Important note: After you have administered MUSE, it is important to sit upright, stand or walk about for 10 minutes while the erection is developing. Doing this unclothed is better. This increases blood flow to the penis and will enhance your erection.
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 specifically developed to dissolve in the small quantity of urine that remains in the urethra after urination.
Open the foil pouch by tearing fully across from the notched edge. Let the MUSE slide out of the pouch. Save the pouch for discarding the MUSE applicator later.
To remove the protective cap from the applicator stem, hold the body of 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.
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 the pellet is present before insertion.
Hold the applicator in whichever way is more comfortable for you (A or B).
Please review the anatomy of the penis. While sitting or standing, whichever is more comfortable for you, take several seconds to gently and slowly stretch the penis upwards to its full length, with gentle compression from top to bottom of the glans. This straightens and opens the urethra. Slowly insert the MUSE stem into the urethra up to the collar. If you feel any discomfort or a pulling sensation, withdraw the applicator slightly and then gently reinsert.
Gently and completely push down 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 five seconds.
Gently rock the applicator from side to side. This will separate the medicated pellet from the applicator tip. If you apply too much pressure you may scratch the lining of the urethra, causing it to bleed.
Remove the applicator while keeping the penis upright.
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 the steps above.
Holding the penis upright and stretched to its full length, roll the penis firmly between your hands for at least 10-15 seconds. This will ensure that the medication is adequately distributed along the walls of the urethra.
If you feel a burning sensation, it may help to continue to roll the penis for an additional 30 seconds. This should be done only if you have burning.
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.
Important note: After you have administered MUSE, it is important to sit upright, stand or walk about for 10 minutes while the erection is developing. This increases blood flow to the penis and will enhance your erection. Doing this unclothed is better. After 10 minutes, some self-stimulation may improve the results. If the results are still poor, consider a tourniquet for the penis. The tourniquet should be left on for 10 minutes after insertion.