What is the new cream for erectile dysfunction? Eroxon, a topical gel launched in the UK in 2023, represents a novel over-the-counter treatment for erectile dysfunction (ED). Unlike traditional oral medications such as sildenafil or tadalafil, Eroxon is a medical device that works through a physical mechanism applied directly to the penis. This article explores how this new topical treatment works, who can use it, and how it compares to established oral ED medications. Understanding your options empowers informed decisions about managing erectile dysfunction whilst ensuring underlying health conditions are appropriately investigated.

What Is the New Topical Gel for Erectile Dysfunction?

The landscape of erectile dysfunction (ED) treatment in the UK has expanded with the introduction of Eroxon, a topical gel that became available over the counter in 2023. This represents a new topical treatment for ED that does not require a prescription, offering men an alternative to traditional oral medications such as sildenafil (available both as prescription-only Viagra and over-the-counter Viagra Connect) or tadalafil (Cialis).

Eroxon is a medical device rather than a pharmaceutical drug, which distinguishes it from conventional ED treatments. It is applied directly to the glans (head) of the penis approximately 5 minutes before sexual activity. The gel works through a physical mechanism rather than systemic pharmacological action, making it suitable for men who may not be able to take oral ED medications due to certain contraindications or drug interactions.

The product was developed by Futura Medical and has undergone clinical trials demonstrating efficacy in men with mild to moderate ED. Its availability without prescription may reduce barriers to treatment for men who feel uncomfortable discussing the condition with healthcare professionals. However, it is important to note that whilst Eroxon offers convenience and relatively rapid onset of action, it may not be suitable for all men with ED, particularly those with severe symptoms.

If you experience new or persistent erectile dysfunction, you should consult your GP as ED can be an early indicator of underlying health conditions such as diabetes, hypertension, or cardiovascular disease that require proper investigation and management.

How Does Eroxon Gel Work for ED?

Eroxon employs a physical mechanism of action that differs fundamentally from oral phosphodiesterase type 5 (PDE5) inhibitors. The gel contains a volatile solvent that rapidly evaporates upon application to the glans penis, creating a cooling sensation followed by a warming effect. This temperature change stimulates nerve endings in the glans, triggering a response that promotes increased blood flow to the erectile tissues.

The process works through local stimulation rather than systemic absorption. When applied and gently massaged into the glans, the gel's evaporative cooling effect activates sensory receptors in the penile tissue. This sensory stimulation initiates the physiological processes that can lead to an erection. The subsequent warming phase further enhances local blood flow, supporting the erectile response.

Clinical studies have shown that Eroxon can produce effects within approximately 10 minutes of application, which is faster than most oral medications that typically require 30 to 60 minutes to take effect. This relatively rapid onset may be advantageous for sexual activity. However, like other ED treatments, sexual stimulation and arousal are usually necessary to achieve and maintain an erection.

Because Eroxon works locally and is not significantly absorbed systemically, it avoids many of the drug interactions associated with oral ED medications. The gel has fewer contraindications than oral treatments, potentially making it an option for men with certain cardiovascular conditions who cannot take PDE5 inhibitors. However, men with unstable cardiovascular disease should seek medical advice before engaging in sexual activity, regardless of the treatment used.

Who Can Use This Erectile Dysfunction Gel?

Eroxon is suitable for adult men aged 18 and over experiencing erectile dysfunction, particularly those with mild to moderate symptoms. Because it is a medical device rather than a systemic medication, it has fewer absolute contraindications than some oral ED treatments. Men who cannot take PDE5 inhibitors due to cardiovascular conditions, particularly those taking nitrate medications for angina, may find this topical treatment an alternative worth discussing with their healthcare provider.

The gel may be particularly appropriate for men who:

• Experience side effects from oral ED medications (such as headaches, flushing, or visual disturbances)

• Take medications that interact with PDE5 inhibitors

• Have cardiovascular conditions that preclude use of oral ED drugs

• Prefer a non-systemic treatment option

• Desire relatively rapid onset of action for sexual activity

• Have mild to moderate ED and wish to try an over-the-counter option

However, certain precautions apply. Men with broken or irritated skin on the penis should not use Eroxon until the skin has healed. Those with known allergies to any of the gel's ingredients should avoid use. Men with severe ED, those who have had pelvic surgery, or those with anatomical abnormalities of the penis may need specialist assessment.

