Dr prescribed Trimix in April. When taking the injections, remember the. Inject this medicine very slowly into your penis as shown to you by your doctor 10 to 30 minutes before intercourse. Once again, how could you measure that small of an amount? Individually, the medications that make up Trimix all produced some positive results, but their combined use success rate outweighs their individual success rates. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register. Most men start to see an erection resulting in as little as 5 minutes, which typically increases in rigidity over the course of 20 minutes or so. Is easy to apply, and is painless. When done correctly there should be NO pain. I was wondering if theres a lot of people that have the same affect. All rights reserved. I went and they did a sonar test to hear my blood flow. Anyone who suffers from ED, is looking for a solution, and doesnt explore this wonderful alternative is doing themselves a great disservice. 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. And then- Trimix. By this time i felt they maybe taking advantage of men with ED and left without purchasing either. I am going to Mexico from Michigan so I dont want any issues to come up while in Mexico. There is trial and error with trimix and dosage, but once you get the sweet spot; your life will change. It also made me last longer before having an orgasm about 45 minutes. sleep, no response to PDE5i drugs (Cialis/Viagra/Levitra/etc.). Big mistake. My doctor prescribed trimix and I have used it a few times, but it hasn't been a great experience. 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). Once, my husband was just about hitting the 4-hour mark, you know when youre supposed to go to the ER. Wow, your info is changing how I look at things. You should not take Trimix more frequently than specified or inject it anywhere other than in the appropriate part of the penis. Cant recommend it enough. My operation was nerve soaring on one side. How watching pornography can cause erectile dysfunction. Sex addiction, or compulsive sexual behavior disorder, has been difficult to define. Sudafed is a known antidote for Trimix, but the pill version is slow acting unless you are taking it for the first time. But, therein lies my question. I used a 5/16 needle. Here is information on how to use TRIMIX injections to get a hard erection: Penis Injections for Hard Erections . Tear open an alcohol swab and wipe the rubber top of the bottle to sterilize it. Do not waste your time on the gel. I only ever injected a single time per episode, but if you did not inject enough with the first injection, as long as you don't inject more than is needed with the second (and you immediately re-inject at a different location), I would not think there should be a bad . amazing! Lyophilized. Buy Trimix injection online for direct application on the penis makes it frequently more efficient at causing an erection suitable for sex than oral ED therapies. 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. Just had my 1st injection of trimix yesterday at the urologist office yesterday at 2pm. That is true, regardless of how many units of Trimix are in a given injection. My URO changed the formula to a weaker one so that I could inject more. How to perform a trimix injection. 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). Afterdear husbands first shot at the doctors office, his fears went away. I suggest that you join the prostatepointers.org group called PC and intimacy. The maximum dose is 0.50 cc. Dr doesnt want to change mixture. Comments: Erectile dysfunction of vasculogenic, psychogenic, or mixed etiology: Initiate at 2.5 mcg; if there is partial response to initial dose, may increase to 5 mcg and then by . Once we got the dosage right and the erections down to about two hours, all remains great and our sex is BETTER than before surgerybecause we view it as a gift that we will never take for granted. Yes, you can have long erections with Trimix. 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. When you use Trimix you will feel the slight discomfort of the needle going in but when you push the solution in it should not hurt. There is some trial & error involved. Golfer, that doesnt sound quite right. I am an extremely healthy man age 69 yo. Sign up for the free quarterly Advanced Prostate Cancer Newsletter. Anyway, I "overdosed" one time, and got worried---three + hours of wood and I jumped into the jacuzzi to soften. I tapered my trimix dose to get things in order. My uro. Do you know you mix ratio? Attempt 1: 5 units (.05ml) decent erection lasting around a half hour. Depending on the dosage your doctor recommends, injectable medication may be as little as $5 per dose, according to GoodRx. Since The single dose of caverject causes pain, or aching in some, I elected to go straight to Trimix. I assume you know that Trimix is a mix of papaverine (vasodilator), phentolamine (alpha-blocker), and prostaglandin E1 (PGE1), a variant of alprostadil. injection? This equals to 0.4 ml or 0.4 cc (this is the language used for injections). It black and blue last 2 times sinc using the super strong trimix. Participants needed for HSDD drug study (Addyi), Struggling with Low Libido? In all cases, whatever the particular mix, strength, and dosage that is recommended for you will be discussed with your doctor/prescriber. I get a 5ml bottle. Make sure the vial of trimix is mixed up VERY WELL prior to every injection. I am told from other forums this is extremely high and should keep me hard for at least 2 hrs. Trimix rocks!!! Stumbled on this site by accident looking for a new compounding pharmacy for some of my patients. You have to be sure to do it on both sides of the penis. After an orgasm or ejaculation, the subsequent erection often lasts for one to two hours and may or may not disappear. I'm studying techniques to improve my erections and thought these links would be helpful for others. My dick rose like a phoenix and was ready for the battle after several years. Hi all, new guy here to Injection therapy. Took 2 extra strength Tylenol , 2 sudafed and ice. The onset of an erection occurred within minutes and lasted over an hour. I too enjoyed the minute by minute story, but didn't we have a similar discussion at GFMPH? I experienced this problem and Lidocaine was the solution. As you know, I am not a doctor. 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. I have a strip of Allegra-D just in case. For those of us that have been there can really appreciate the report. I see posts of 20 & 30 cc of tri-mix. My wife want to see what 0.40 will do, hopefully she's ready . QuadMiX Injection: Papaverine HCl 150 mg, Phentolamine Mesylate 10 mg, Prostaglandin E1 100 mcg, Atropine Sulfate 1,000 mcg. Little Pink Pill AKA Female Viagra, Looking for opinions on recent labs (Clomid), Testosterone explained - British Menopause Society. I did learn to French-kiss at forty-something, butthings just werent the same. its due to arrive this week and i cant wait to get with my wife for the first time in 4yrs. I have erections that last a couple of hours, depending on stimulation. cc or cubic centimeter a measure of volume, equivalent to 1 milliliter (mL) of liquid. Still only keeps semi hard for 30 minutes or so and then another hour just . Same amount of drug can produce either an erection that lasts less than 2 minutes, so of no use, or one that goes on and on for hours. A prescription for vials is filled with multiples of 5 ml. Stanton Honig, MD Professor of Urology Director of Men's Health . If so, a prescription will be issued and transferred to the associated compounding pharmacy to be filled and sent to your home for you to start using. Trimix is supplied as a liquid medication in a vial, designed for injection. Well, I took 30; close to 25 right? Time will tell. this trial dose is very important. 1 post Page 1 of 1. I had that wrong, start at .2cc, so 20 units. The last 2 weeks, the needle does not seem to go in easily. And please repost more experiences, especially if you convince her to bring her friends or sisters over lol. As mentioned above, libido is still a factor in it, which has meant getting the right dose has been a little tricky. I have not seen syringes discussed. Maximum dosage of 50 units of Trimix at a time. And with Trimix *you* are in control. I havent had prostrate surgery or such; but am impotent due to blood pressure and anti depressives. One of Nelson's posts on trimix protocol mentioned that you should massage the penis before and after the injection. You are using an out of date browser. 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. We conclude that even at the smallest dose of ingredients of Tx, there are no significant differences in hemodynamic effects, rigidity, pain and self-satisfaction between the two drugs . Have been using Trimix for 15 months now since other means of obtaining erection failed for whatever reason. I couldnt be more pleased. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached. Courage, guidance and help. I am not an injector, but I am sure that this post will. We started with a conservative 0.3 and started to get some real action from 1.0ml up. As you can see going up just a small amount gives me a duration a . For those of you haveing little luck with the trimix there is a Qudmix they just added atropine to the mix.. How does Trimix compare to EDEX injections? One of the things they often fail to tell you is without getting erections you starve your penile cells of nourishing blood and you may loose length to your sex organ. Erections lasting longer than 4 hours are dangerous and considered a medical emergency. 