By contrast, this same amount may last for 25 doses for someone taking only 20 units per dose. Event marketing. Exquisite. I then went to .5 units, got some enlargement but not enough for erections. . Thank you. I have begun to experiment with taking 40 - 50 mg of Viagra 45 min prior to injecting and injecting about 75% of regular dose..I have found that now Viagra has a stronger effect compared to how it acted before I started injections. When I asked him what should be done when I get a persisting erection outside his office, his prompt reply was Sudafed. my ED became an issue as i grew older till about 4yrs ago it stopped functioning all together. Phentolamine Mesylate 1 mg/ml. Sounds like good news to me. In particular, a man who gets decent erections while he is asleep but struggles during sex, even with chemical assistance, is probably anxious. But that was just a dry run.. Trimix Injections are used as a second-line treatment when oral ED medications dont work. That is true, regardless of how many units of Trimix are in a given injection. As a man who has used both pill type enhancements and TRIMIX, I prefer TRIMIX as there are fewer side effects. I am told from other forums this is extremely high and should keep me hard for at least 2 hrs. All rights reserved. If my wife were to read it I most likely would have no need to inject in the future, Post Edited (KickintheButt) : 10/2/2011 2:37:31 PM (GMT-6), Post Edited (KickintheButt) : 10/2/2011 3:54:47 PM (GMT-6), What a great and funny report. Bleeding may occur at the injection site if a vein is inadvertently punctured while administering the TriMix injection. TriMiX Injection: Papaverine HCl 150 mg, Phentolamine Mesylate 5 mg, Prostaglandin E1 50 mcg. He's also developed Peyronie's syndrome. The greatest drug after prostate removal. Carey Frasca www.MenMD.com. I had that wrong, start at .2cc, so 20 units. In regards to injections. Dont know if I can mention the compounding pharmacy I use here, but google travel Trimix and it brings up at lease one such pharmacyoffering various formulas with more or less PGE1. Once, my husband was just about hitting the 4-hour mark, you know when youre supposed to go to the ER. A friend of mine runs some of the Male Performance Clinics in TX introduced me to TRIMIX about 6 months ago and I can not be thankful enough,, It was a little nerve wrecking at first but after about the 7th time of injecting myself I have no hesitations about the process, It did not take long to get my doses correct so that I do not need antidote any more. 7 Ways For Men to Improve Sexual Performance, Getting Trimix Injections in Florida (Sun City Center), Ways to Get a Rock Hard Penis Without Drugs, All about male infertility that you should know, Does It Save To Buy Trimix Injections Online - Doctors who prescribe Trimix, Erectile Dysfunction Treatment | How to Get TriMix | Buy TriMix Injections Online. I've tried the same way each time. For some men, erections during the effective time period go away following orgasm and ejaculation, whereas for others, they do not. Make the appointment right now, call them, you wont regret it. No, not for me. This approach may lessen the major impediments to prostaglandin E1 use, that is burning and pain. A unit is specific for each drug, not a standard volume. Hi Nelson - I am using a .5ml syringe with 30G and 1/2" insulin needle (same as I use EOD for TRT). They used a quadmix which gave me a good response, and used the sonar again. I have erections that last a couple of hours, depending on stimulation. These medications are injected directly into the side of the penis. Sign up for the free quarterly Advanced Prostate Cancer Newsletter. Thats why you should never rely on Internet searches or articles like this alone to determine how many units of Trimix are suitable. Shockwave acoustic therapy for ED increases blood supply to the penis and may help men to get erections. In this scenario, if not mixed very thoroughly, a draw from the top end of the vial will produce a diluted product (and consequently poor response), whereas a draw from the bottom portion of the vial will produce a highly concentrated solution (and robust response). Step 2 Wipe the rubber top of the bottle with the alcohol pad. Not everyone requires this step, but some keep upping their Trimix dose and it doesnt work (disappointing and expensive). Trimix is a mixture of three different medications that men inject directly into the penis to treat Erectile Dysfunction. If you're going to inject something into your penis, you don't want to look for fake or contaminated drugs. Such fun! The active ingredients in the penile injections Trimix and Quadmix are alprostadil, papaverine, phentolamine and atropine. Very sore took 1.5 hrs to go down. New to trimix. And yes, I did experience a secondary erection last time but chickened out for fear of having to take that trip in an overcoat to the hospital! if their response is close to a 3 they remain in the clinic for further monitoring. the way it is dispensed and patients are told to store it is actually due to an I could imagine if the penis is quite deflated a 1/2" needle might go in too far. #1. Im 61 and pills (Viagra, Levitra, Cealis, etc worked for awhile but eventually became ineffective). By the way Im a non smoker, minimal alcohol, body