HealingWell
Search Close Search
☰

Trimix question

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 1/24/2013 3:07 PM (GMT 0)
I have an appointment on February 4 to sit down with my urologist and talk about Trimix and to get a trial injection. How does that work exactly? He shows me how to inject then I sit there for a couple hours until it goes down? What if the initial dose doesn't work? Does he inject more then? Or does he just send me home and tell me to keep increasing it until it does work?
Posted 1/24/2013 3:37 PM (GMT 0)
There are degrees of "doesn't work". It is unusual to get *nothing*. From your results with the starting dose he will have a pretty good idea how much you will finally need. He will probably send you home with instructions on dose titration. He won't inject more. It tends to work better at home where you are less nervous. Adrenaline counteracts some of the effects of the trimix and the dose you need at the doctors office where you are wigged out might easily be too much at home.
Posted 1/24/2013 4:02 PM (GMT 0)
Some urologists have a model faucet (penis) for you to practice on before you take the plunge and inject yourself. Be sure that the doc sends you home with written instructions, including illustrations. about 30% of men who have had prostatectomies have pain with Trimix because of the alprostadil. In that case, you can try Bimix, which takes more medication, but does not cause pain. Good luck!

 

Posted 1/24/2013 6:45 PM (GMT 0)
CW:

Yesterday I met with my URO for my Trimix training and first injection in his office. I was nervous and not too thrilled about putting a needle where people normally don't put a needle, but I survived. He gave me all the instruction about the placement, dosage, and increments to the dosage if necessary, and what to do if I have a "Woody" for more than 4 hours... go to the ER!! My first shot was a mixed bag, he gave me the shot lying down, which I have read doesn't work as well as standing up, I will find out if that is true in the coming weeks. He didn't say whether there was a limit to how many times a week you can use it, but stated not more than once a day. I felt good to feel some blood down there for the first time in quite a while. I am still nervous about injecting myself, but it really didn't hurt and I think I will get my wife involved in the process as a form of fore-play. :)
Posted 1/24/2013 7:24 PM (GMT 0)
 

That's great JerseyGuy !!!!

You will find that this is a great way to get back into sex.....and it is good for you shocked

What dosage is he starting you at and what are the dosage increases he is suggesting to you ? What is your needle and syringe size ?

You will find that it gets easier and easier with practice and the results are lots of fun.....you now have an excuse if you need one for your wife "Honey I need ED therapy every day" to stay healthy !!!

Have fun with this and keep us posted.

Curt

Posted 1/24/2013 11:27 PM (GMT 0)
Trimix:

My first shot scared me, he gave me, using a 1cc/31 gauge insulin syringe, the fear was more from the anticipation not the actual shot. The dosage was .5 cc, which I thought was a lot, but I didn't get a full erection this time. He said it was 50 micrograms. He told me to increment by .10 at a time but never go over .80 cc. After reading the posts here I am going to go slowly with smaller increments. Hopefully I can go to a lower dosage. This is the first time I had anything resembling a Woody in over three years. I was on the Viagra therapy but had an eye stroke (AION Anterior Ischemic Optic Neuropathy) which affects your peripheral vision, therefore I can't use the pill without the possibility of my eye getting worst. Be careful of these pills side effects. Sorry for getting off topic. Any addition input on this topic is welcome.

Joe
Posted 1/25/2013 3:12 AM (GMT 0)
Hope it works for you Jersey guy. Having sex again is worth a small prick to the ole dick.

