Seattle trimix injection users may not tell you how they maintain their erections but if you are a diabetic or have tried oral medications like Viagra® with little success then you need to know there are more options to improve your erections.
In addition, some patients are unable to take Viagra®, Levitra®, and Cialis® due to drug interactions (ie nitrates) or severe side effects such as headache and blurred vision.
While Viagra®, Levitra®, and Cialis® are popular treatments for erectile dysfunction. For many men these can sufficient to improve erection firmness when the problem first starts.
If the cause of the problem is not effectively treated (ie low testosterone) then these oral medications (ie Viagra®) can lose their effectiveness. Many men notice over time that these medications work sometimes but not others or just stop working all together. Luckily, there are many other options.
Trimix Injections Seattle
Trimix injections, Seattle, are considered “the most effective medical therapy for diabetic erectile dysfunction.”1 Many men are unaware that trimix is even an option.
Trimix is combination of phentolamine, papaverine, and prostaglandin(E1) in an injectable form that has been around for over 20 years. This medication is so effective that when used you can have have an erection without ANY sexual stimulation and the firmness is even more increased when sexual stimulation is added.
How are trimix injections used?
Just before sexual activity, using a medical applicator device, you apply the medication directly to the penis. Basically, you place the applicator near the base of the penis, press a button, and a little needle comes out and puts a little medication just under the skin. Then, about 7 minutes later you will have a very firm erection that will last about 1-2 hours depending on the dose that we use.
We can change the dose to control firmness and duration. This mixture of 3 medications is customized to meet your needs.
What if my erection lasts too long?
While Viagra® and similar medications rarely cause erections to last too long, trimix injections, Seattle, can very easily do this and with our approach this is rarely a concern.
Innovative Men’s Health starts with a low dose, a test dose, that is applied my one of our doctors at the clinic. Based on your response to this very low dose we know what dose to send you home with so when you use it at home you get the results you are looking for.
We can do this test dose of trimix in the clinic because this medication requires NO sexual stimulation to see an effect.
What are the side effects of trimix injections
We rarely see any negative side effects when this medication is used correctly, unlike Viagra® and similar medications that often have negative side effects. The most common side effect with trimix injections, Seattle, is a good, firm erection.
Some men who have used Viara® with success still prefer trimix injections because they are so effective at maintaining firmness and duration.2 An additional benefit of trimix injections, Seattle, is that when you ejaculate, you keep your erection.
Still, some men fear injections and even more they fear injections in the penis. The needle is VERY small and barely penetrates the penis. The Cleveland Clinic did a study and found that discomfort is minimal and we add a little lidocaine usually that prevents any discomfort.3
Learn more about erectile dysfunction causes and treatments
Call now to learn about ALL your options – (425) 455-1700
- Expert Opin Pharmacother. 2008 Feb;9(2):257-66
- BJU Int. 2003 Aug;92(3):277-80
- J Sex Med. 2005 May;2(3):428-31
{ 19 comments… read them below or add one }
I would like to learn more about penil injections for ED
Roger, did you find out what you wanted on injections?
Dusty, we contacted Roger directly so hopefully his questions were addressed. I imagine he’ll appreciate you asking though
Dr. Barry
hello i am a 53yr. old male about to start timix i have been using caverject
for the past year. my urologist hasn”t given me much info on the dose,I can
get two doses from the single dose with satisfactory results, erect for usually 1.5 hrs.
I live winnipeg manitoba canada. Even when I started caverject i was never
injected in his office. I don’t know if its just him but they seem do test runs
in canada. any advive would be most appreciated. please e-mail me
Best regards,
ron
whats the cost ??
We typically do a test dose in the office. After treating of thousands of patients I have found that it is best to start with a conservative dose and increase as needed. A 4 hour erection sounds like fun but when you have one it gets a little old. Thus, we customize each dose to the patient’s needs. We can control duration and firmness relatively easily. Trimix is a mixture of three medications but we can also make bimixes, monomixes, and quadmixes with additional medications to control comfort.
To learn more, please call us at 425-455-1700. We look forward to helping you get more from life!
I have several questions…
1. How often can you use trimix?
2. The second time I used it the needle looked a little bent so I don’t know if it was injected correctly because nothing seemed to happen. The first time I used it was 2 days ago. Making up for lost time
3. If nothing happens should I try again or wait. I don’t want to overdose.
4. What happens if I do overdose and what should I do?
Hi CB,
Those are all questions you should ask the the doctor who prescribed your trimix. I will do my best to respond to your questions but these are just general answers that are NOT patient specific and you should ask your prescribing doctor before changing any of your treatments.
These responses are generalizations and these are all questions that your doctor needs to answer. We offer 24/7 support to our patients but not all clinics provide this. Did your doctor not provide you with instructions or address these issues when they prescribed your trimix?
Cheers,
Dr. Barry
I understand that your answers are general and not directed to me. Thank You.
I’m using a standard 29g1.2 1cc syringe that I had loaded with .4 cc but recapped because I was waiting to use a little later. I think I must have slightly bent the needle when I recapped. Also, I was applying to the left side which is harder since I’m right handed. So, I think I missed the mark or something because nothing has happened. So, as you said, I’ll wait.