fat in the single digits, resting heart rate 48 bpm work out six times per week. Follow the step-by-step instructions below. Click here to sign up, Copyright 1999-2021 Malecare, Inc | All Rights Reserved, http://www.prostatepointers.org/mlist/mlist.html. It always points to water right below me - probably because live near a lake. The Art of Titrating and Optimizing Penile Injection Therapy for Patients with Erectile Dysfunction. Then we can move on to discussing how many units of Trimix are typically prescribed for patients. Trimix is all I need. Great posttrimix can work good. If you so desire. I have settled on high quality single use insulin syringes. You can go on forever as long as time is no object. A more appropriate starting dose is 2.5 micrograms. Showed me everything about the injection (got one) and everything was hunky Dory. I am going to incrementally back off from 0.2 to see how low I can go before failure. Trimix Reviews: Learn More About the Results of Trimix - Invigor Medical Unfortunately, it does not really work. New video added to the list. Most men begin injection therapy with Trimix, which is a mixture of 3 ingredients: alprostadil, phentolamine, and papaverine. The most common side effects are injection site pain, small amounts of bleeding immediately following administration, and some initial discomfort. Boy, did I need a drink and a Power Bar! The price of about quadmjx is close to $400 and dont want to pay that. After 3 hours I received two Phenolefrin shots and all was good. Getting Trimix dose right - HealingWell You dont go through the apprehension anxiety. I have been researching and speaking out about penile rehab for almost a year, andthis is something I will definitely be focusing on here. The key here is that the response can be unpredictable, erratic, and risky if the vial is not thoroughly mixed prior to every use to ensure uniformity of solution. After some paralysis issues almost 20 years ago I got ED and I've taken Viagra and Cialis since with OK results but could quickly lose my erection if conditions were less than optimal like awkward positions, distractions, etc and never had it soo rigid for so long. The name TriMix alludes to the fact that this medication is a mix of three medications frequently used to help improve erectile function. Mine easily lasts 6 months in the fridge and long as I am care to keep it refrigerated. Phentolamine Injection Reviews and User Ratings: Effectiveness - WebMD And will continue to get erect several. Proper administration reduces or eliminates any potential side effects or injuries that may otherwise occur to the penis with injection. Thanks for all the info and glad it worked so well for you. Trimix is a combination of 3 separate medications Papaverine Alprostadil Phentolamine Risks of Intracavernosal Injections: Pain Bleeding Bruising Priapism (see below) I definitely recommend trying this, were both looking forward to the next time, honestly it was amazing, after 10 months of still great sex with toys etc theres nothing like the real thing. I assume you know that Trimix is a mix of papaverine (vasodilator), phentolamine (alpha-blocker), and prostaglandin E1 (PGE1), a variant of alprostadil. If your dose is 0.2mL you would then place the tip of the syringe in your urethra and push the plunger until it is at 0.4mL on the syringe. In an ideal world, the Trimix injections wear down without any external help. He uses 28 gauge needles, and the bottle of stuff has a different top on it, so were hoping its just a product, technical problem if you will. Dont worry about the injections youll get over it its not really that big of a deal. Sticking a needle Where? Often trimix works better when you inject at home. FYI,,,I have at least for myself, if you hafta knock it down a worm or hot shower or bath will do it and if not your mix needs to be adjusted. The majority of patients i have come across that have used it prior to seeing me in our clinic were not well informed and lacking in some serious information they should have been Surely you are not taking 10-12 cc of tri-mix! TriMix is a compounded medication that is specially mixed by a qualified pharmacist based on your prescription. I then went to my urologist who prescribed Trimix. Patients should wait a full 48 hours before increasing their dosage. Pull back on the syringe plunger in a slow and steady motion until the prescribed dosage is achieved. Is easy to apply, and is painless. I had my robotic RP 12/28/17.As my cancer was progressed, I encoraged my surgeon to take the tissue needed to rid me of cancerand he didand my PSA remains today at .01 undetectablean incredible blessing. Copyright 2016 FrankTalk.org All rights reserved. Having recently started using Trimix, I noticed after the second shot that I was able to perform fairly well between injections (5 cc) I had been wondering about the rehabilitation aspect of what happened nice to find out it is true. QuadMix Injection for ED | Empower Pharmacy You eventually learn to titrate the dose, which is just a fancy word for getting it right. The content weve included in this guide is merely meant to be informational and does not constitute medical advice. A prospective randomized study to optimize the dosage of trimix 2 and 1/2 units would be VERY small dose. Pete This requires prompt