Your health matters successful self penile injection hints. You insert a tiny needle into your penis and inject a medicine. If you dont follow the instructions in this resource, your doctor or app may stop prescribing your penile injection medications and supplies. Phentolamine given by injection causes blood vessels to expand, thereby increasing blood flow. Dec 15, 2018 trimix injection demonstration with tim stewart 7 minutes. Do not use the medication if it is cloudy or has particles in the fluid. This document should also be useful to those considering the use of injection therapy. The injections have been a perfect solution for the ed however about a year ago i realized i had hourglass peyronies at the base of my penis near the injection sites. Papaverine or trimix phentolamine, papaverine and alprostadil.
Trimix injections for hard erections part 2 excel male trt. Erectile dysfunction is estimated to affect 18 million men in the u. In a study conducted by israilov and colleagues, patients that failed trimix had a positive. Slight resistance is encountered as the needle passes into the proper position within the erectile tissue corporeal body. Injection complications, even when injected into the proper area of the penis, can occur and create additional trimix side effects. Joel penis pump system it is designed to be a penis enlargement pump, where you pump up and leave the pump on for like an hour a day, several days a week. Trimix is a compounded medication popular with many ed patients who selfinject the medicine. Dec 15, 20 successful self penile injection with trimix hints, questions and answers written by the ucsf this document was prepared to make the process as easy and painless as possible for men who have decided to use injection therapy for erectile dysfunction. When changing from mono or bimixtherapy to trimix therapy, titration of the trimix injection dose has to be done by starting with an injection volume representing one third to half the alprostadil dose previously used.
The trimix injection shelf life at room temperature, is very low. Priapism after trimix injection was considered an exclusion criterion from the study. Trimix for travel is an alternative form of the erectile dysfunction ed treatment known as trimix for injection or just trimix. Do not twist or rotate penis accidental urethral injection. Well informed ed patients who can tolerate selfinjection most often prefer trimix saying it provides the best. Questions if you have any problems or questions with penile injection therapy, please do not. Penile selfinjection procedure articles mount nittany. With trimix, patients experience longer and fuller erections in just 5 minutes or less and may even last through climax. Men with erectile dysfunction have been using injection therapy for a long time over 30 years. Trimix is a mixture of two prostaglandins phentolamine and alprostadil plus papaverine a vasodilator medication that increase blood flow to the penis and cause strong and lasting erections, with or without sexual stimulation. Unlike oral medications, trimix injections trigger an erectile response in less than 5 minutes.
Well informed ed patients who can tolerate self injection most often prefer trimix saying it provides the best. Clean off the rubber top with an alcohol wipe and allow it to air dry. Gather the materials you will need and place them on a table near the chair or bed where you will be sitting down. Papaverine plus phentolamine plus alprostadil trimix is the most potent but. Scientists have found that these drugs can induce a penile erection when injected directly into the penis. Penile injections can help you achieve an erection if you have. It took this individual a few attempts at perfecting the needle free injection.
The most often used medications include alprostadil, papaverine, and phentolamine. Reattach the blue plunger to injection device until tight. Although this drug is commonly prescribed for treating men with erectile dysfunction, there are side effects that patients should consider before undergoing the treatment. Quadmix includes the addition of atropine which may work synergistically to cause smooth muscle relaxation in the penis. Sex after prostate cancer, penile rehabilitation victoria cullen december 15, 2018 popular. Patient address physician office trimix must be kept cool and will be shipped in a cooler with an icepack to arrive next business day. Choose an injection site on the side of the shaft of the penis shaded area shown in the picture, in the first one half area. With use of up to 24 months, penile pain was reported at least once by 29% of patients during injection, 35% of patients during erection, and by 30% of patients after erection. Running an intracavernosal injection program smsna. Read this resource carefully before starting injection therapy.
Trimix is a unique option for those suffering from erectile dysfunction and its often stated to be the most effective nonsurgical measure that one can use. Trimix is intended for injection into the erectile tissue in the corpora cavernosa of the penis. It is normal for the ice packs to melt and the medication to arrive unfrozen or even slightly warm. Withdraw the needle from the penis and apply compression to the injection site for approximately 1 minute. Penile injection therapy what is penile injection therapy. Also, its important to know that trimix can be administered as a gel or an injection. When injected into the penis, trimix s blend of three vasodilators causes the corpus cavernosum to relax, expand and fill with blood. Injections are rotated within that area and the side of the injection is alternated with. The injection must be compounded by a pharmacy and administered via intracavernosal injection an injection at either side, not the base, of the penis.
Marinade turkey injector syringe with screwon meat needle for smoker bbq grill, 1oz, red, recipe ebook download pdf 4. Phentolamine should not be used as a sexual aid by men who do not have erectile. Penile injection therapy is a treatment for erectile dysfunction. A patient must learn to perform a penile self injection each time he wishes to engage in. Apr 16, 2012 i do not know how you can say that the trimix injections were a perfect solution for your ed if they might have caused your peyronies disease. It starts with a physical or mental stimulus received in the brain.