1. They still leave with a starting dose and titration scale for home but it is reduced. It is only used as a secondary treatment for ED because it is typically more potent and effective (and hence slightly riskier). For example, a 5 mL vial of Trimix (or 500 units) will provide only 10 doses to someone taking 50 units per dose. I had a radical prostatectomy in March this year , was 66 in June and in the same month my wife and me passed our 41 anniversary .Phew ! However, the vast majority of persons taking Trimix do not experience any such issues if the proper dosage and administration instructions, precautions, and other guidelines are followed. Sadly I will never drill concrete with my stick, even a bowl of jello is a challenge. I suspect you're not injecting correctly. I scheduled for my first trial dosage in 3 weeks and I am scheduled to leave on vacation two days later. I am going to incrementally back off from 0.2 to see how low I can go before failure. Any experiment with just viagra on off days from being able to inject? Not sure if this will be of help but I notice it helps to massage a bit before the injection to get it a bit enlarged. 2. Our patients typically are not using doses as high as the ones being quoted on this site. Yeh, Ill try it, but the needle thing was really my big hang up. Phentolamine Mesylate 1 mg/ml. Common insulin syringes are available in 0.3 ml, 0.5 ml, and 1 ml. 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). You need to go to an ED center that specializes in this. But I can tell you that trial and error is normal with Trimix. First time Trimix experience was amazing. Most often, this roughly translates into: That does not mean, however, when looking at how many units of Trimix may be useful for a given individual, that dosages higher than 50 units have not been prescribed. 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. Very important that the penis is fully flaccid/soft when injecting. In an ideal world, the Trimix injections wear down without any external help. Boy, did I need a drink and a Power Bar! Trimix should not be injected elsewhere other than the proper area of the penis, nor should it be taken more frequently than recommended. This is not working for my husband, he has three bottles frozen and we are not having sex. Angeline. Used 20 units (1/5 ml) got about 35% erection. Leah, 10 milligrams (mg) to 20 mg dose of vardenafil (Levitra) 50 mg to 200 mg dose of avanafil (Stendra) 20 mg to 100 mg dose of sildenafil (Viagra) A person should not take a 10-20 mg dose of. It is stated to NOT freeze these hormones on the instructions as such will destroy the effect. Is extreme soreness and two hour erection normal? Smaller volumes should be used in children and patient with severe cardiovascular disease. Allow 5 to 10 seconds to completely inject the dose. By doing so, and observing the precautions, administration instructions, and dosage guidelines set by your prescriber, you will likely see satisfactory erections suitable for sex, without the painful and potentially dangerous side effects like persistent or painful erections, priapism, or damage to the penis. It will bend, as if its hitting a hard spot. 3. 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 was getting a little tired, but being the competitive type I decided to go for a record I held out for exactly an hour anda minute. anybody got a woman pregant here while being on TRT 1+ year? Any of those might be a hopeful sign for eventual recovery. I have been having difficulty using my Autoinject 2 without the E1 indicator from Amazon I decided to order your version. This is in response to Steve, May 21, 2011, just to clarify. More than four-hour erections are risky and are regarded as a medical emergency. Now this was SEX!!! Only patients who have tried and failed with oral ED medicines should use them. Inject 1mg (1mL) of Phenylephrine HCl 0.1% into the penis every 3-5 minutes until detumescence occurs for up to one hour. You will inject Tri-mix into your penis using a small needle. Trimix has to be made at a compounding pharmacy. 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. While we strive to always provide accurate, current, and safe advice in all of our articles and guides, its important to stress that they are no substitute for medical advice from a doctor or healthcare provider. i woke up one morning and had severe stomach pains as well as a (low) fever. Showed me everything about the injection (got one) and everything was hunky Dory. Always use proper hygiene and safety precautions when performing an injection, especially in such a sensitive area. Q1. ED Forum (Viagra, Cialis, Trimix, Implants). Trimix #12 (10mcg/30mg/4mg) /mL Trimix #16 (100mcg/30mg/6mg) /mL Syringe and Dose Volume ICI medications are injected into the penis using a very small needle, the same type of needle and syringe diabetics use to inject insulin. Maybe you went in too far. Be patient, you will get there!! MEDICATION not actually 20 or 30 units of trimix. I noticed it was coming up on an hour. If proper dosage and administration instructions, precautions, and