Muse 1000mcg

Generic Name: Alprostadil

Manufactured by Nexmed Pharmaceutical

Use
MUSE is indicated for the treatment of erectile dysfunction.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF MUSE FOR YOUR PARTNER?

The most common reported side effects observed in women whose partners use MUSE are mild vaginal itching or burning. Using a water-based lubricant can help to make vaginal penetration easier. Your partner may want to consult her health care Provider if she has not had sexual intercourse for an extended period of time.


IMPORTANT INFORMATION FOR YOU AND YOUR PARTNER

Pregnancy

MUSE has no contraceptive properties.

Because MUSE has not been tested during human pregnancy, it is recommended that couples use adequate contraception if the female partner is of childbearing potential. MUSE should not be used for sexual intercourse with a pregnant woman unless the couple uses a condom barrier.

Sexually Transmitted Diseases

MUSE will not protect you or your partner from sexually transmitted diseases like chlamydia, gonorrhea, herpes simplex virus, viral hepatitis, human immunodeficiency virus (HIV - the virus that causes AIDS), human papilloma virus (genital warts), and syphilis. Latex condoms can protect against these sexually transmitted diseases.


HOW SHOULD I STORE MUSE?

It is recommended that MUSE be stored in a refrigerator. MUSE may be kept at room temperature (less than 30�C/86�F) for up to 14 days prior to use. It is very important that MUSE not be exposed to temperatures above 30�C/86�F since this will make MUSE ineffective. MUSE should not be exposed to high temperatures or placed in direct sunlight.

Storage when travelling

When travelling, store MUSE in a portable ice pack or cooler. Do not store in the trunk of a car or in baggage storage areas where MUSE may be exposed to extremes in temperature.


HOW TO ADMINISTER MUSE:

1.	Immediately prior to administration, urinate and gently shake the penis several times to remove excess urine. A moist urethra makes administration of MUSE easier. The medicated pellet has been specially developed to dissolve in the small quantity of urine that remain in the urethra after urination.
2.	Open the foil pouch by tearing fully across from the notched edge (Fig. 2). Let the MUSE slide out of the pouch. Save the pouch for discarding the MUSE applicator later. Fig. 2 {illustrated here}
3.	To remove the protective cap from the applicator stem (Fig. 3), hold the body of the applicator with your thumb and forefinger. Twist the body and pull out the applicator from the cap, being careful not to push the applicator button. Avoid touching the applicator stem and tip. Save the cap for discarding the MUSE applicator later. Fig. 3 {illustrated here}
4.	Visually inspect the MUSE The MUSE system is see-through, and you will be able to see the medicated pellet at the end of the stem. Make sure that the pellet/let is present before insertion (Fig. 4). Fig. 4 {illustrated here}
5.	Hold the applicator in a way which, is the most comfortable for you. (Fig 5A and 5B). Fig. 5 {illustrated here}
6.	Please review Figure 6A, the anatomy of the penis. 6A {illustrated here}

While sitting or standing, whichever is more comfortable for you, take several seconds to gently and slowly stretch the penis upward to its full length, with gentle compression from top to bottom of the glans (Fig. 6B). This straightens and opens the urethra. Slowly insert the MUSE stem into the urethra up to the collar (Fig. 6C). If you feel any discomfort or a pulling sensation, withdraw the applicator slightly and then gently reinsert.

Fig. 6B Fig. 6C {Illustrated here}

7.	Gently and completely push down (Fig. 7) the button at the top of the applicator until it stops. It is important to do this to ensure that the medicated pellet is completely released. Hold the applicator in this position for 5 seconds. Fig. 7{Illustrated here}
8.	Gently rock the applicator from side to side. This will separate the medicated pellet from the applicator tip (Fig. 8). If you apply too much pressure you may scratch the lining of the urethra causing it to bleed. Fig. 8 {Illustrated here}
9.	Remove the applicator while keeping the penis upright.
10.	Visually inspect the applicator tip to see that the medication is no longer in the applicator. Do not touch the stem. If you notice some residual medication in the end of the applicator, gently reinsert into the urethra and repeat steps 7, 8, and 9.
11.	Holding the penis upright and stretched to its full length, roll the penis firmly between your hands for at least 10 seconds. This will ensure that the medication is adequately distributed along the walls of the urethra (Fig. 9). If you feel a burning sensation it may help to continue to roll the penis for an additional 30 - 60 seconds or until the burning subsides. Fig. 9 {Illustrated here}
12.	Remember, each MUSE is good for a single administration only. Replace the cap on the MUSE applicator, place in the opened foil pouch, fold, and discard as normal household waste.

After you have administered MUSE, it is important to sit, stand or walk about for 10 minutes while the erection is developing. This increases blood flow to the penis and will enhance your erection.


ADDITIONAL INFORMATION AND PRACTICAL TIPS

Factors Which May Enhance Your Erection:

***This product should be kept refrigerated. Although it is packaged with an ice pack, we recommend you also choose the EMS (express delivery) shipping option to help avoid the possibility of expiration.***

�	Being well rested and relaxed
�	Sexual foreplay with your partner or self-stimulation while sitting or standing
�	Pelvic exercises (for example, Kegel exercises) - these consist of tightening and releasing your pelvic and buttock muscles. These are the muscles you use to stop urination
Our Prices
Quantity :   1 Applicator   2-6 Applicators   Price Per Applicator :   $ 280.00 each    $ 275.00 each
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