Hold the injection in an upright position with the needle pointing up. Alprostadil and trimix must be kept in the refrigerator. Trimix injections are customblended to the individual patient. Trimix is an easytouse, selfinjected penile injection medication. With the exception of one occasion he was 100% and ready for at least a good hour, a good time was had by all. Trimix selfinjection instructions olympia pharmacy. The technique of penile injection produces the most natural form of erection for a man with impotence. You should be sitting upright or slightly reclined when performing the injection. Our doctors will work with you to compound a formula that is most effective for your particular needs and lifestyle. Compounded multiagent mixtures bimix, trimix, super trimix. Mar 17, 2005 intracavernous injection of trimix tx is indicated for patients unsuitable for prostaglandin e1 pge1 injection due to lack of response, pain or cost. Allow one or two minutes to completely inject the dose.
The syringe needle should be oriented perpendicularly to the shaft and inserted fullyentirely, as shown. When injected into the penis, trimixs blend of three vasodilators causes the corpus cavernosum to relax, expand and fill with blood. In 1982, doctors ronald virag 1 and giles brindley 2 independently conducted the first successful intracavernosal pharmacotherapy for the treatment of erectile dysfunction ed, with papaverine and phenoxybenzamine, respectively. Increase dose by increments of 510 mcg if bimix or trimix, increase dose by 0.
Im not sure if the injections caused they peyronies disease but i have stopped using the injections and have been using a mechanical penis stretcher for the past 4 months. Many patients thought they could not do the self injection and later, after an educational session with the doctor or erectile dysfunction nurse, they are able to perform this simple procedure without difficulty. You may be nervous about doing self injection at first. Most men begin injection therapy with trimix, which is a. Penile injection therapy is a welltolerated and effective way for men with erectile dysfunction to obtain an erection. Our pharmacists and technicians are clean the site with alcohol. The medication dilates the arteries of the penis and allows blood to flow in.
Trimix dosage how much trimix should i inject for erectile. Penile injection therapy is a welltolerated and effective way for men with. Inject trimix over afew seconds and apply compression at the injection site for 2 minutes. More time may be dispose the needle and syringe in the. The proper location for injection is at the 911 and oclock positions, between the base and midportion of the penis. The brain sends a signal through the nerves to the penis causing relaxation of the penile blood. Physicians information trimixgel ed alternativetrimixgel. Our laboratory has been producing a comprehensive range of penile injections available on prescription for the treatment of erectile dysfunction ed since 2000 and thus we are considered specialists in this field with extensive experience. Penile injection therapy this information will help you learn to inject medication into your penis. Replace the cap on the needle and dispose of properly. Side effects of edex alprostadil for injection, warnings, uses. On a per injection basis, 15% of injections were associated with penile pain. If this is still not effective, the patient could be switched.
With this method, you use a fine needle to inject the medications into the base or side of your penis. The 3 most commonly used medications for injection therapy are trimix, bimix, and papaverine. Papaverine plus phentolamine plus alprostadil trimix is the most potent but requires refrigeration and has the same side effects as papaverine and alprostadil. Page of penile injection therapy unc school of medicine. After nearly 20 years of injecting trimix into his penis to achieve an erection using needles, he decided to try injecting trimix with a needle free injection device that he purchased from us. I gradually changed to 8cc trimix and 100mg viagra and still no priapism.
Fully insert theneedle until it is flush with the penile skin. You will be injecting this medication into the corpora cavernosa, the spongy tissue on the sides of the penis. Although the thought of penile injections usually instigates a negative response in most men they are one of the most effective treatment methods available. Phentolamine injection advanced patient information. When injected into the penis intracavernosal, it increases blood flow to the penis, which results in an erection. Also, do not use phentolamine more than two days in a row or more than three times a week. Intracavernous injection of trimix tx is indicated for patients unsuitable for prostaglandin e1 pge1 injection due to lack of response, pain. I did trimix alone at first but at 11cc i was getting an aching penis so i decided to reduce the trimix and add some viagra. When refrigerated per the trimix injection shelf life instructions, this loss can be postponed by 23 months.
A prospective randomized study to optimize the dosage of. Self injection is a good option if you have erectile dysfunction ed. Choose an injection site on the side of the shaft of the penis shaded area shown in. Penile injections can help you achieve an erection if you have erectile dysfunction ed. So recently i started taking trimix to see how that would work. Trimix demonstration video and pdf download a touchy subject. Some studies show a success rate of 7580% 1 in order to achieve an erection, the user injects a vasodilator into the corpora cavernosa on the side of the penis.