Cwren: The first visit was a .25cc shot of alpostadil performed by my uro. Alpostadil hurts the ole penis in about half the men and I was one of those that it really hurt. I got a 2 hour woody out of it. The next time I went in with my bottle of trimix and I did the injection. The doctor dosed it/guessed at 25 units or .25cc based upon how long the first shot went. Well that one darn near put me in the hospital. It too hurt but not as bad. I went home and drank about three martinis and fell asleep. Woke up six hours later still with a woody and got a friend to take me into the doctors office again. Well all of the excitement and stuff caused it to quickly shrink to its normal flaccid state. Next shot was at .06cc which went good but not quite up to par and I ended up at .08. Since then I've started to drop the dosage and I'm down to .03. Some of the drop is probably improvement in my ed and the other reason is I'm better at injection. I started injecting on May 1 2012. So far I'm on my 89th injection. My ed is getting better and I'm hoping to become a pill responder. I believe injection therapy is helping to wake the nerves up. I sterilize the area and then I pick an injection point that isn't near any veins. I wear a head lamp set up so I see better which makes for a pretty funny site but the wife doesn't laugh. I use a 30 gauge 1/2" long needle with a .3 cc syringe. Since I use so little the .3cc syringe helps me dose more accurately. I find it is best to make sure you are clocked properly and perpendicular to the penis and then just stick it in quickly and deliberately. Push the plunger and hold your finger on the injection site for a full five minutes and let the good times roll. Hope this helps you on your journey.
Posted 1/25/2013 4:05 AM (GMT 0)
Do you have a Compound Pharmacy in your area? I'm lucky to have one and the pharamacist tweaked the mixture until it worked. There is a site called Franktalk [http://www.franktalk.org ] that has alot of info and guys you can talk to. Good luck. May the wood be with you.
Posted 1/25/2013 4:25 AM (GMT 0)
Yes, unfortunately trimix is a hit or miss affair at the beginning. The dose in md office was ok, whereas the first dose at home. .20 ml was way TOO much. I almost went to the ER after 4 hour erection. So much can affect the results of the dose. First of all the package claims shoot for the 900 or 300 positions for injection, which I found after trial and error was totally wrong for me. The right positions (at least for me) are ten oclclock and 2 oclock.  Then I had the difficulty of being so right handed that I missed a bunch of times on the left side and just had redness and bruising. Then junior started turning to the left (with scar tissue junior turns to the side of the scar tissue). So now I only inject on the right side and the curving has stopped. I finally have the right dosage of .10-.11 ml which gets the job done but no up all night erections. I don't know why it took so long to figure it out but I have it down after 4 years of experimentation. There isn't a whole lot of spontaneous sex with trimix, but the alternatives are no sex or go for the implant, your choice........... 
Posted 1/25/2013 5:41 AM (GMT 0)

I’m seeing an ED specialist and when I started injecting I had 2 instructional appointments on consecutive days.  The first day he went over the instructions using a rubber penis. Then he gave me the injection (5 units) and left me alone for about 15 minutes to stimulate it.  I got it up to around 60% that day.  He checked on me a couple of times and let me leave after it had gone down.  The second day, after reviewing everything, I did the injection (10 units) under his supervision.  This time I got to 80%.  I was instructed to use 7 units for my first injection at home.  From there I went up to 8, then 10, 11, 15, 18, and settled on 20 units.  This was a gradual process, checking in by phone with the NP after each try initially; then once a week.  It took a little over a month to get to the right dose for me.  I am still under strict instructions not to increase the dose without talking to the NP or the doctor first.  Btw, it’s hard to compare dose amounts between patients, because we’re all different and the Trimix itself is mixed in different concentrations depending on what your doctor prescribes. 

 

My advice it to start low, go slow, and be patient.

 

Be sure he tells you what to do if your erection lasts too long. My instructions for an erection lasting 2 hours, are to take four 30mg tablets of plain Sudafed (not the XL Sudafed).  If it’s still up at 3 hours - call the doctor.  And at 4 hours, I’m supposed to be in the ER.  Ask about a wallet card in case you have to go to the ER. 

 

A few other points:

The proper injection site is around the middle of the shaft slightly closer to the base, at the 2 o’clock or 10 o’clock positions when viewing in cross section.

You have to wait 24 hours before injecting again.

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.

Only inject 2 to 3 times a week.

You should switch sides every time.

If you have pain in the penis (not from the needle), ask about Bimix.

My uro says for penile rehabilitation you need a minimum of 10 minutes at 60% or better, 15 to 30 minutes is ideal, and the maximum should be less than 90 minutes.

 

Hope this helps.  Good luck.   -- Tigerfan

Posted 1/25/2013 1:42 PM (GMT 0)
mspt98: I was told to shoot at 10:00 and 2:00 from the get go. I've found 9 and 3 work too for me. I found if I hold my penis with my right hand against my right leg and then rest my left hand with the syringe against the left leg, I can easily inject with my left hand.
✚ New Topic ✚ Reply