Bimix to Trimix jouney off with a thud

[Reggieman]

Martin6469: Thanks for the information. I wasn't sure which one was causing the pain. I will contact my Urologist and see if he can suggest a different formulation. I turn 81 tomorrow, it is nice to hear from a Brother my age.

[Martin6469]

Reggieman: I hope you can do remote consultations instead of driving that long distance. You have one more possibility if reformulation doesn't reduce the pain. You can add 100mg sildenafil to reduce the Trimix amount you need. But this has the danger of priapism and conservative doctors advise against it.

If you try it, have injectable phenylephrine handy or at least 120mg worth of phenylephrine capsules and ice cubes. You must start the titrating-up procedure all over again by taking the sildenafil an hour ahead to make sure it's all in your bloodstream. Then inject a quarter of the Trimix amount you have been using. That's all for that day. Three days later you again take the sildenafil and change the Trimix amount a little if you're going up, or a lot less if you got a four-hour erection. That's all for that day. In a few weeks you should arrive at your new and lower Trimix quantity.

Most of my length, on both sides, now has scar tissue. But a Franktalker last year pointed out that the corpora cavernosum extend some length into the body. So I've been successfully experimenting with injecting at the very base where I hadn't before. It's a trickier and I need a slightly longer needle, but it's nice to discover new territory!

[Martin6469]

Reggieman: I hope you can do remote consultations instead of driving that long distance. You have one more possibility if reformulation doesn't reduce the pain. You can add 100mg sildenafil to reduce the Trimix amount you need. But this has the danger of priapism and conservative doctors advise against it.

If you try it, have injectable phenylephrine handy or at least 120mg worth of phenylephrine capsules and ice cubes. You must start the titrating-up procedure all over again by taking the sildenafil an hour ahead to make sure it's all in your bloodstream. Then inject a quarter of the Trimix amount you have been using. That's all for that day. Three days later you again take the sildenafil and change the Trimix amount a little if you're going up, or a lot less if you got a four-hour erection. That's all for that day. In a few weeks you should arrive at your new and lower Trimix quantity.

Most of my length, on both sides, now has scar tissue. But a Franktalker last year pointed out that the corpora cavernosum extend some length into the body. So I've been successfully experimenting with injecting at the very base where I hadn't before. It's a trickier and I need a slightly longer needle, but it's nice to discover new territory!

[Reggieman]

Martin 6469: I wrote to my Urologist at UCSF advising him of the "ache" caused by the new Trimix formulation. I reached the recommended 20 units per injection but the ache was so bad I ended up taking an old Tramadol I had to avoid suffering for 3 or 4 hours. His reply was:

"You could consider pre-medicating with OTC pain meds but we are short on other formulations given that the less dilute stuff was not efficacious."

The formulation is 40 mcg + 2 mg + 30 mg, PGE-1-Phentolamine-Papaverine respectively. That formulation was just barely producing an erection sufficient for "penetration." That was a shock to hear as I have heard of many other formulations such as Quad mix, etc. Of course I don't know what's in the other formulations. Maybe my only alternative is an implant.

Now I have to consider whether, at my age of 81, whether to attempt to get an implant (I don't currently have a women in my life as my wife just died 6 months ago) or not. If I never get into a sexual relationship in the future will I have just wasted time, pain and money.

[CanGetItUpButNotOff]

Hi, Reggieman. So sorry to hear that your wife has recently passed. I hope that you do find another suitable "outlet" for your erection. Without regard to age, I would pull out all the stops to be able to perform, whether that be with super levels of injection or, eventually, an implant. I don't have signs of fibrosis, but if I did I would jab that dick as many times as necessary to get the TriMix or BiMix into the corpora cavernosa.

I appreciate all of the contributions made by Martin6469, but I'm going to give a dissenting view on the TriMix formulation that might cause ache. All the information I've ever seen over the years is that the ingredient that causes ache is alprostadil. That's why BiMix is composed of papaverine and phentolamine. Find a urologist -- at UCSF or elsewhere -- that will give you a BiMix prescription and keep the experiment going. I agree with the titrating instructions given by Martin6469 -- the idea of adding sildenafil and titrating up.

When experimenting with those, I consider it mandatory to have liquid phenylephrine on hand to ward off priapism without going to the ER. It's also a good idea to have pseudoephedrine (generic for Sudafed) pills handy -- 120 mg is a good dose. [Note the difference: the liquid is phenylephrine but the pills are pseudoephedrine. Don't confuse the two.] Near-priapism rarely is a problem for me these days, but when it is, at 2½ hours I'll take the pseudoephedrine pills and then, if needed, at 3 1/2 hours I'll infect the phenylephrine.

Don't give up!