These compounds appear to act together to increase arterial inflow, dilate smooth muscles and restrict venous. Avoid having these air bubbles in the syringe when selfinjecting by first injecting out any collected bubbles that may have formed. That is a terribly high price to pay when there are so many other less dangerous and less offensive options to use for ed. Successful self penile injection hints, questions and answers greetings. Choose an injection site on the side of the shaft of the penis shaded area shown in the picture, in the first onehalf area closest to the base of the penis. Trimix is a threedrug mixture made up of alprostadil, papaverine and phentolamine that is directly injected via a hypodermic needle into the penis. Side effects of edex alprostadil for injection, warnings.
This helps your penis get hard and stay that way long enough for sex. Store one vial at normal refrigeration temperature 32 39f. Penile injection therapy memorial sloan kettering cancer center. Read this resource carefully before starting injection.
Trimix is typically compounded by a pharmacy in a sterile. As compared to most oral ed medications trimix injections are. Avoid veins and inject directly into the penis closer to the base 3. The injection should be directed into the proximal half ab of the penile shaft, at the sidemost. Trimix injections, ed injections, trimix for ed university of utah. The most common side effect reported 37% is a mild to moderate dull ache, which occurs 5 to 20 minutes after injection. Several minutes of compression may be required to avoid bleeding, especially if you are an aspirin user. Successful self penile injection hints, questions and answers. The fact remains, the most effective nonsurgical treatment is penile injection where a compound of vasoactive dilators is injected directly into the corpora cavernosa.
Trimix penile injection instructions penile injection therapy is a simple procedure that may seem to the first time user to be offensive. Several medications are commonly injected directly into the penis to achieve an erection. Owen mumford aj 11 autoject 2 injection aid device removable needle. So my uro just recently increased my prescription to. Trimix and other penile injections are very inexpensive compared to oral medications. Intracavernous penile injections for erectile dysfunction. Penile injections are one of the most effective treatments for erectile dysfunction with some studies. Intracavernous injections penile injections can be an effective alternative for men who do not respond well to oral ed medications like viagra and cialis. It is then slid off onto the base of the penis while there is still vacuum keeping the penis erect. Trimix injection prostaglandin, phentolamine, papaverine. An erection occurs anywhere from 5 to 15 minutes after injection. The effectiveness of the medication is not compromised. The groove on the injection device and the ridge on the cartridge need to be aligned for the cartridge to fit.
Discontinuation of therapy due to a side effect in clinical trials was required in approximately 9% of patients treated with edex. Readings were registered from the best artery at any time for analysis starting 23 min after ici. Quadmix trimix auto inject medically induces erection. Trimix injections complementary compounding services. Tim stewart gives us a step by step instruction guide on how to give a trimix injection for ed, including how often you can use trimix injections and the side effects of injection therapy. Since 1983, these erectile dysfunction injections have. Choose an injection site on the side of the shaft of the penis shaded area shown in the picture, in the first onehalf area. Caverject tm or edex tm alprostadil is injected directly into the side of the penis and produces an erection.
Injection therapy remains on the forefront of treatment options nehra, a. In general, injection volumes of not smaller than 0. The active ingredients in the mixture are usually alprostadil, papaverine, and phentolamine. With trimix, patients experience longer and fuller erections in. At that time i injected into a softee but the rapidly swelling penis quickly cut off some of the blood flowing out as the cock ring started constricting around the base of the penis. The target injection site for the erectogenic medication is into the corpora cavernosa. If injected elsewhere, trimix side effects may develop or the medication can be ineffective. Their results were published in 1983 and intracavernosal injection ici therapy is now a recognised safe and effective strategy for the. A prospective randomized study to optimize the dosage of trimix ingredients and compare its efficacy and safety with prostaglandin e1. Penile injection therapy memorial sloan kettering cancer. Penile rehabilitation victoria cullen december 15, 2018 popular. Combined intracavernous vasoactive drugs and sildenafil. Insert the cartridge into the injection device with the tip facing toward the attached needle.
Upon injection, i get a slight erection which quickly vanishes after about 2 minutes. The injection may be given anywhere from the base of the penis to twothirds of the way down the penile shaft at the 10 oclock and 2 oclock locations on the upper side of the penis away from the urethra and the head of the penis see figure 1. Intracavernous penile injections fagron south africa. This document was prepared to make the process as easy and painless as possible for men who have decided to use injection therapy for erectile dysfunction. Injection steadily penetrate the skin with the needle at 90 fully insert theneedle until it is flush with the penile skin. Trimix is an injectable threedrug prescribed medication used to treat erectile dysfunction. Penile injections do not require any form of anaesthetic and are usually performed in outpatients under the supervision of a consultant urologist or a specialist nurse. In testing, in only 5 days of storage at room temperature, close to 10% efficacy of the medication was lost.