Vitaros cream

Vitaros (alprostadil 3mg/g) cream applied to tip of the penis to treat erectile dysfunction.

  • Alternative to tablets
  • 52% of men report improved erections
  • Requires refrigeration

Vitaros cream currently unavailable.
We are investigating refrigerated delivery options.

How to buy Vitaros cream online

Vitaros cream is prescription only medicine and available to UK customers only.

To buy Vitaros cream online you will need to complete an online consultation for erectile dysfunction before you can make an order.

  1. Read important medical information about Vitaros for erectile dysfunction
  2. Answer medical questions to check for eligibility

Once completed patients choose treatment, register details, and pay online. A doctor will review your order and issue the prescription electronically to our pharmacy. Medicine is then delivered direct to you.


Vitaros cream 300mcg (4 x AccuDose containers) £49.50
Vitaros cream 300mcg (8 x 300mcg AccuDose containers) - 2 packets£95.00
Vitaros cream 300mcg (12 x 300mcg AccuDose containers) - 3 packets£140.00
Buy treatment

Dr Fox charges a small prescription fee per order.

Compare prices:

Dr Fox prices are 25%-50% lower cost than other online clinics.

If you have your own private paper prescription please post to our pharmacy (details).

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

If you have your own private or NHS paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

Order valuePrescription fee
up to £10£1.00
up to £20£3.00
up to £50£5.00
up to £100£8.00
over £100£10.00
Prices of Vitaros cream from UK online clinics - qualifying notes
  1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
  2. Prices may change and are, to the best of our knowledge, accurate on the date stated.
  3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
  4. Dr Fox adds a small prescription fee not included in the table (between £1 and £10 depending on value of the order).
  5. To amend the information in this table please contact us
  6. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
MedicationDr FoxThe Online ClinicPharmacy2U
Vitaros cream x 1 (4 doses)£49.50£89.95£60.00
Vitaros cream x 2 (8 doses)£95.00£169.95£114.00
Vitaros cream x 3 (12 doses)£140.00£239.95£162.00
UK Delivery£2.90includedfree (over £40)

Already read the information?

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Vitaros cream and erectile dysfunction

About erectile dysfunction

Erectile dysfunction (ED) is common, affecting up to 4 out of 10 men over 40. ED has many causes, including diabetes, high cholesterol and poor circulation. All men with ED need to tell their GP about it. Tests may be needed and treatments of underlying cause(s) may be needed.

ED is often stressful and can lead to depression and relationship problems. GPs can help with these issues and counselling may be needed. There are links at bottom of this page to further information.

About Vitaros Cream

Vitaros cream is an alternative to tablets for erectile dysfunction (impotence). Vitaros is applied to the head of the penis by a dropper 5 to 30 minutes before sexual activity. The active ingredient, alprostadil, is absorbed locally into the skin enhancing erections usually for 1 to 2 hours.

Vitaros is not suitable for all men: Dr Fox consultations check for suitability. Men must read the information on this page and the patient information leaflet supplied with Vitaros, before requesting Vitaros. We supply Vitaros to the UK ONLY.


In a 12 week study 52% of men report improved erections when using Vitaros, compared with 20% using a placebo (dummy cream).


  • Vitaros cream is not for use with Viagra or sildenafil, Cialis, Levitra, or Spedra tablets. Leave a gap of at least 24 hours (48 hours for Levitra) between cream and tablets. The combination could lead to harmful erections (priapism – see below). The combination could also increase side effects of tablets.
  • If men have intercourse with a fertile woman of childbearing age whilst using Vitaros, they need to use condoms or ensure the woman is on effective contraception. There is a possible risk of abnormal pregnancies using Vitaros. The exact level of risk is not known. Condoms also protect against potential risks to ongoing pregnancies and prevent vaginal irritation and reduce sexually transmitted disease.
  • Men who experience erections for 4 hours or more (priapism) should seek immediate medical attention. Prompt treatment is needed to avoid permanent harm to the penis. In studies of Vitaros priapism occurred in about 1 in 4,000 men.
  • Vitaros should not be kept out of a fridge (2 to 8 celcius) for more than 3 days.

Other cautions

Vitaros is not suitable in men who:

  • have a drop in blood pressure when going from lying/sitting to standing or experience dizziness or fainting
  • are allergic to alprostadil
  • have a condition that might result in a long-lasting erections, such as sickle cell anaemia or trait, thrombocythemia, polycythemia, multiple myeloma, or leukaemia
  • have an abnormally formed penis
  • have an inflammation or infection of the penis
  • are prone to a venous thrombosis (blood clots)
  • have a hyperviscosity syndrome (thickened blood) which could result in a long-lasting erection
  • have been told not to have sex for health reasons such as heart problems or a recent stroke
  • have a partner who is pregnant, breast feeding or of childbearing potential unless a condom is used
  • are taking drugs to prevent blood clots, as there may be an increased risk for bleeding or blood in the urine.

How to use Vitaros

Vitaros cream is applied to the head of the penis using a dropper as described in the manufacturer's patient information leaflet. Correct technique for use is important.

A single dose applicator delivers 300mcg of alprostadil in 100mg (a few drops) of cream. Vitaros is supplied in packs of four.

how to use vitaros cream

Vitaros should NOT be used more than once in 24 hours and NOT more than 2-3 times weekly. More frequent use risks increased side effects, particularly irritation and soreness.

Vitaros and other medicines

Vitaros should also NOT be used with other injectable or locally applied ED treatments such as Caverjet or Muse. They contain the same active ingredient, alprostadil, and there would be an increased risk of priapism.

Vitaros may be less effective when taken in combination with treatments for high blood pressure, decongestants and appetite suppressants. In combination with high blood pressure medication, Vitaros use may increase symptoms of dizziness and fainting, especially in the elderly.

