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Home > Archive > Impotence Support > September 2005 > Best path to injections
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Best path to injections
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| Hi,
Was just wondering how you guys ended up using injections (TriMix,
Caverject or whatever) - what did you tell your doc? What did he try before
he put you on it?
And on a related note - I keep reading about this "Muse" stuff which is
inserted into the urethra. How well does it work? Are the side effects
unpleasant? (bad taste during oral, itching during intercourse etc.)
Thanks,
David.
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| Jerry Sturdivant 2005-09-23, 5:46 pm |
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"David" <david@fake.email> wrote
> Was just wondering how you guys ended up using injections
> (TriMix, Caverject or whatever) - what did you tell your
> doc? What did he try before he put you on it?
I read about it, back in 1995.
> And on a related note - I keep reading about this "Muse"
> stuff which is inserted into the urethra. How well does it
> work? Are the side effects unpleasant? (bad taste during
> oral, itching during intercourse etc.)
It was one of the first. The popular concusses is that it doesn't work well
(about 4%) and it's painfull.
Jerry of ASI
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| David wrote:
> Hi,
>
> Was just wondering how you guys ended up using injections (TriMix,
> Caverject or whatever) - what did you tell your doc? What did he try before
> he put you on it?
>
> And on a related note - I keep reading about this "Muse" stuff which is
> inserted into the urethra. How well does it work? Are the side effects
> unpleasant? (bad taste during oral, itching during intercourse etc.)
>
> Thanks,
> David.
Sorry this is rambling and not well edited. I'll share my Uro's pitch
on the subject since I'm probably on the injectable path right now.
First, don't mess with a GP--find a board Urologist who's active in all
aspects of Uro surgery and prescribes Trimix--call around and ask the
"office nurse" or "office manager". If you are in an HMO or PPO, demand
a Uro consult.
I think that the best path is one that you, your mate and your Urologist
agree upon. Some guys want an instant fix--and implants may be their
direct path back to a dependable hard-on. I know that injectables will
work for me as I've been injected during 3 of the last 5 Uro visits. I
sometimes think that annually injecting ED patients is the best sales
pitch my Uro makes. (Trimix is a great confidence builder because it can
bypass a bunch of physical, hormonal and psych problems.)(:-)
My Uro started me on Viagra and that worked, with increasing doses, for
almost three years. The "Viagra-crutch" began to fail this year despite
some very "aggressive" dosing. My wife and I agreed that injectables
would work better for us and two months ago I went to my Uro to discuss
Trimix. I've little doubt that, had I "demanded" an injectable, he would
have made that switch on the spot. Trimix is pretty safe, we both know
it works on me and no one likes to loose a paying customer--Boston
Medical Group (BMG) proves that point every day.
My Uro said that once he switches a guy to an injectable, the needle
becomes the mainstay of his sex life. It's then more difficult to get
the patient to work on the things that help long-term erectile health.
For example, he claims to refuse putting any tobacco user on Trimix.
He asked me to give oral meds one more try (more about this later.) He
discussed the effects of sleep disorders on NE quality and erectile
health and wrote a consult to a Sleep Lab. I'll go there next month. If
the Levitra try doesn't work he may do a blood flow analysis to see if
corrective surgery is in order. The HMO's Endo will look at the hormone
angle. Resulting surgery or HRT might make Viagra, Levitra or even
Trimix more effective. He feels that it took me 5 or more years to
really establish my ED and "getting well," at my age, will not be
immediate. His punchline is that he wants me to, enjoy my sex life and
improve erectile health. Injections may or may not be the better way
to do that. He didn't mention Kegels but my wife did. I'm getting into
regular Kegel sessions. (Anyone know if these should be done when I'm
erect or flacid??)
I've bought into split doses of Levitra and 2-hour wait between the
first pill and heavy foreplay. I'm also to journal my experience and my
progress (if any). Not only does a 2-hour wait help stabilize med
levels, it offers a pauses for reflection and anticipation. I'm
beginning to see that some of my ED problems may be related to "brain"
factors and a rush to orgasms. My wife and I are communicating more and
learning when to be "cognitive" and when to be "animal." Even through
this is supposed to be a "Levitra trial," I suspect that the Uro may be
trying to rule out psychogenic factors and/or "retrain" my brain and
change some old habits. It's two months to the next Uro visit.
Probably for some echo work, maybe an Endo visit, review of the sleep
lab results and maybe a Trimix prescription.
Over the years I'd personally ruled out and denied that psych could be a
factor in my ED. Not me, I'm not a "head case." I've blamed it on age,
smoking and drinking in early life, wearing the wrong skivvies, bike
riding etc.etc. This "second try" with Levitra might become an eye opener!
I've got a handful of friends that patronize the same HMO and this Uro.
