I agree with 142 – NEVER take pills and injections at the same time!
My instructions are:
You have to wait 24 hours between injections.
Do not take Viagra or Levitra 18 hours before or after an
injection
You should not use Cialis; it’s not recommended when
using Trimix.
Do not inject more than 3 times a week.
You should switch sides every time.
Also like 142, I’m under strict instructions not to
increase the dose without first discussing it with my doctor. My doc also says that 90 minutes is the safe upper limit of a penetration
hard erection.
At 2 hours you should take steps to bring it back down. And yes, 4 hours is considered to be a urologic emergency and you should be in the ER. At the other end of the spectrum, 10 minutes is the minimum
duration needed for rehab.
Realize also that there are different strengths of Trimix. You may end up needing a stronger mix, although if you're up to 60% at .25ml, you'll likely find a good dose on your mix. I know some of us need .50ml.
In the early going, I got an occasional ache, but it
happened less and less. Now I no longer
get the ache. So you may find out that it goes away. If it becomes an issue,
you should look into Bimix, which does not have the 3rd medicine
(prostaglandin) that causes the ache for some men.
You're getting a good response – it’s just a matter of
finding the right dose for you. Be
patient - you’ll get there. By the way, my
uro also had me try each dose twice, just to be sure, before moving the dose up to the next step.
Best of luck -- Tigerfan