MUSE®| – | Aching in the penis, testicles, legs and in the perineum (area between the penis and rectum) |
| – | Warmth or burning sensation in the urethra |
| – | Redness of the penis due to increased blood flow |
| – | Minor urethral bleeding or spotting due to improper administration |
| – | Prolonged erection - PLEASE NOTE: IF YOUR ERECTION IS RIGID FOR MORE THAN 4 HOURS, CALL YOUR DOCTOR PROMPTLY |
| – | Swelling of leg veins |
| – | Light headedness/Dizziness |
| – | Fainting |
| – | Rapid pulse |
| 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} |
| 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. |
| – | 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 |
| – | Various positions that may favor blood flow into the penis. |
| – | Anxiety, fatigue, tension, and too much alcohol |
| – | Lying on your back too soon after administration of MUSE may decrease blood flow to the penis and result in loss of erection |
| – | Urination or dribbling immediately following administration may result in loss of medication from the urethra |
| – | Using medications that contain decongestants, such as over-the-counter cold remedies, allergy, sinus medications, and appetite suppressants, may block the effect of MUSE. |