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I live in Northern Ireland, UK. A 20mcg or 40mcg alrprostadil prescription would help right now.

Is it easy to get a GP to prescribe it?

I only ever visited my GP once since moving here and I don't really like him, so not too eager to go back.

My job gives me access to this Help@Hand service where you can do telephone consultations with NHS GPs. I did a phone consultation with one of those GPs a few weeks ago, asked for an alprostadil script, explained I had venous leak - he would not issue the script. Advised me to visit the GP and get a referral for a urologist. I'm thinking of trying another phone consultation with a different GP - is this a good idea? What's the quickest and easiest way to get a cost effective prescription supply of alprostadil here?

Irish Lad 34 wrote:I live in Northern Ireland, UK. A 20mcg or 40mcg alrprostadil prescription would help right now.

Is it easy to get a GP to prescribe it?

I only ever visited my GP once since moving here and I don't really like him, so not too eager to go back.

My job gives me access to this Help@Hand service where you can do telephone consultations with NHS GPs. I did a phone consultation with one of those GPs a few weeks ago, asked for an alprostadil script, explained I had venous leak - he would not issue the script. Advised me to visit the GP and get a referral for a urologist. I'm thinking of trying another phone consultation with a different GP - is this a good idea? What's the quickest and easiest way to get a cost effective prescription supply of alprostadil here?

You must be patient, and a urologist will come and help you.
You must put yourself in their shoes; you don't just get a prescription for an injection because you ask for it.
The doctor must take your medical history and follow up with you and determine that you really need injections!
I wish you the best of luck on your journey; we'll be here with you!

You will probally have to see your GP who will refer you to a Urologist to check for any medical reasons for the problem then after that a referral to a Ed clinic who will then recommend to your GP to write out a prescription for you not a quick job that how it went for me

Irish Lad 34 wrote:I live in Northern Ireland, UK. A 20mcg or 40mcg alrprostadil prescription would help right now.

Is it easy to get a GP to prescribe it?

I only ever visited my GP once since moving here and I don't really like him, so not too eager to go back.

My job gives me access to this Help@Hand service where you can do telephone consultations with NHS GPs. I did a phone consultation with one of those GPs a few weeks ago, asked for an alprostadil script, explained I had venous leak - he would not issue the script. Advised me to visit the GP and get a referral for a urologist. I'm thinking of trying another phone consultation with a different GP - is this a good idea? What's the quickest and easiest way to get a cost effective prescription supply of alprostadil here?

Yeah there is no way a GP would prescribe injections as it wouldn’t be within their knowledge or powers.

As others have said the route would have to be urology referral, either the consultant or a specialist nurse would then prescribe.

Hope this helps

Don't know your situation, but if you can afford to fly to the US and have friends there, you could get a 10ML vial of Trimix from Olympia in Orlando. Its how I started on vacation from Canada to AZ. Just get a good freezer thermos to keep the Trimix frozen.

Budward wrote:Don't know your situation, but if you can afford to fly to the US and have friends there, you could get a 10ML vial of Trimix from Olympia in Orlando. Its how I started on vacation from Canada to AZ. Just get a good freezer thermos to keep the Trimix frozen.

How many shots would you get out of a 10ml vial of Trimix? Can you buy it without a prescription in the US? How much does it cost? When you freeze it at home, can you make a few prefilled shots and then walk around with those shots in your pocket for a few days?

GPS in the UK are not allowed to prescribe inter-cavernosal injections unless you have first been referrred to a urologist, and then they will follow their recommendation.

NHS GPs in the UK are not allowed to prescribe inter-cavernosal injections unless you have first been referrred to a urologist, and then they will follow their recommendation.

They do have some flexibility with regard to quantities prescribed (normally one injection per week, but this is “negotiable”).

WestLad wrote:NHS GPs in the UK are not allowed to prescribe inter-cavernosal injections unless you have first been referrred to a urologist, and then they will follow their recommendation.

They do have some flexibility with regard to quantities prescribed (normally one injection per week, but this is “negotiable”).

1 a week is an impossibly low dose. I think many young men would find that impossible.

Irish Lad 34 wrote:

WestLad wrote:NHS GPs in the UK are not allowed to prescribe inter-cavernosal injections unless you have first been referrred to a urologist, and then they will follow their recommendation.

They do have some flexibility with regard to quantities prescribed (normally one injection per week, but this is “negotiable”).

1 a week is an impossibly low dose. I think many young men would find that impossible.

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Depending on the required effective dose, there are ways to "split" a 20mcg vial (powder with solvent - the only currently available form of Alprostadil)
I'm fortunate, and get a really good result with a 5mcg dose.
In addition, i get a prescription for 6 doses x 20mcg per month ....... do the maths