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TriMix Dosage The dosages will vary among patients depending on their individual level of ED, however, the initial dose should be 0.05 cc to 0.2 cc. I found for best result to use a retention ring at the base of the penis. Depending on the dosage your doctor recommends, injectable medication may be as little as $5 per dose, according to GoodRx. Such fun! So I've tried Trimix 5 times with varied results. More Than You Thought, But What About The Rest? 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. is my hemo and hematocrit crazy high or ??? provide you memorable satisfaction. Yes, you can have long erections with Trimix. It may not display this or other websites correctly. You need to go to an ED center that specializes in this. Golfer, that doesnt sound quite right. I could imagine if the penis is quite deflated a 1/2" needle might go in too far. Once reconstituted with 5 mL of Bacteriostatic Water: Papaverine HCl 30 mg/mL, Phentolamine Mesylate 2 mg/mL, Prostaglandin E1 20 mcg/mL, Atropine Sulfate 200 mcg/mL. You drop the needle in and press the button. First time I tried it with my wife, the was AMAZED and her first words were I can work with this!!. Trimix has to be made at a compounding pharmacy. Testosterone Replacement, Low T, HCG, & Beyond. Inject 1mg (1mL) of Phenylephrine HCl 0.1% into the penis every 3-5 minutes until detumescence occurs for up to one hour. For those of you haveing little luck with the trimix there is a Qudmix they just added atropine to the mix.. You dont go through the apprehension anxiety. I suspect you're not injecting correctly. Using it at least 5 times a week (my wife is, shall we say, very energetic when it comes to sex), it is, as my doctor says, truly the Wonder Shot. Then, increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached. Leah: I appreciate your candor and Old Man Rivers willingness to share your findings. Other methods have *not been proven* to do this. I am going to Mexico from Michigan so I dont want any issues to come up while in Mexico. The onset of an erection occurred within minutes and lasted over an hour. Only issue was getting my erection to go away and I started to panic after 3 and a half hours. Stanton Honig, MD Professor of Urology Director of Men's Health . By MenMD, Boston MA. Papaverine plus phentolamine plus Alprostadil (Trimix) is the most potent but requires refrigeration and has the same side effects as Papaverine and Alprostadil. 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. If you had a trip to the ER I would stop the Cialis. As mentioned above, side effects tend to increase with higher dosages, so it is important only to take the number of units of Trimix you have been prescribed, not more. Temporary swelling of the penis skin may occur if proper injection technique is not adhered to. . the way it is dispensed and patients are told to store it is actually due to an I just purchased .3ml 5/16" as I think I will prefer those for TRT as well since I inject 23ml EOD currently. Im glad there is encouragement and support out there however I will tell you this is very scary. Trimix rocks!!! Any potential side effects or injuries that could result from injection are decreased or eliminated with proper administration. Keep us posted but I would say that you are on the right track. 47 year old Type 1 diabetic. Consult your doctor if you're thinking about buying Trimix and trying to determine if it's the appropriate choice for you. Wait! After 3 hours I received two Phenolefrin shots and all was good. 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. I believe it is papaverine, phentolamine and alprostadil (prostaglandin). I am 74, and my wife is 69. ED for several years now. I tried Trimix for a few months, but stopped after learning and experiencing the following: Nobody will give you the exact composition Blown out in middle. What If A Healthy Man Takes Sildenafil RDT? I have no pain from the injections. I see posts of 20 & 30 cc of tri-mix. I havent had prostrate surgery or such; but am impotent due to blood pressure and anti depressives. You can go on forever as long as time is no object. I have not seen syringes discussed. But in the real world, it can take some time, and many have reported erections that neared priapism. If you're going to inject something into your penis, you don't want to look for fake or contaminated drugs. Trimex is a compounded drug, which is injected into the penis in the case of erectile dysfunction. Alternate right and left side of penis with each injection. This equals to 0.4 ml or 0.4 cc (this is the language used for injections). Used Event marketing. What is the optimal time after surgery to begin injection therapy? However, as with all ED treatments, persistent erections can be a problem. You are using an out of date browser. But after Dr. Melman gave him the first shot, his fears vanished. One injection lasts an hour or so. My uro started me on 40 units. I never recovered the ability to get a natural erection even using Viagra, Levitra, or Cialis, but they did improve blood flow. They come in very small vials of dry Trimix for mixing when needed so you dont have to refrigerate a large batch. 