medical intervention as it is a medical emergency. Trimix Injection Site Below are step-by-step instructions detailing how to properly use your penile injection at home without a doctor. Happy (a very easy transition since it is an easily tolerable minor prick, if youll excuse the choice of words), I have, at the age of 67, become an evangelist for the drug. with increments of 2.5 micrograms. You'll only be able to find TriMix at specialized compounding pharmacies. Im only 61. And the pace. Patients should always use the smallest effective dose, as, after a certain point, there is no benefit to increasing the dosage further, and the risk of side effects will increase significantly. Let's look at the facts: 1) Using the exact same amount of trimix, sometimes no erection and other times it lasts for hours. I never recovered the ability to get a natural erection even using Viagra, Levitra, or Cialis, but they did improve blood flow. (Not all syringes work with the Inject-Eaze). Consult your doctor if you're thinking about buying Trimix and trying to determine if it's the appropriate choice for you. I started using Trimix a few months after my nerve sparing robotic prostatectomy 5 yrsa ago. I prefer the semi auto injector to the fully auto because I inject low on one side and higher on the other side of my penis. Fill out the form below, and one of our treatment specialists will contact you. Trimix works much better than Viagra with no side effects. In my experience reading posts here and on my other group, I would say that around 10 percent of guys stop it because of that reason. d. Turn the vial with needle and syringe inserted upside down. Dosage Strengths of QuadMix Injection. So, about 4 months post op, my urologist shared with me about Trimix. As you know, I am not a doctor. However, in my case, phenylephrine was the most ineffective. Maximum dose: 3 times per week, with at least 24 hours between each use. Only issue was getting my erection to go away and I started to panic after 3 and a half hours. I was in the uros office, where I was testing a Tri-Mix injection. Had a RP 10 months ago and have been on a penile rehabilitation program, 5 mg Cialis a day and 20 mg the day of, close but still no cigar.. I am not an injector, but I am sure that this post will. There are people in the group who are very knowledgeabe about this subject, although, like me, they are not docs. Trimix, once injected, starts to work right away. FrankTalk Spelling is wrong yes I know! Alprostadil (Intracavernosal Route) Proper Use - Mayo Clinic Our patients typically are not using doses as high as the ones being quoted on this site. How to perform a trimix injection. Moral of story, dont fall asleep if you still have an erection and listen to Leah. When I initially postedto abulletin board I was looking tospread the gospel of penile injections for ED,andI thought that would be the end ofit. Then I collapsed. (Adrenaline counteracts the effect of the trimix.) Before getting into the details on how many units of Trimix might be prescribed, lets talk a bit about how patients typically use Trimix. Its been 5 months no erections so I went the trimix route, The DR prescribed .2 units, thus my first experience I ended up in the ER with three injections to reduce (no fun). It black and blue last 2 times sinc using the super strong trimix. Trimix intracavernosal injection is a combination of medications used for erectile dysfunction. Save my name, email, and website in this browser for the next time I comment. I would like to thank the great staff Doctors and my good friend at The Mens Performance Center In Cow Town FT Worth TX. This stuff is wonderful! 47 year old Type 1 diabetic. Awesome forum, and yes, trimix is excellent. These are the two main biological factors needed to keep an erection going. And then- Trimix. For the second dose, I went for 30 units. Trimix helped as many as 95% of men achieve acceptable erections for penetrating intercourse when oral ED medication treatment had failed. based on their response their starting dose for home is determined and they are given a titration scale for home to adjust as needed. Trimix works by the same broad processes as oral ED drugs like Viagra and Cialis, they primarily relax the blood vessels and enhance blood flow, despite the different administration methods. Wait! Leah: I appreciate your candor and Old Man Rivers willingness to share your findings. Anyway, I "overdosed" one time, and got worried---three + hours of wood and I jumped into the jacuzzi to soften. Why a combined intracavernosal injection with trimix and oral sildenafil is reliable therapy in the ultrasonographic evaluation of erectile dysfunction The haemodynamic changes and cGMP and cAMP production in the cavernosum were improved by trimix plus sildenafil more than with than PGE1 plus sildenafil or one ICI with trimix or PGE1. While other posters are talking about the doses, I want to give some information about the number of injections you should take. These medications include: Papaverine. I ended up driving to the ER to get a injection. We were advised to learn to use our bodies in different ways. This way a prescription will be written, forwarded to the compounding pharmacy that is linked to being filled, and then delivered to your house for effective administration. Hi