Edex

— THERAPEUTIC CATEGORIES —
  • Erectile dysfunction

Edex Generic Name & Formulations

General Description

Alprostadil (in alfadex inclusion complex) 10mcg, 20mcg, 40mcg; per cartridge; pwd for intracavernous inj after reconstitution.

Pharmacological Class

Prostaglandin.

How Supplied

2-cartridge pack (w. 1 inj device & supplies)—1; 6-cartridge pack (w. 1 inj device & supplies)—1

Manufacturer

Edex Indications

Indications

Erectile dysfunction.

Edex Dosage and Administration

Adult

Inject over 5–10 seconds into the lateral aspect of the proximal third of the penis, avoid visible veins; rotate injection side and site. Determine optimum dose in office. If no response occurs, may give next higher dose in 1 hour. If response occurs, must wait 24 hours before next dose. Vasculogenic, psychogenic, or mixed etiology: initially 2.5mcg. If partial response to initial dose, may give 2nd dose of 5mcg and then may increase by increments of 5–10mcg until desired response achieved. If no response to initial dose, may give 2nd dose of 7.5mcg and then may increase by increments of 5–10mcg until desired response achieved. Neurogenic etiology: initially 1.25mcg. May give 2nd dose of 2.5mcg, and 3rd dose of 5mcg, and then may increase by increments of 5mcg until desired response achieved. Max: 40mcg and 3 self-injections per week; allow at least 24 hours between doses. Reduce dose if erection lasts over 1 hour.

Children

Not indicated.

Edex Contraindications

Contraindications

Predisposition to priapism. Fibrotic conditions of the penis (eg, cavernosal fibrosis, Peyronie's disease). Penile implants.

Edex Boxed Warnings

Not Applicable

Edex Warnings/Precautions

Warnings/Precautions

Treat priapism immediately. Reevaluate every 3 months. Discontinue if penile fibrosis occurs. Preexisting cardiovascular disease. Renal impairment. Elderly. Pregnancy, nursing mothers: not indicated.

Edex Pharmacokinetics

See Literature

Edex Interactions

Interactions

Concomitant vasoactive agents: not recommended. Caution with concomitant heparin.

Edex Adverse Reactions

Adverse Reactions

Penile pain, priapism, inj site reactions, penile angulation or fibrosis, hypertension, headache, dizziness, upper respiratory infections, others.

Edex Clinical Trials

See Literature

Edex Note

Not Applicable

Edex Patient Counseling

See Literature