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. For example, a 10% solution of Trimix for the same effective 20 mcg/20 units dose would come with instructions to administer 200 mcg or 2 ccs/mLs of the diluted medication. at the trial dose appointment the patient response to medication is rated on a scale referred to the Erection Hardness Score (EHS) : Ranging from 14 (1=penis is larger, but not hard; 2=penis is hard, but not hard enough for penetration; 3=penis is hard enough for penetration, but not completely hard; 4=penis is completely hard and fully rigid). this trial dose is very important. TriMix is a compounded medication that is specially mixed by a qualified pharmacist based on your prescription. Only issue was getting my erection to go away and I started to panic after 3 and a half hours. amazing! make sure the vial of trimix is mixed up very well prior to every injection. They still leave with a starting dose and titration scale for home but it is reduced. You are using an out of date browser. A word of advice is to thoroughly warm up the medication before injecting into the penis. For years I just talked to my android can I adjust and my general physician and I should have gone straight to a specialist. I'll get him to go back to his doctor. I used Viagra for years and it finally lost effectiveness. I agree tried on a whim and was AMAZED at what it did for rigidness and. 3 weeks ago after disappointing 3 years of believing my uro and trying V, C and L and resisting the needle, trimix has been a revelation. I have erections that last a couple of hours, depending on stimulation. Lyophilized. Hi Nelson - I am using a .5ml syringe with 30G and 1/2" insulin needle (same as I use EOD for TRT). Therefore, the ultimate Trimix injection price for a single injection would be much lower in the latter case than in the former. Sometimes it takes a couple of attempts to get over the freaked-outedness enough for it to work. Next time used 10 cc again nothing happened. Im 61 and pills (Viagra, Levitra, Cealis, etc worked for awhile but eventually became ineffective). In these cases, I will start off with a small dose of a low concentration of trimix. About an inch up from the base at around 2:30 dodging any obvious veins and 1/2" fully pressed in. The whole going down to the urologists office to get injected thing can be a bit stressful and stress = adrenaline = flaccidity. 2. 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. with increments of 2.5 micrograms. In an ideal world, the Trimix injections wear down without any external help. And the pace. I'm studying techniques to improve my erections and thought these links would be helpful for others. its due to arrive this week and i cant wait to get with my wife for the first time in 4yrs. if you suffer from ED go see a urologist. injection? JavaScript is disabled. How many units of Trimix should I take is the most frequently asked question regarding Trimix dosage. I only need about 0.10cc vs 0.25cc early on of Trimix 1, (0.5mg Phentolamine, 10mg Papaverine and 5mcg PGE1) This formula has one of the lowest amount of PGE which causes pain in some users. I once took two 60mg pills trying to get my erections down, but my erections did not subside. Follow the step-by-step instructions below. This stuff is wonderful! Most men begin injection therapy with Trimix, which is a mixture of 3 ingredients: alprostadil, phentolamine, and papaverine. Leah, your posts are always informative, insightful, and a pleasant read. It is available by prescription only and is a very powerful combination of three proven ED medications phentolamine, papaverine, and alprostadil. 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. not actually 20 or 30 units of trimix. New video added to the list. You'll only be able to find TriMix at specialized compounding pharmacies. Is there any concern about that? 2) I assume that your husband is injecting correctly each time, so the delivery of the timix is also a variable that is held constant. Like most, I kind of sphinctered up at the thought of pressing a needle into my penis. Great posttrimix can work good. Got as high as 1.5 but 1.2 seems about. (I use a few office rubber bands doubled over.) The first batch DID NOT WORK at all - Could have been "performance" anxiety! http://www.xvideos.com/video13729043/qu s_erection, https://www.youtube.com/watch?v=_n2vsEBphPc, https://www.youtube.com/watch?v=4Ca-Qn189uc, https://www.youtube.com/watch?v=et3WMW70N14, https://www.youtube.com/watch?v=8bBuauGdNcY, https://www.youtube.com/watch?v=jn7gf9np1h4, https://www.youtube.com/watch?v=yzPUO-b3HvM, https://www.youtube.com/watch?v=niQl8o2FkD4, https://www.youtube.com/watch?v=R4nMqqFhut0, https://www.youtube.com/watch?v=RB-s4jpqETE, https://www.youtube.com/watch?v=7Ao395ONOUQ, https://www.youtube.com/watch?v=KWf5MAobWoM, http://www.xtube.com/watch.php?v=GweWZ-C334-, http://www.excelmale.com/showthread.php ons-TRIMIX, http://www.diabeticcareservices.com/con emID=08-62, http://www.amazon.com/AUTOJECT-SELF-OWE utoject+el, http://www.adwdiabetes.com//product/owe 0_4473.htm, Hard Flaccid/Chronic Prostatitis/Pelvic Floor Dysfunction. I would just like to pass on my thanks for your blog .I stumbled on it on Google but am reluctant to say what words I used as a strap to Google I found it amusing and informative but better than that, I found it encouraging . Do you think you hit the right area / angle when you tried the lower dosages? We were dealing with the suspense of wondering if I was going to be able to penetrate her. They are using anything between 2 1/2 units (0.025ml) 30 units (0.30 ml) of Trimix ( PGE1-Papaverine-Phentolamine 10mcg-12mg-1mg/mL formula). 