Regarding condom use, men should follow the specific guidance in the Eroxon Instructions for Use about compatibility with barrier contraceptives. If you or your partner experiences significant irritation, discontinue use and seek medical advice.

Whilst the product is available without prescription, men experiencing ED should still consult their GP, as erectile dysfunction can indicate underlying health conditions requiring investigation, including cardiovascular risk assessment, blood glucose, lipids, and blood pressure monitoring. Morning testosterone testing may be appropriate if there are clinical features of hypogonadism.

Comparing Topical Treatments to Oral ED Medications

When considering treatment options for erectile dysfunction, understanding the differences between topical gels like Eroxon and oral medications is essential for informed decision-making. Each approach has distinct advantages and limitations that may suit different individuals and circumstances.

Mechanism and onset: Oral PDE5 inhibitors (such as sildenafil, tadalafil, or vardenafil) work systemically by enhancing the effects of nitric oxide, relaxing smooth muscle in the corpus cavernosum and increasing blood flow to the penis during sexual stimulation. They typically require 30 to 60 minutes to take effect (though tadalafil can remain effective for up to 36 hours). Eroxon works through local physical stimulation and can produce effects within approximately 10 minutes, potentially offering greater spontaneity.

Accessibility: In the UK, sildenafil 50mg (Viagra Connect) is available from pharmacies without a prescription following a pharmacist consultation. Other oral ED medications generally require a prescription. Eroxon is available over the counter as a medical device. Another topical option, Vitaros (alprostadil 3mg/g cream), is available only with a prescription.

Efficacy: No direct comparative trials exist between Eroxon and PDE5 inhibitors. Clinical trials demonstrate that PDE5 inhibitors are effective in approximately 60-70% of men with ED. Eroxon's clinical data suggests effectiveness in men with mild to moderate ED, though response varies by individual.

Side effects and contraindications: Oral ED medications can cause systemic side effects including headaches, facial flushing, nasal congestion, indigestion, and visual disturbances. They are contraindicated in men taking nitrates and require caution in those with significant cardiovascular disease. Eroxon, being non-systemic, has fewer side effects (primarily local skin reactions) and fewer contraindications.

NHS availability: Sildenafil is widely available on NHS prescription. Other ED treatments may be restricted under Department of Health Selected List Scheme (SLS) regulations or local NHS commissioning policies, with availability varying by region and clinical circumstances.

Where to Access ED Gels in the UK

Eroxon is available over the counter at pharmacies throughout the UK without requiring a prescription. The product can be purchased from major pharmacy chains including Boots, Lloyds Pharmacy, and independent community pharmacies. Many pharmacies stock Eroxon on the shop floor or behind the counter, and pharmacists can provide discreet advice about its use.

Online access is also available through registered UK online pharmacies and the manufacturer's website. When purchasing online, it is essential to use only legitimate, General Pharmaceutical Council (GPhC) registered pharmacies to ensure product authenticity and safety. Reputable online pharmacies will display their GPhC registration number and the 'Registered pharmacy' internet logo. You can verify a pharmacy's registration on the GPhC website. Men should be cautious of unregulated websites offering ED treatments, as counterfeit products pose significant health risks.

The typical cost of Eroxon ranges from approximately £25 to £30 for a pack of four single-use tubes, though prices may vary between retailers. This is not generally available on NHS prescription.

Before purchasing any ED treatment, men are encouraged to consult their GP, particularly if experiencing ED for the first time or if symptoms have changed. Erectile dysfunction can indicate underlying health conditions such as cardiovascular disease, diabetes, or hormonal imbalances that require medical investigation. Your GP can arrange appropriate assessments including cardiovascular risk evaluation, blood tests (glucose, lipids, and testosterone if clinically indicated), and blood pressure monitoring.

If you experience side effects or problems with any ED treatment, you can report these through the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk). Even with over-the-counter products, seeking medical advice ensures that any underlying health issues are identified and managed appropriately, optimising both sexual health and overall wellbeing.

Frequently Asked Questions