so on are observed, however, the vast majority of people taking Trimix do not experience any such complications. It typically contains a combination of three active ingredients that can help improve blood flow for an erection. I am going to try 4.5 units tonight. Erections came in XL and above only. It contains three vasodilators: papaverine, phentolamine, and prostaglandin E1. The Art of Titrating and Optimizing Penile Injection Therapy for Patients with Erectile Dysfunction. However, in my case, phenylephrine was the most ineffective. Copyright 2016 FrankTalk.org All rights reserved. I was stroking his penis in largo, e.g., slow and gentle, but I eventually learned thatit only workedif I speeded up the tempo and the pressure, do it in allegro vivace, maybe. The maximum dose is 0.50 cc. manually stimulate a man. Download our Tri-mix and Quad-Mix Patient . Trimix is a combination of 3 separate medications Papaverine Alprostadil Phentolamine Risks of Intracavernosal Injections: Pain Bleeding Bruising Priapism (see below) For men, once they realize there are relatively few nerve endings on the shaft of the penis, it is really quite a painless procedure. How many units of Trimix should I take is the most frequently asked question regarding Trimix dosage. Trimix has been shown to be very successful in treating ED, especially in men, for whom oral medications have not been effective. It may take 2-6 injections to find the dose that causes an erection strong enough for penetration. That equates to 0.025 ml.. I am 74, and my wife is 69. This misinformation can be dangerous to newbies. But these fears can be overcome. For instance, my dose is 0.3 ML and so the 5 CC container is good for about 16 shots. She wants to see how big and how hard we can make my erection. However, there are some typical dosage ranges, best practices, and other details that may be helpful for those new to Trimix and dosing. My doctor injected me with some med that helped in calming down my erections. It stood erect for 2 hours, after which it started deflating slowly. Increasing subsequent dosages by no more than 5 units at a time. Trimix Injections are used as a second-line treatment when oral ED medications dont work. Wait 48 hours before increasing dosage. Trimix is a prescription medication, and naturally has risks associated with it. Keep trying till you find one that works. In these cases, I will start off with a small dose of a low concentration of trimix. Explain to people what a unit is, and what a mark on a 1cc syringe is. If he has erections in his sleep without any trimix at all, that is FANTASTIC news. We both literally cried as this development so far exceeded anything we thought we could ever experince again. Prostaglandine E1 (50mcg) papaverine (30mg) phentolamine (1.5mg) This is my trimix dosage. Dude, the wife and I get together at most once a week. I also experienced some soreness I will have to ask my urologist about the addition of licodaine. Listen up! There is no set dosage; instead, it is usually adjusted gradually based on feedback from the patient and the physician. Like most, I kind of sphinctered up at the thought of pressing a needle into my penis. Since I had little reaction to 15 units, he suggested I go up by 10 units (25) for my trial run with wife. Many men find this a more appealing and approachable alternative to embarrassing in-person discussions with their doctors. But after Dr. Melman gave him the first shot, his fears vanished. Anyony know Dr. who will prescribe trimix in North Carolina? Do not be discouraged by a poor result with the first few injections, as the initial dose should be kept low to avoid a prolonged . For the second dose, I went for 30 units. I am sure for a guy who hadnt seen action down there in almost a year, this was a most welcome sight. Im looking forward to us getting better and better now that I found this website. This is a reply that may apply to many regarding Trimix and Penile injections in general. This video from John Hopkins speaks specifically to questions about pulling the foreskin back before injecting. Medals ? I had a radical prostatectomy in March this year , was 66 in June and in the same month my wife and me passed our 41 anniversary .Phew ! Did not help. 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. Actually, I think the injections do have a positive effect on Viagra. 1 to 40 mcg intracavernous injection into the lateral penis given over 5 to 10 seconds. Thank you. That's GFMPH, incredibly so, but be kind, for her, too much, too often, might be too much of a good thing. Not deterred, and having to wait almost a month to heal (believe me guys its no fun). I am in UK ,where our health system is different to yours. This is the standard 30-10-1 mix from Empower. Three important points: 1. 2. For many guys, this is a more interesting and approachable option than having awkward in-person conversations with their doctors.