In fact, most people with a penis will experience bouts of ED at some point in their lives. Risk factors of ED include heart disease, diabetes, older age , depression, and anxiety. If you have an erection that lasts more than 4 hours, get medical help right away. Alprostadil Cream Vitaros is a type of erectile dysfunction cream. Data shared with Viatris will be aggregated and de-identified; it will be combined with data related to other Savings Offer redemptions and will not identify you Viatris reserves the right to rescind, revoke, or amend this Savings Offer without notice No membership fees.While there are quite a few, some of the main ones are sildenafil (Viagra), aspirin, or ergotamine, which treats migraine. Avoid using nitroglycerin gel if you have health conditions like. Cream for erectile dysfunction is simply applied to the penis directly before sex. Erection creams for ED can be purchased OTC, though it is not recommended (or approved of) by the FDA. Talk to your doctor before incorporating any new medication regimen, including topical treatments like alprostadil cream. 8 Sources. This month, the Food and Drug Administration approved the marketing of a new treatment for erectile dysfunction, a topical gel called Eroxon, meaning it can be sold over the counter in the United.