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 analog presented as a 125 µg urethral suppository for urethral use. It facilitates erection by increasing blood flow to the penis and is indicated for the treatment of erectile dysfunction in adult males. It is administered directly into the urethra shortly before sexual activity, allowing rapid onset of effect.

GNH India supplies Muse as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide, ensuring quality, traceability and compliance with EU standards.

Manufacturer / TM Owner

Mylan Products Limited

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Indications & Clinical Uses

Alprostadil is a prostaglandin analog used to manage erectile dysfunction by enhancing penile blood flow.

  • Erectile dysfunction (general): improves the ability to achieve and maintain an erection sufficient for sexual activity.
  • Erectile dysfunction secondary to diabetes: helps overcome vascular limitations associated with diabetic patients.
  • Erectile dysfunction after prostate surgery: supports penile erection in men recovering from nerve‑sparing prostatectomy.

How It Works

  • Alprostadil binds to prostaglandin E1 receptors on smooth muscle cells of the corpus cavernosum, activating adenylate cyclase and raising intracellular cyclic AMP levels. The increased cAMP leads to smooth‑muscle relaxation, vasodilation, and enhanced arterial inflow, which together facilitate erection when sexual stimulation is present.

Side Effects

Alprostadil may cause a range of adverse reactions. Patients should be informed of both frequent and less common events.

Common Side Effects

  • Penile pain or discomfort during or after insertion.
  • Urethral burning or stinging sensation.
  • Light vaginal bleeding in female partners.
  • Headache.
  • Dizziness or light‑headedness.
  • Nausea.

Serious or Rare Side Effects

  • Priapism lasting longer than four hours.
  • Severe hypotension or syncope.
  • Allergic reaction including rash, itching, or swelling.
  • Urethral trauma or infection.
  • Hematoma at the insertion site.

Precautions & Warnings

Before using Muse, consider the following safety measures.

  • Cardiovascular assessment: ensure the patient can tolerate sexual activity without undue risk.
  • Contraindicate use with nitrate therapy: combined effect may cause dangerous hypotension.
  • Evaluate bleeding risk: patients with coagulopathies may experience increased urethral bleeding.
  • Provide insertion instructions: correct technique reduces trauma and discomfort.
  • Store at room temperature: keep in the original packaging, protect from moisture and heat.

Avoid Interactions

Alprostadil can interact with other medications; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Nitrates (e.g., nitroglycerin): additive vasodilatory effect may cause severe hypotension.
  • Alpha‑blockers (e.g., tamsulosin): risk of marked blood pressure drop.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): may increase risk of urethral bleeding.
  • Antihypertensive agents: monitor blood pressure for additive lowering.
  • Other prostaglandin preparations: potential for excessive vasodilation.

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 patients achieve and maintain an erection sufficient for sexual activity.

Alprostadil is a prostaglandin E1 analogue that activates adenylate cyclase in the smooth muscle of the corpus cavernosum, raising intracellular cyclic AMP. The rise in cAMP causes smooth‑muscle relaxation and vasodilation, which enhances arterial inflow and engorgement of the penis, facilitating erection when sexual stimulation occurs.

The prescribed dose of Muse is determined by the treating physician based on the individual’s health status, severity of erectile dysfunction, and response to therapy. The product is supplied as a 125 µg urethral suppository, and the prescriber decides the timing and frequency of administration.

Safety of alprostadil, including Muse, has not been established in pregnant or breastfeeding individuals. Because the product is intended for adult male erectile dysfunction, it is generally not recommended for use by women who are pregnant, planning pregnancy, or nursing. Consultation with a healthcare professional is essential.

To order Muse, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Muse delivers alprostadil directly to the urethra, providing rapid onset without the systemic exposure associated with oral phosphodiesterase‑5 inhibitors. Oral agents require sexual stimulation and have a longer onset time, while Muse can be used shortly before activity. Choice of therapy depends on patient preference, contraindications, and response to previous treatments.

Muse should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and direct sunlight. Keep the product out of reach of children and avoid exposing it to extreme heat or humidity, which could affect the suppository’s integrity.

Muse is inserted into the urethral meatus using the supplied applicator. The patient typically administers the 125 µg suppository shortly before anticipated sexual activity, allowing the drug to dissolve and be absorbed through the urethral mucosa, leading to erection within minutes.

The most serious risks include priapism lasting longer than four hours, which requires immediate medical attention, and severe hypotension that can cause fainting or shock. Allergic reactions such as rash, swelling, or difficulty breathing are also critical and should be reported promptly.

Muse is contraindicated in men who are allergic to alprostadil or any component of the formulation, those using nitrate medications, and patients with severe cardiovascular disease that precludes sexual activity. Individuals with bleeding disorders or urethral abnormalities should also avoid use unless cleared by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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