36 is barely enough, and after reading your story I might go for the gusto an try 40. there is a LOT of misinformation on here. Injectable medications have been used since 1983 and are considered by the American Urologic Association to be one of the most effective non-surgical solutions for ED (American Urological Association, 2018). The greatest drug after prostate removal. I hope the long indicator helps. Inject this medicine very slowly into your penis as shown to you by your doctor 10 to 30 minutes before intercourse. Been using TriMix5 for 10 months after trial and error ended up using 25 units for 30 minutes of pleasure . 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). Answer. Alprostadil is a common TriMix ingredient. These ingredients work by relaxing the smooth muscle and opening the blood vessels in your penis, causing an erection. Is easy to apply, and is painless. 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. Yeah, totally endorse and relate all you have reported. I'm studying techniques to improve my erections and thought these links would be helpful for others. which makes my penis bigger in girth and it just seems to work better for me.and the girth is there now with my natural erections.I had no problems jumping feet first into this great thing and any man who has a healthy apatite for sex should not be afraid and jump in and please there ladys,, they wont stop smiling!!! You can bring up demos online. aching and gone very bruised. The syringe should have two scales on it, the one in Units is probably insulin units, but it also has fractions of ML indicated. Purchased a needle-free Injex unit for $300. Well done you .and kind regards to you and your husband. Thanks to both of you for your openness in sharing what youve learned. i am a 42yr old type 1 diabetic. I recommend using an auto injector. Trimix injections are compounded medications that require a prescription. They will treat and adjust the medication so it works for you. Trimix has been shown to be very successful in treating ED, especially in men, for whom oral medications have not been effective. They tried to sign me up for their program, but I passed. For a better experience, please enable JavaScript in your browser before proceeding. Its our desire at Precision Rx Telemed to altaer the narratives and mL or milliliters a measure of liquid volume, equivalent to 1 cubic centimeter (cc). Once, my husband was just about hitting the 4-hour mark, you know when youre supposed to go to the ER. Prostaglandin E1 10 ug/ml. I noticed it was coming up on an hour. 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). Miracle drug, just 8 units and rock hard for hour and 1/2. Trimix is a combination of 3 separate medications Papaverine Alprostadil Phentolamine Risks of Intracavernosal Injections: Pain Bleeding Bruising Priapism (see below) Slight firming. Well, I took 30; close to 25 right? But I can tell you that trial and error is normal with Trimix. Trimix is a medication for erectile dysfunction treatments that is intended to be injected locally into the penis. This signal can come in many forms, but it is often a hormone of some kind. Moving the plunger from 0.6mL to 0.4mL will place 0.2mL of Trimix Gel . If you are considering buying Trimix, and deciding if it might be right for you, then talk to your doctor. You should be sure to ask them any questions or seek any clarifications to ensure you are only administering the correct dosage, as higher dosages carry an increased risk of side effects including erections that require medical attention. I want to remain sexually active and have tried ED pumps, gels, and even. Folks,on August 13th Illbe celebrating myfirst anniversary of participating in online conversation. Hormones are able to stop, start, enhance, or restrict the actions , Every so often a mysterious new molecule grabs the publics attention making the rounds of news, magazines, and social media before quickly disappearing into irrelevance soon after emerging. You eventually learn to titrate the dose, which is just a fancy word for getting it right. I was pretty much in the same boat. Trimix is all I need. Unlike oral ED treatments, where any benefit or action is spread throughout the body and bloodstream, Trimixs direct local action in the penis means it is often far more effective in generating an erection satisfactory for sex. 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. riverside, I have used Trimix for almost 2 years as well and I have found that the walls of my penis on each side are not the same thickness. Intracavernous injection of Trimix (Tx) is indicated for patients unsuitable for prostaglandin E1 (PgE1) injection due to lack of response, pain or cost. Sorry I make the same mis-print or error. Dr prescribed Trimix in April. If not roughly whats your copay? Almost out the door to the hospital numerous times. With injections I found adding some constriction around the base of the penis while doing the injection and for three minutes after, makes a big difference to the reliability. It is stated to NOT freeze these hormones on the instructions as such will destroy the effect. Cant recommend it enough. Just like with the Tempur-pedic bed, *you* set the firmness. Anyone used it after a year frozen? Moral of story, dont fall asleep if you still have an erection and listen to Leah. Tried all the oral medications with no success. I took. 