Alprostadil?

Sticking a needle Where? Courage, guidance and help.
Jaybo1
Posts: 54
Joined: Thu Sep 14, 2017 1:46 am
Location: Willamette Valley, Oregon

Alprostadil?

Postby Jaybo1 » Mon Sep 18, 2017 11:45 pm

So I emailed the Urologist team and filled them in on why I am coming and that I am interested in the Trimix. They agreed that injections would be a good option for me. They did say though that they start out with Alprostadil by itself instead of trimix. They did say I could discuss it further with the Dr. at my appt. though so I will start searching the threads here and see what I can find, I would love some feedback on Alprostadil vs trimix or the other injectables. Questioons, concerns etc I could ask in advance or at the appt. or specific information to consider would be appreciated.

..Jaybo
Married, 57 years old, 10 years of ED, 240lbs Doing Keto Tried PGE-1 - poor results + mucho pain. Trimix at 12-1-10 (PAP/PHE/PGE) but had pain at 40 units I've recently tried bimix mediocre results, but no pain.

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bldoink
Posts: 2121
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: Alprostadil?

Postby bldoink » Tue Sep 19, 2017 12:15 am

Alprostadil/PGE-1/Mono-mix is often the starting point as it's the main ingredient in the tri-mix, etc. Starting there gives you more options to move on to if it loses effectiveness. Plus, why add more chemicals to the mix if they aren't needed. In some cases it might be cheaper. My pharmacy charges the same for mono-mix or tri-mix. The mono-mix works fine for me. My new uro usually prescribes tri-mix but as the mono-mix works fine for me he says why change what works. I agree. Give it a try.
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. ~ 9 yrs. It works. Treasure coast of FL.

tarheelgwb
Posts: 143
Joined: Mon Apr 27, 2015 9:39 am
Location: jacksonville, fl

Re: Alprostadil?

Postby tarheelgwb » Tue Sep 19, 2017 3:48 pm

Jaybo1 wrote:So I emailed the Urologist team and filled them in on why I am coming and that I am interested in the Trimix. They agreed that injections would be a good option for me. They did say though that they start out with Alprostadil by itself instead of trimix. They did say I could discuss it further with the Dr. at my appt. though so I will start searching the threads here and see what I can find, I would love some feedback on Alprostadil vs trimix or the other injectables. Questioons, concerns etc I could ask in advance or at the appt. or specific information to consider would be appreciated.

..Jaybo

alprostadil can cause pain in the penis.....sometimes bad. about 30% experience this according to what i;ve read. my uro started me on bimix, no alprotadil. i am now using trimix, low dose due to pain or higher scripts. it is getting much better so i am planning to up to 10mcg next refill.
60 - Trimix user
Nerve sparring RP in March '15. Near zero natural Erections.

antelope
Posts: 1497
Joined: Sun Nov 14, 2010 3:17 am
Location: Baton Rouge

Re: Alprostadil?

Postby antelope » Tue Sep 19, 2017 4:02 pm

I've never had pain with Trimix directly. There often is, however, the satisfaction of a sore pecker and big grin...
Born 1948, wed 1969. BPH & Type II Diabetes at age 35. TURP-2002; ED even before that--diabetes. Cardiac valve surgery: 2007 & 2019. Poor results with pills. Started trimix injections in Nov, 2010. Great results from the very beginning.

Jaybo1
Posts: 54
Joined: Thu Sep 14, 2017 1:46 am
Location: Willamette Valley, Oregon

Re: Alprostadil?

Postby Jaybo1 » Tue Sep 19, 2017 9:03 pm

Yeah, I saw the posts about pain, so I was concerned about that. The horrible headaches with V sucked, back when it worked for me. an achy dick sounds horrible... I will ask her about it.. Oct. 12th is so far away...
Married, 57 years old, 10 years of ED, 240lbs Doing Keto Tried PGE-1 - poor results + mucho pain. Trimix at 12-1-10 (PAP/PHE/PGE) but had pain at 40 units I've recently tried bimix mediocre results, but no pain.

oldbeek
Posts: 1582
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Alprostadil?

Postby oldbeek » Wed Sep 20, 2017 5:39 pm

tarheelgwb wrote:
Jaybo1 wrote:So I emailed the Urologist team and filled them in on why I am coming and that I am interested in the Trimix. They agreed that injections would be a good option for me. They did say though that they start out with Alprostadil by itself instead of trimix. They did say I could discuss it further with the Dr. at my appt. though so I will start searching the threads here and see what I can find, I would love some feedback on Alprostadil vs trimix or the other injectables. Questioons, concerns etc I could ask in advance or at the appt. or specific information to consider would be appreciated.

..Jaybo

alprostadil can cause pain in the penis.....sometimes bad. about 30% experience this according to what i;ve read. my uro started me on bimix, no alprotadil. i am now using trimix, low dose due to pain or higher scripts. it is getting much better so i am planning to up to 10mcg next refill.

What is trimix lo dose? The PGE! in my mix is 8.3MCG. The pain is almost unbearable. First injection by the URO was 30 units. I may try again with a lower injection amount. Just need a leather belt to bite down on for the pain.
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5, 800 AUS 7-21-20

thinktank
Posts: 161
Joined: Mon Nov 15, 2010 11:56 am

Re: Alprostadil?

Postby thinktank » Wed Sep 20, 2017 6:20 pm

There is no pain like that kind of pain in the penis that I had with my first injection of PGE1/alprostadil. How any man could enjoy sex with pain and discomfort like that is beyond me and I told my urologist so. DUH

I dont know why urologist are so dead set on aprostadil injections before they will prescribe trimix. Maybe they dont have trimix on hand in their offices. But my injection with alprostadil was very painful for about three hours.

I have never had a follow up injection even though my urologist has given me a script for trimix.

Larry10625

Re: Alprostadil?

Postby Larry10625 » Wed Sep 20, 2017 7:09 pm

thinktank wrote:There is no pain like that kind of pain in the penis that I had with my first injection of PGE1/alprostadil. How any man could enjoy sex with pain and discomfort like that is beyond me and I told my urologist so. DUH

I dont know why urologist are so dead set on aprostadil injections before they will prescribe trimix. Maybe they dont have trimix on hand in their offices. But my injection with alprostadil was very painful for about three hours.

I have never had a follow up injection even though my urologist has given me a script for trimix.



They don't do that here in Canada.

Larry

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bldoink
Posts: 2121
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: Alprostadil?

Postby bldoink » Wed Sep 20, 2017 10:47 pm

Jabo1,
Remember, the alprostadil works well for most. Don't get prematurely paranoid about it. It may just work great for you. Some doctors like to start you out on the basic so that you have something to move on to if it stops working well. It leaves you a backup plan. I did have some pain early on but certainly not at the level some here have reported. For me the pain issue eased off after awhile.

Good luck!
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. ~ 9 yrs. It works. Treasure coast of FL.


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