Alprostadil (MUSE) availability

Former Member
Former Member
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Does anyone know what the problem is with supply of Alprostadil urethral sticks? My local pharmacy (which is linked to all other pharmacies in the area) say there is none available in the community. Last time I managed to get some from the hospital pharmacy, but they also have limited stocks, and are reluctant to release them.

The only other option is to keep taking Tadalafil, but I suffer from three different side effects of that, so have to keep stopping and starting it, which doesn't really work.

  • My wife and I have had all sorts of problems with availability of some medication recently.  My pharmacist thinks that someone is hoarding because of Brexit!  He may be right who knows.  I you have a package insert try contacting the company that either makes or supplies the medication.  A few years ago the company themselves were only supplying hospitals for 2 months as an accounting exercise!  Always worth checking with them.

    Hope you find some soon.

    Des

  • Former Member
    Former Member in reply to freefaller

    I managed to get a few more from the hospital pharmacy today - they thought they'd run out, but managed to find some.

  • Former Member
    Former Member in reply to Former Member

    Any update on this. I haven't been able to source MUSE since April am told its a manufacturing problem. Back in April was told it'd be available by June but that hasn't happened

  • Former Member
    Former Member in reply to Former Member

    I wrote to the address on the information leaflet, but they didn't even have the courtesy to reply.

    I emailed the ED nurse, but she hasn't replied either. I think I must have become invisible to the NHS

  • Former Member
    Former Member in reply to Former Member

    I've just been told the same thing by pharmacy2u that there's a manufacturing problem with this product so I tried another pharmacy and same response they were told the earliest that this product would be available will be the end of September! was told to try an alternative i said there isn't one! I've contacted uclh hospital were I had my penile implant op and asked if they can find out what's occurring I will update you if I find some answers 

  • I realise that this is an old post, supplies have been almost non existent since then -- BUT - for the past month my local pharmacy has been able to obtain supplies --  !!The UK suppliers say that supplies are OK at present.

  • There have been periodic supply issues with MUSE (alprostadil) in several regions, often due to manufacturing or distribution problems rather than pharmacies simply not stocking it. In situations like yours, it might be worth asking your doctor or urologist if they can check hospital pharmacy channels directly, or consider alternatives such as alprostadil injections or other ED treatments that may be easier to obtain right now. Sometimes specialists can access supplies that regular community pharmacies can’t.

    Personally, I’m on tadalafil as well, and fortunately I’ve had very few side effects. For me it’s been quite reliable and helps maintain consistent function without having to plan everything around a dose. If tadalafil works for you but the side effects are the issue, it might be worth discussing dose adjustments or a different schedule with your doctor, sometimes even small changes can reduce those problems while keeping the benefits. Hopefully the MUSE supply stabilizes soon, but in the meantime a specialist might help you find a more stable workaround.