Side effects of Vitaros

Men who experience side effects with the commonly used tablet treatments for erectile dysfunction may find Vitaros an effective alternative.

Very little of the active ingredient (alprostadil) is absorbed into the circulation. The cream works directly by contact with the skin of the penis. There are unlikely to be significant generalised side effects.

Common side effects (affecting more than 1 in 10 patients):

  • mild to moderate local aching, burning or pain and redness of the penis
  • penile skin swelling (oedema)
  • inflammation of the head of the penis (balantitis)
  • penile tingling, throbbing numbness, burning
  • mild vaginal burning or itching and inflammation, in partners

Less common side effects (up to 1 in 100 patients):

  • light-headedness/dizziness
  • prolonged erection for more than 4 hours
  • fainting
  • low blood pressure or rapid pulse
  • pain at the application site or in extremity
  • urethral stenosis (narrowing of urinary outflow)
  • increase in sensitivity
  • penile itching
  • genital rash
  • scrotal pain
  • fullness in genitals
  • lack of sensation to penis
  • urinary tract inflammation

Driving and using machines

Vitaros can increase dizziness or fainting. Do not drive or operate machinery within 1 to 2 hours after administration.

Adverse reactions

Vitaros is newly licensed (02/08/2013). Please message our doctors about adverse events or report them through the MHRA's Yellow Card Scheme.

Further information

Vitaros cream patient information leaflet

Tablets for ED

Tablets for ED are also available from Dr Fox (separate consultation).

Buy treatment

Dr Fox supplies treatment for erectile dysfunction on prescription – you are required to answer a short medical questionnaire before your order can be completed.

  1. Medical questions
  2. Choose treatment
  3. Complete order

Vitaros currently unavailable - no date for resupply currently known.

Answer medical questions to order(erectile dysfunction)

Men only

Have you read the Vitaros cream introduction page?

Please read the Vitaros cream medical information.
We supply Vitaros to the UK ONLY.

Do you sometimes or always have difficulty getting and keeping an erection?

Have you had difficulties with erections for more than a year?

Are your erections sometimes fine?

E.g. when waking in the morning, during masturbation or in some erotic situations.

Do ANY of the following apply?

  • You have fainting or marked dizziness when moving from lying/sitting to a standing position
  • You have recent (in the last 6 months) history of a heart attack, and syncope (dizziness)
  • You are allergic to alprostadil or any of the other ingredients of this medicine
  • You have a condition that might result in a long-lasting erection or a condition such as sickle cell anaemia or trait, thrombocythemia, polycythemia, multiple myeloma, or leukaemia
  • You have an abnormally formed penis
  • You have an inflammation or infection of the penis
  • You are prone to a venous thrombosis (blood clots)
  • You have a hyperviscosity syndrome (thickened blood) which could result in a long-lasting erection

Have you been advised to avoid vigorous exercise?

E.g. severe heart failure or unstable angina.

Are you aware a 12 week study showed 52% of men reported improvement with Vitaros cream?

Are you aware, if you have a continuous erection for 4 hours or more, you should seek immediate medical advice?

This is unlikely to happen and is rare. If it occurs you should seek medical advice straight away.

Are you aware Vitaros cream should NOT be used at the same time (within 24 hours) as the following?

  • Viagra/sildenafil
  • Cialis
  • Levitra (leave a 36 hour gap)
  • Spedra
  • Localised treatments (penile creams, injections or pellets)

Are you aware a condom should be used in the following situations?

  • Your partner is pregnant or breastfeeding
  • Your partner is fertile (could become pregnant) and not using contraception
  • If needed to protect against sexually transmitted disease
  • If needed to reduce potential skin irritation in a partner

Are you aware Vitaros cream should NOT be kept outside a fridge for more than 3 days?

  • Posted next day signed delivery (Mon to Thur only)
  • Put in a fridge straight away
  • Email sent when Vitaros dispatched.
  • We supply Vitaros to the UK ONLY

Do all the following apply to you?

  • I will read the patient information leaflet supplied with Vitaros
  • I will tell my GP about my erectile dysfunction and my treatment
  • The cream is for my own use
  • I am over 18
  • I agree to the terms and conditions

The order process

Answer short medical questionnaire

Choose treatment, register, and pay

Doctor issues prescription online

Medicine posted direct from pharmacy

Customer reviews

“A vital service combining doctors and pharmacists which is excellent for those unable to take time from work to visit their GP.”11 July 2017 – Trusted Shops

“Excellent service from Dr Fox - even when there was some confusion as to where the delivery went, the service from Dr Fox remained first class. They liaised with Royal Mail and ensured my items got to me. Moreover, the company is discreet, trusting and friendly, I won't hesitate to order from here again.”10 July 2017 – Trusted Shops

“The service I received was so quick and straightforward it's unbelievable, will definitely be using again very soon. I would recommend Dr fox to anyone who wants a good reliable service.”12 December 2016 – Trusted Shops

“Very easy to use and safe website - glad doctors check before prescribing. Goods arrived on time for holiday - result”23 November 2016 – Trusted Shops

“Superb service as always. Have been a customer for some time now and Dr Fox has maintained the quality of care throughout.”22 November 2016 – Trusted Shops

“Very satisfied, goods came within a couple of days of ordering, excellent product. Very safe reliable service, will certainly use again.”21 August 2016 – Trusted Shops

“The website is well-designed and easy to use, the prices are competitive, and delivery time is fast.”21 August 2016 – Trusted Shops

“Uncomplicated, relevant and understandable review process. Prompt answer and prompt and discreet delivery. Excellent price by comparison. Will absolutely use again and recommend.”14 August 2016 – Trusted Shops

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