If you’re reading this, you’re probably curious about Vitaros Cream FAQs—maybe a little skeptical, maybe just looking for an option that doesn’t involve popping another pill. I’ve been in your shoes. I’m a longtime user of the product, and now, I also help men daily as a licensed pharmacy provider at Dillions Pharmacy. This guide? It’s for you.
Let’s answer the most common—and honest—questions about Vitaros Cream FAQs. This article is based on clinical experience, real patient feedback, and is medically reviewed by our board-certified pharmacist.
Medically Reviewed by: Dr. Karen M. Lopez, PharmD – Board-Certified Clinical Pharmacist with over 12 years of expertise in men’s health, pharmaceutical compounding, and regulated pharmacy practice. Drugs in Context: Topical Alprostadil Study
What Is Vitaros Cream and How Does It Work?
Vitaros Cream is a prescription topical treatment for erectile dysfunction. Unlike Viagra or Cialis, you don’t take it orally. Instead, you apply it directly to the urethral opening of the penis. For a full breakdown, see our guide on what Vitaros Cream is and how it works.
Its active ingredient, alprostadil, is a vasodilator. It relaxes the smooth muscles and allows for increased blood flow—essential for achieving and maintaining an erection.
This mechanism is scientifically validated and has been studied in clinical trials as a safe alternative for men who are unable to tolerate oral ED medications.
“I used pills for years but hated the timing pressure. With Vitaros, I feel like I’m in control again.” — Marcus, 52, Dillions Pharmacy patient
Is Vitaros Cream Available in the USA?
No, the brand-name version of Vitaros Cream is not currently FDA-approved in the United States. However, U.S. patients can legally access compounded alprostadil cream, which uses the same active ingredient, through certified U.S. compounding pharmacies.
At Dillions Pharmacy, we provide compounded alprostadil cream made under USP <795> standards using FDA-approved ingredients. Our solutions are:
- Prescribed by licensed healthcare providers
- Compounded by board-certified pharmacists
- Compliant with U.S. federal and state pharmacy regulations
So while Vitaros is not available commercially in the U.S., a clinically equivalent and legal alternative is.
How Do You Apply Vitaros Cream FAQs?
Application involves:
- Cleaning the hands and penile area
- Applying the cream into the urethral opening using a single-use applicator
- Massaging gently for absorption
- Waiting 5–30 minutes for effect
Full usage instructions and safety precautions are available in our application guide.
“The first time I applied it, I was cautious. But after following the guide, it became routine.” — Jordan, 45
How Long Does Vitaros Take to Work?
5 to 30 minutes is the typical onset time. Results vary based on your circulation, dosage, and frequency of use.
Vitaros Cream does not rely on arousal for activation, which makes it distinct from PDE5 inhibitors.
How Often Can I Use Vitaros Cream?
Recommended usage is once daily unless otherwise directed. Maximum: two applications in 24 hours.
Excessive use may increase side effect risks and reduce effectiveness over time.
What Are the Most Common Side Effects?
Mild and localized effects:
- Burning or tingling
- Redness
- Discharge at application site
- Partner irritation if unprotected intercourse occurs
These have been well-documented in peer-reviewed studies including those published in Drugs in Context and The Journal of Sexual Medicine.
See our Vitaros Cream Side Effects page for in-depth safety data. NIH Study on Alprostadil Cream
Can My Partner Be Affected by Vitaros Cream?
Yes. Female partners may experience vaginal burning or itching if exposed during unprotected sex.
Condom use is strongly recommended, especially for first-time users. We also advise patients to wait 30 minutes post-application before intercourse.
Is Vitaros Safer Than Oral ED Pills for Heart Patients?
For many men, yes. Alprostadil acts locally and has limited systemic absorption, reducing risk in men with cardiac conditions.
However, safety must be assessed individually. At Dillions, your consultation is reviewed by a licensed provider who understands contraindications and medication interactions.
Do I Need a Prescription to Get Vitaros Cream?
Yes. All compounded alprostadil creams are prescription-only medications under U.S. law.
Our pharmacy offers a secure intake process that includes:
- HIPAA-compliant consultation
- Review by a licensed provider
- Support from certified pharmacists
Can I Buy Vitaros Cream Online?
Yes, through a licensed U.S. pharmacy like Dillions. We are:
- LegitScript-verified
- NABP-accredited
- Specializing in men’s health for over a decade
Be cautious of overseas sites or any vendors that sell without prescriptions. These sources often provide unregulated or counterfeit products. FDA Compounding Standards
What’s the Average Price of Vitaros Cream?
As of 2025, our pricing is:
| Strength | Price per Dose |
|---|---|
| 100 mcg | $85 |
| 200 mcg | $110 |
| 300 mcg | $135 |
This includes pharmacist support and refill planning. See our where to buy guide for options or vitaros cream usa
Can I Travel With Vitaros Cream?
Yes, within the U.S. Keep the medication in its labeled packaging. International travel may be subject to customs regulations. We advise checking your destination’s import laws.
Is It Safe for Long-Term Daily Use?
Yes, when used as directed by a licensed healthcare provider. Our patients often use Vitaros for months or years with good tolerance and satisfaction.
Monitoring and periodic check-ins are encouraged, especially if dose changes are needed.
What If Vitaros Doesn’t Work for Me?
We offer follow-ups to assess:
- Application technique
- Dose adjustment
- Alternative therapies (oral meds, injections, devices)
See our ED Treatment Comparison for more options.
Can I Use Vitaros Cream With Viagra or Cialis?
Do not combine without medical supervision. Doing so may increase risk of priapism or hypotension.
Always follow individualized provider guidance.
Final Thoughts: Efficacy Backed by Experience and Evidence
Vitaros Cream isn’t just a product—it’s a trusted solution for thousands of men who want a fast, localized, and medically safe way to manage erectile dysfunction.
At Dillions Pharmacy, we combine:
- Clinical experience
- Licensed compounding
- Patient-first education and counseling
If you’re wondering if Vitaros is right for you, start with a consultation—grounded in care, guided by science.
Disclaimer: This article is reviewed by licensed clinical pharmacists and provided for informational purposes only. It does not replace direct medical consultation. Always speak to your provider before starting or modifying treatment. LegitScript Pharmacy Verification
