.

Alprostadil is a synthetic analogue of prostaglandin E1. It binds to prostaglandin E1 receptors on the smooth muscle of the corpus cavernosum, activating adenylate cyclase and raising cyclic AMP levels. The rise in cAMP causes smooth‑muscle relaxation, vasodilation of penile arteries, and enhanced arterial inflow, resulting in an erection.

The dose of Muse is determined by the prescribing clinician based on the individual patient's condition, response, and tolerability. The product is supplied as a pre‑measured urethral suppository, and the prescriber specifies the frequency and any dose adjustments needed.

Safety of alprostadil, including Muse, has not been established in pregnancy or lactation. The product is not indicated for use in pregnant or breastfeeding women, and it should be avoided unless a clear benefit outweighs potential risks as assessed by a qualified healthcare professional.

To order Muse, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Muse delivers alprostadil directly to the urethra, offering rapid local action without systemic exposure. Compared with oral phosphodiesterase‑5 inhibitors, Muse may be effective when oral agents fail or are contraindicated. Compared with intracavernosal alprostadil injections, the suppository avoids needle use but may cause urethral irritation.

Muse should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct light. Do not refrigerate or freeze. Keep out of reach of children and handle with clean, dry hands to maintain sterility of the suppository.

Muse is administered by inserting the urethral suppository into the male urethra, typically 5–10 minutes before anticipated sexual activity. The patient should follow the prescriber’s instructions regarding positioning, timing, and any post‑administration precautions to ensure optimal absorption and effectiveness.

The most serious risks include priapism—a prolonged erection lasting more than four hours that requires immediate medical attention—severe hypotension leading to dizziness or fainting, and rare allergic reactions such as rash, swelling, or anaphylaxis. Patients should be educated to seek urgent care if these events occur.

Muse should not be used by individuals with known hypersensitivity to alprostadil or other prostaglandin E1 analogues, men with severe cardiovascular disease (e.g., recent myocardial infarction), patients with bleeding disorders on anticoagulant therapy without medical supervision, and anyone for whom erectile dysfunction therapy is contraindicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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