The doctor showed me how to load and apply using a model that made things very clear. The questions I asked did not cross my mind at the time since it seems very easy to do and I was not expecting these types of complications so I thought I would ask for myself and anyone else that might need to know.
Thank you very much for your answers, again the answers are a GENERAL reply and as the Doctor states, should be addressed to your doctor.
I used Trimix with small reaction at 3mlg but getting a useful erection at 10mg with stimulation, however as soon as I stopped stimulation it subsided (still able to hold for about 20 minutes and probably could have longer but I was curious to see if without stimulation it would hold) BTW very happy I haven’t had an erection that hard for months. This is all dry run before I try with a girl I am seeing, it will be tough to explain to her the whole thing but if the sex is great I’m sure it will be fine. So I am wondering if it is good idea to go up further as I’d like to have a guaranteed erection for at least an hour – should you go up until you have an “unstimulated” hard erection?
Patrick,
The doctor who prescribed your trimix should be helping you determine your dose. I look at a patient’s entire medical history when I’m determining what dose to increase to for more firmness or duration.
The three things you should report to your doctor are:
By increasing or decreases the different components of trimix your doctor can modify the above aspects of your erection. In general, trimix works a lot better with stimulation so your doctor should keep that in mind when determining the dosing of your trimix.
Be Well,
Dr. Barry
I wish I lived in your area but live just west of Chicago Illinois. That said could you tell me how to find a doctor that prescribes trimix in my area? Thank you if possible to give an answer.
Hi Randy,
Sorry, I’m not familiar with any clinics in Chicago that provide this service. I imagine there’s a doctor who can treat you in Chicago. You could also come to our clinic as we can treat you after seeing you one time in our clinic in Seattle. As we are not familiar with any of the clinics in Chicago that may provide treatment with trimix I can not recommend anyone there.
Some urologists know how to prescribe trimix but some are more focused on surgical treatments. I have had a few patients who received surgery for their erectile dysfunction and were never even given the option of trimix.
Cheers,
Dr. Barry
I’ve been using Trimix for a couple months now with good result. My only frustration is that it’s very difficult to achieve orgasm when I use Trimix. Oddly, I can reach orgasm easily with Viagra, but I find Viagra to be hit-and-miss effective at allowing me to get a firm erection.
From what I’ve read on discussion boards, difficulty with orgasm is somewhat common in men who use injection therapy.
Any suggestions?
Thanks!
You should ask your physician to reformulate your trimix dose and ask him about sublingual medications that are similar to Viagra®.
Trimix at the correct dose typically will prolong the time before you ejaculate. I suggest you tell the doctor who prescribed the trimix for you. It may be that you have low testosterone and that if your testosterone levels were safely increased the Viagra® would work a lot better. Our goal is always to treat the cause of the problem.
In this situation it is very important for you to discuss this with your doctor. There are many potential causes of difficulty ejaculating and these needs to be addressed with a licensed physician. If you are in the Seattle area you should come to one of our clinics for a consult.
Cheers,
Dr. Barry
Had prostate cancer surgery removal over a year ago. Viagra or Cialis does not work. on .3 mi of Tri-Max. Does not work for me. I can hold an erection for about a minute then it goes. What do you suggest?
Hi Douglas,
It sounds like you have a venous leak but there are certainly other possible causes of your problem. There is likely some nerve and vascular damage as well. However, with our progressive approach to ED we can almost always find a treatment that works.
Trimix can come in many different combinations of phentolamine, papaverine, and alprostadil. It’s called trimix because its a combo of these three medications. There is also a quadmix that contains atropine. I am not sure what the concentration of these medications is in your 0.30ml dosage so it is best for your doctor to advise you.
Some doctors tell their patients to just keep increasing the dose until it works. This can be a problem if the patient is misapplying the medication. Please ask you doctor if you should increase your trimix dose or if it would be safe for you to combine your trimix with a Viagra® or something similar.
It is very important to ask the doctor who prescribed your medication what to do next. Successful use of trimix requires doctor assistance and our success rate is very high because we offer 24 hour support and highly trained doctors to supervise treatment.
The research I have read related to venous leaks shows that a poor testosterone to estrogen ratio may be the cause. A venous leak is like a balloon with a hole in it and you’re filling it with air and the air keeps coming out through the hole except in a venous leak the balloon is the penis and its filling with blood.
Testosterone therapy may be helpful in the case of a venous leak but generally you need to wait until 3 years after surgery to consider it and it requires your urologist’s approval. Not all prostate cancer survivors qualify for testosterone therapy but those who had surgery instead of seed implants are more likely to qualify.
Cheers,
Dr. Barry
I have been using Trimix for 4 months now with good results. However, I have noticed that I am having to increase the amount and the dosage almost every month. It seems like my body gets used to the formulation and requires more. Is this normal?
Mark,
Generally, when a patient tells me their ED medication is working less effectively than in the past it is likely due to one of the following:
You need to talk to the doctor who prescribed your trimix and make sure he has determined the TRUE cause of your problem as “old age” is an inadequate explanation in my opinion. Checking testosterone end estrogen levels is a good place to start often. Please make sure any treatments you’re doing are being supervised by a licensed physician.
Cheers,
Dr. Barry