His "path" of treatment seems to be Viagra then a second oral med
(some on Levitra, others on Cialis), then either a "quick-fix" shift to
Bimix/Trimix or a complete Uro work-up. The results of the work-up lead
back to Bimix/Trimix or some more complex intervention. While an HMO
trys to keep costs down and Trimix is a good way to do that, this guy
seems to take a good look at the patient's needs before making the leap.
That's the path I'm on. Bottom line is that there are many possible
paths. Find a Uro you can trust and pick your own path. If you need to
immediately salvage a souring sexual relationship, don't be shy with the
Uro, tell him/her that you're in crisis and that you need a quick fix.
Oh yeah, BMG is probably the fastest (and most costly) path to an
injectable.
On Muse: Did it once. It worked but was unpleasant from start to finish.
Hope this helps.
PJ
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| Ignatz's Bricks 2005-09-23, 5:46 pm |
| > David asked:
>
PJ answered:[vbcol=seagreen]
> First, don't mess with a GP--find a board Urologist who's active in all
> aspects of Uro surgery and prescribes Trimix--call around and ask the
> "office nurse" or "office manager". If you are in an HMO or PPO, demand
> a Uro consult.
If you have lots of money to spare, you can probably talk most Uro's
into prescribing Caverject.
If you are poor like the rest of us, you need the more economical
trimix. And most Uro's won't prescribe trimix!
Probably reason:
Caverject is a big company and stands behind their product if something
goes wrong. Not so with trimix, which is compounded by a local drug store.
To get trimix, first locate a compounding pharmacy in your city.
Go to:
http://www.iacprx.org/referral_service/index.html
and put in your area code.
Then drop by and ask them if they compound trimix. (Many do not.) If
they say they do, ask them which Uro's prescribe it locally as your Uro
wants to put you on the more expensive Caverject and you cannot afford it.
> My Uro said that once he switches a guy to an injectable, the needle
> becomes the mainstay of his sex life.
Not always so.
I backed off trimix almost two years ago when I discovered that cialis
followed by a viagra booster about 4 to 15 hours later produces almost
the equivalent results for me. For me, the normal dose of Caverject (or
trimix) was approximately the same dose that gave Jerry his infamous 7
hour boner.
For the record:
Mixing two ED medications is not advised.
Ignatz.
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| On Mon, 12 Sep 2005 12:36:13 -0700, PJ wrote:
> Sorry this is rambling and not well edited.
Not at all, PJ - thanks for a great, very informative post!
I have tried Viagra, Cialis, Levitra and Uprima, and none of them have
given me the reliable erection I so desperately seek. I thought the only
option still available to me are injectables, although thanks to your post
I think I need to reconsider - maybe see an expert first (see my next
post). I guess swallowing a pill is still less of a psychological hurdle
than sticking a needle in your little friend.
Thanks again,
David
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| It's been a couple of weeks since these posts but what Ignatz said here
is important and perhaps needs some emphasis. When any doctor
prescribes an "ethical" drug for FDA approved purposes and in compliance
with the manufacturer's prescribing instructions, he or she is well
backed by the pharma house. As Ignatz points out, this isn't true with
a compounded substance like Trimix.
The patient has to demonstrate a high degree of trust in the doctor and
plenty of loyalty. The doctor has to feel that the patient is
trustworthy and will be compliant in self-administration of the compound
whether it be a skin salve, customized cough syrup or an ED injectible.
If that sense of trust isn't there, the doc will probably tend to stay
with orals like Viagra. Doctors don't like lawyers -- real or otherwise.
Build trust in the Uro and demonstrate dependability, honesty and real
loyalty!
PJ
Ignatz's Bricks wrote:
>
> = snip ===
>
> If you have lots of money to spare, you can probably talk most Uro's
> into prescribing Caverject.
>
> If you are poor like the rest of us, you need the more economical
> trimix. And most Uro's won't prescribe trimix!
>
> Probably reason:
> Caverject is a big company and stands behind their product if something
> goes wrong. Not so with trimix, which is compounded by a local drug store.
>
> To get trimix, first locate a compounding pharmacy in your city.
>
> Go to:
>
> http://www.iacprx.org/referral_service/index.html
>
> and put in your area code.
>
> Then drop by and ask them if they compound trimix. (Many do not.) If
> they say they do, ask them which Uro's prescribe it locally as your Uro
> wants to put you on the more expensive Caverject and you cannot afford it.
>
>
===== snip ===
>
> Ignatz.
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| eldred30@linkamerica.net 2005-09-28, 8:50 am |
| A little over a year ago, I went through the steps to obtain tri-mix.
I wrote this up in a series of five articles titled "Obtaining
Tri-Mix."
A search in this news group should find them.
My experiences might be helpful.
eldred30@brmemc.net
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