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. thanks. just started yesterday, second dose today at 2 1/2 units, not there yet, I asked the urologist about the max of 3x per week, he indicated you could exceed, just wondering since don't know how long it will take going up a half unit per injection to get to my effective dosage level. Q1. Any advice is appreciated Freezing both TriMix and Super Mega TriMix until I can find a way. Got the tip on trimix from my younger diabetic brother who nagged the hell out of me to give it a try. Out of curiosity, does your health insurance cover Trimix? An open discussion on Erectile Dysfunction. A urologist is a great start but they are not good enough. Two and on half units (using an insulin syringe). I am told from other forums this is extremely high and should keep me hard for at least 2 hrs. In many forums, you will see people talking BS about the gains they have had on the Trimix. It should be at room temperature. Step 2 Wipe the rubber top of the bottle with the alcohol pad. I was in the uros office, where I was testing a Tri-Mix injection. In particular, a man who gets decent erections while he is asleep but struggles during sex, even with chemical assistance, is probably anxious. Go talk with the doc again. on my first test does of TRIMIX was able to have sex. Used 20 units (1/5 ml) got about 35% erection. Our first session with the elixir was proceeding at a leisurely pace when I happened to glance at the clock. And with Trimix *you* are in control. Could I have used it past its expiration date for vials not opened. FYI, Im 62. -------Hot & Popular Forum Discussions-------. It is only suitable for patients who have had no success with oral ED medications. It typically contains a combination of three active ingredients that can help improve blood flow for an erection. Currently using about 22 units with gives me about an 45 minutes to an hour of usable erection. But, therein lies my question. I'm wondering if anyone can tell me why you can only do 3 doses/week? The Art of Titrating and Optimizing Penile Injection Therapy for Patients with Erectile Dysfunction. Three important points: 1. I was talking to another person who has used trimix and also had issues with it. I thought about that but I guess I'll never know. Sadly I can only use my stick for a divining rod. Trimix Injection Site Below are step-by-step instructions detailing how to properly use your penile injection at home without a doctor. Like I said in my post previously, 50 units was plenty for me, even lasted a bit too long so I tried 45 units and that was good but I will try 40 next time. d. Turn the vial with needle and syringe inserted upside down. please complete the form below. For you guys that have went to Mens Clinics and are paying outrageous prices for trimix, visit a urologist and have his write a prescrip for trimix, then take it to a Compounding Pharmacy. It is then demonstrated on a penile model how the injection should be administered because there are variations in technique that can have a major impact on dosing and effectiveness of the injection for patients. Copyright 2018. I can speak with experience that, yes, trimix is wonderful. Never freeze Tri Mix (Read the directions), refrigerator, not freezer. In studies of men who did not see satisfactory treatment via oral ED medications, Trimix injections resulted in between 80 and 95% satisfaction rates, depending on the study. We also understand how life can get in the way and how hard it can be to find a doctor that understands what you are going through. Anyway, I "overdosed" one time, and got worried---three + hours of wood and I jumped into the jacuzzi to soften. The maximum dose is 0.50 cc. I'm really surprised it took me so long to discover it and look forward to using it more often. I cant stress this enough. I thought it was all over but am finding out that just isnt so. I dont know how you could even accurately measure that in a syringe. At the other end of the spectrum, is the older gentleman (greater than 75 years old) with . In New Zealand I am getting the kit for $10 per shot (that's about, J - Interesting theory on the resurrected softies, don't imagine the uros would stick their necks on the line over that though. though my condition is different from what i have read here, i share a side effect. We are doing it right. Should you consider an injection to treat erectile dysfunction? Some mixtures of the medication are diluted with saline, to make dosing and measurement easier on a larger scale, though the effective dosage units/amount also scales. Golfer, OK, that sounds more like it. Dont worry about the injections youll get over it its not really that big of a deal. 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.