Guys, You need to seek professional help when using trimix. Instant, long lasting, no side effects. Anyway, I got a urologist who thought it was a swell idea. This adventure of PCa is all over the board and only by sharing our discoveries as patients and families can the whole, holistic, and quality of life story be pieced together. its due to arrive this week and i cant wait to get with my wife for the first time in 4yrs. Inject this medicine very slowly into your penis as shown to you by your doctor 10 to 30 minutes before intercourse. Ive been using it for four years and have never bent a needle. Got as high as 1.5 but 1.2 seems about. Poor hygiene may increase the risk of developing infections, and overuse such as taking too high a dosage increases the risk of priapism/erections requiring emergency medical care. Step 1 Gather alcohol pads, syringe with needle, medicine, and sharps container. Solutions . However, Trimix gel is a needleless, . I finally started to inject at 11 or 1 oclock and have not had one misfire since. Trimix is delivered via injection. The risk of this outcome increases with higher dosages, which is another reason to be sure to follow your prescribers instructions with regard to how many units of Trimix to take. Any suggestions on having an orgasm while using Trimix? The bimix, trimix, or caverject are chemicals that get the swelling to occur. The PGE-1 amount is really the most important. Trimix is a medication for erectile dysfunction treatments that is intended to be injected locally into the penis. Very important that the penis is fully flaccid/soft when injecting. After this time, it should lose its efficacy, and any erection should go away on its own. As the name suggests, trimix includes 3 active ingredients, and as the vial sits in the refrigerator awaiting your next use gravity is constantly at work pulling those ingredients towards the bottom of the vial. My uro started me on 40 units. I tell those that are considering this, there virtually is NO discomfort in the shots compared to the incredible joy it brings us. My wife and I can have good intercourse, but I cannot reach a climax. They receive specifics related to each of the components in Trimix, possible side effects, complications and PREVENTION of both (because both ARE preventable).They are instructed how to read and prepare a syringe with medication for injection. I am starting to get natural erections almost every morning and threw out the day. My dick rose like a phoenix and was ready for the battle after several years. A doctor advising you to take, for example, 20 units of Trimix is saying you should be filling up a syringe with 20 mcg, or 1/5 mL of medication. I am really thinking I over shot the sweet spot a few times with a 1/2" needle. Our patients are thoroughly educated in a 2 step process before using ICI (intracavernous injections) at home. You must make sure the needle penetrates the Caverness. As many as 95% of men reported satisfactory erections for penetrative sex thanks to Trimix, even after treatment with oral ED medications had failed them. It is truly wonderful as mentioned in earlier post. It will bend, as if its hitting a hard spot. Erectile Dysfunction Injection Treatment: What is TriMix? i went with .15 injected at 825pm. You need to go to an ED center that specializes in this. Trimix is not good for your penis, and it does not increase the size. If there are truly that small, your urologist might want to put you on a weaker Trimix so the levels you inject are more reasonable volumes ( 0.10-0.50ml.). injection? Used Why Trimix Injections Do Not Work - Erectile Dysfunction (ED) Care You will inject Tri-mix into your penis using a small needle. thanks. see, see, told ya! I can also use 24 -25 units with effects ranging between 2 -3 hrs. Been using TriMix5 for 10 months after trial and error ended up using 25 units for 30 minutes of pleasure . Trimix is supplied as a liquid medication in a vial, designed for injection. They still leave with a starting dose and titration scale for home but it is reduced. Phentolamine. In order to successfully administer Trimix, patients must understand liquid dosing amounts for injections. Love to have more, but it aint happening for me. But in the real world, it can take some time, and many have reported erections that neared priapism. Injecting in areas 9-11 oclock area and 1 to 3 o;clock area. Penile injection 101 - how to correctly & optimally inject Trimix We have over 300 formulations to work for you. There are 100 micrograms in a cubic centimeter or milliliter of medication. Congratulations on the outcome. I have not seen syringes discussed. They also have their own wiki where they store information for reference. I feel now that time is on my side and I hope the physiological changes I have felt may even make Viagra closer to viable one day. Golfer, OK, that sounds more like it. until the lowest effective dose is achieved. It stood erect for 2 hours, after which it started deflating slowly. It is only suitable for patients who have had no success with oral ED medications. In this video we run through how to administer an intracavernosal injection (aka peinle injection) using a compounded preparation - whist there is a lot to t. but, if this possibly could work, I was willing to try it. I went and they did a sonar test to hear my blood flow. Needless to say, I think he's going to be giving up on this. My frist injection given to me to take home was 30 units.It lasted 6+ hrs. It also made me last longer before having an orgasm about 45 minutes. My clinic provided me with 34cc of medication which should be injected into the penis at either 10AM or 2PM using a manual injector with a safety device to assure the injector is fully depressed against the penis, before initializing the ejector button. Just had my 1st injection of trimix yesterday at the urologist office yesterday at 2pm. The medication is expensive but in our opinion well worth it for physical and mental health plus lots of fun with enjoyable sex. My husband had had an RP about 10 months before (Oct. 15, 05), and since then we had not had normal sex. I've been using trimix 30/1/10 for a couple weeks with positive results. There are different strengths for Trimix. Never freeze Tri Mix (Read the directions), refrigerator, not freezer. Great comments. Next night used 10 cc it was ok. first off i cant believe i was afraid of this i felt nothing 28 gauge needle. After a nerve sparing Prostatectomy, will injections help recovery of my natural erections? My husband is reluctant, but at least he knows how important this is to me. In an ideal world, the Trimix injections wear down without any external help. by Bob1974 Tue Apr 03, 2018 3:13 pm. A prolonged erection, known as priapism, may occur. Precision Rx Telemed is about personal wellness. Trimix injection, an erectile dysfunction drug, has repeatedly been demonstrated to be a successful treatment for men whose oral ED medications have not worked. A starting dose of between 5 and 20 units of Trimix. My doctor prescribed trimix and I have used it a few times, but it hasn't been a great experience. Also I recommend searching the internet for more information, so you have a good knowledge when you talk to your Urologist, or his PA. I use a vacuum pump prior to injecting as it seems to give me a fuller erection. I also experienced some soreness I will have to ask my urologist about the addition of licodaine. after doing some research at home i discovered many pages like this one that claim trimix does work so 6 months later, last week, i called them up and ordered the 5 doses. Yeah, totally endorse and relate all you have reported. Sourcing your Trimix through a licensed and reputable pharmacy, with a prescription, is the only way to go. Now I think I have the dose and techniques to manage a 1.5 hour woody. I havent had prostrate surgery or such; but am impotent due to blood pressure and anti depressives. Prostaglandin E1. I have been teaching the use of injections for over 18 years now. There is some trial & error involved. So I've tried Trimix 5 times with varied results. I'm studying techniques to improve my erections and thought these links would be helpful for others. I suspect that when you injected and got no results you missed and when you injected and it wouldn't go down you were possibly ingesting a Nitric Oxide booster. Thank you for sharing your experience with trimix. I must tell you, dear readers, that if you take a breather, a seventh-inning stretch so to speak, you *can* even have a double-header. Sometimes it takes a couple of attempts to get over the freaked-outedness enough for it to work. I get a 5ml bottle. Prostaglandine E1 (50mcg) papaverine (30mg) phentolamine (1.5mg) This is my trimix dosage. It is a very potent mixture of three effective ED drugs, including phentolamine, papaverine, and alprostadil, which are only available by prescription. not actually 20 or 30 cc of trimix. Some people say you can use Cialis with Trimix. I had a prostatectomy via robotic surgery. I lost 90% of my erection ability and have recovered about 60% since. It may take 2-6 injections to find the dose that causes an erection strong enough for penetration. i woke up one morning and had severe stomach pains as well as a (low) fever. Never where inject in the top or the bottom as this could cause injury. Here is information on how to use TRIMIX injections to get a hard erection: Penis Injections for Hard Erections . They range from live demonstrations, to how-to tutorials using animations or props. Should you consider an injection to treat erectile dysfunction? Patients who are prescribed Trimix are given advice and information on the proper handling and administration of the medication via injection. And had amazing sex with my wife for the first time in about 10 years. 1 post Page 1 of 1. And yes, you can have soreness, but its not normal. This has got me thinking tonight may be Trimix night, but no minute by minute diary posting here from me. Try NOT to have longer erections because this can damage the penile tissue. An open discussion on Erectile Dysfunction. Woke up with priaprisim and wound up in ER. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached. No pain or significant bleeding from needle, just a dull ache from the prostoglandin. It took me over a month to get to my full wood dose of .70ml which leaves me with over an hour of full wood. Also, good info but my urologist says one should wait 48 hours between injectionsis that necessary? We conclude that the often recommended starting dose of 20 micrograms. Dr prescribed Trimix in April.