Erectile Dysfunction Treatment

What Erectile Dysfunction(ED)

Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men.

Erectile dysfunction is defined as trouble getting or keeping an erection that's firm enough for sex.

Though it's not rare for a man to have some problems with erections from time to time, Erectile dysfunction that is progressive or happens routinely with sex is not normal, and it should be treated.

Erectile dysfunction can happen:

• Most often when blood flow in the penis is limited or nerves are harmed 
• With stress or emotional reasons
• As an early warning of a more serious illness, like: atherosclerosis (hardening or blocked arteries), heart disease, high blood pressure or high blood sugar from Diabetes

Finding the cause(s) of your ED will help treat the problem and help with your overall well-being. As a rule, what's good for your heart health is good for your sex health.

How Erections Work

During sexual arousal, nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue (the corpus cavernosum). The corpus cavernosum chambers are not hollow.

During erection, the spongy tissues relax and trap blood. The blood pressure in the chambers makes the penis firm, causing an erection. When a man has an orgasm, a second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man's circulation and the erection comes down.

When you are not sexually aroused, the penis is soft and limp. Men may notice that the size of the penis varies with warmth, cold or worry; this is normal and reflects the balance of blood coming into and leaving the penis.

Symptoms

With Erectile Dysfunction (ED), it is hard to get or keep an erection that is firm enough for sex. When ED becomes a routine and bothersome problem, your primary care provider or a Urologist can help.

Erectile Dysfunction may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. Some studies have shown men with ED are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. ED also causes:

• Low self-esteem
• Depression
• Distress for the man and his partner 

If Erectile Dysfunction is affecting a man's well-being or his relationships, it should be treated. Treatment aims to fix or enhance erectile function, help circulatory health and help the quality of a man's life.

Causes

Erectile Dysfunction can result from health problems, emotional issues, or from both. Some known risk factors are:

• Being over age 50 
• Having high blood sugar (Diabetes)
• Having high blood pressure 
• Having cardiovascular disease
• Having high cholesterol
• Smoking
• Using drugs or drinking too much alcohol
• Being obese
• Lacking exercise

Even though Erectile Dysfunction becomes more common as men age, growing old is not always going to cause Erectile Dysfunction. Some men stay sexually functional into their 80s. Erectile Dysfunction can be an early sign of a more serious health problem. Finding and treating the reason for Erectile Dysfunction is a vital first step.

Erectile Dysfunction Medicine

Trimix Injection

Trimix is an injectable three-drug prescribed medication used to treat erectile dysfunction. The active ingredients in the mixture are usually alprostadil, papaverine, and phentolamine. The injection must be compounded by a pharmacy and administered via intracavernosal injection.

Trimix injection is so named because it is a compounded drug comprised of a mixture of three drugs namely phentolamine, papaverine and alprostadil in varying concentrations. This drug is not readily available in traditional retail pharmacies but must be specially made at compounding pharmacies. The components of Trimix have been shown to exert a synergistic effect in causing sustained penile erections in individuals suffering from ED. In contrast to the first-line drug treatment of ED, PDE5 inhibitors, which are administered orally, Trimix is an injectable medication which is administered locally into the penis. This medication is typically compounded at dosages that are tailored to the requirements of each individual. Discussed below are more details about the components of Trimix injection.

Erectile dysfunction (ED), the inability to achieve or maintain penile erection long enough for sexual activity, is a disorder that affects men primarily between the ages of 40 and 70. About 20 million men in the United States suffer from this condition, and this number is projected to increase to greater than 300 million by the year 2025. The standard first-line treatment for this condition is oral phosphodiesterase type 5 (PDE5) inhibitors such as Sildenafil and Tadalafil; these work by inhibiting the catabolism of cyclic Guanosine- 3′, 5′- Monophosphate (cGMP) which leads to the relaxation of the corpus cavernosum inside the penis and consequently, penile erection.

There are some individuals, however, who may not tolerate PDE5 inhibitors for any number of reasons or are poorly responsive to this class of medications. In these individuals an alternative option that has been used with promising results in the management of ED is Trimix. Trimix injection is considered to be a second-line medication used to treat ED in men for whom PDE5 inhibitors are not an acceptable option.

How Does Trimix Injection Work

As earlier stated, Trimix injection is a compounded drug that works synergistically. Each of its individual components may have some effect in causing a penile erection. However, when these components are compounded together into one drug, they can enhance each other’s positive effects. The combined effect of these drugs can be significantly greater than what each of them would have manifested by itself. Once injected into the penis, Trimix may cause the relaxation, expansion, and filling of the corpus cavernosum with blood. This may result in satisfactory penile erections that lasts throughout the duration of sexual intercourse.

Who Needs Trimix Injection

Trimix injection is a drug that is specifically made to be used only by men; there are no indications for its use in women. Even though its individual components may have a variety of therapeutic uses, as a compound drug Trimix is only indicated in men who present with signs and symptoms of ED. Even so, individuals with ED should not consider using Trimix right away. Patients should initially trial and fail traditional therapeutic methods such as PDE5 inhibitors to manage ED before exploring intracavernosal injection therapy.

There are two primary reasons that men with ED may consider using Trimix:

They do not achieve satisfactory results using first-line therapy such as PDE5 inhibitors

They experience hypersensitivity or other reactions to PDE5 inhibitors

Injectable Trimix has been shown to be efficacious in the management of ED. Studies have indicated that Trimix has an approximate overall success rate of 80 – 90 percent.

How Safe is Trimix Injection

Trimix injection has been demonstrated to be generally safe to use by most men. This class of drugs has undergone extensive research and analysis since it was first developed over two decades ago. However, there are some groups of men who should exercise some caution before using Trimix as their preferred treatment for ED. This group of men in whom the use of Trimix may be absolutely or relatively contraindicated may include the following:

• Men who have demonstrated hypersensitivity to any of the components of Trimix
• Men taking medications such as blood thinners or other medications that may affect blood clotting
• Men who experience priapism (prolonged erections) or have medical conditions that may predispose to their developing priapism
• Men who have a deformity with the anatomy of their penis
• Men who have medical conditions such as leukemia, sickle cell anemia, or multiple myeloma
• Active infections or open sores on the penis

There are no conclusive studies regarding the risks of administering Trimix while taking oral ED medications. Generally, it is not advisable to take oral ED medications and Trimix within 18 to 24 hours of each other to minimize the likelihood of developing significant side effects. Recommendations and advice from a health care provider should be obtained before taking these two classes of medications together.

How to Safely Store Trimix Injection

To ensure that Trimix does not quickly lose its potency and effectiveness, it should be stored under its labeled conditions. Lyophilized (freeze dried) Trimix can be stored at room temperature. Once reconstituted, Trimix should be stored under refrigeration. In its liquid form Trimix should not be stored at room temperature as this may alter the stability and the potency of the drug. If traveling over long distances, liquid Trimix should be stored in an ice pack, whereas it can be stored at room temperature if the drug is still in its powdered (lyophilized) state.

Trimix is an odorless, colorless, and slightly yellow liquid. If the medication becomes cloudy-looking, or particles become present in the liquid, it should not be used further. If this occurs patients should have a discussion with their health care provider or pharmacist.

How to Administer Trimix Injection

As has been mentioned previously, Trimix is an injectable that can be self-administered locally into the penis. It may be injected up to three or four times a week but there must be an interval of at least 24 hours between injections. Even though some men may feel anxious or squeamish about self-injecting themselves, this is a relatively painless procedure if done properly with correct technique. Discussed below are the steps that are needed to safely self-administer the Trimix injection.

• Wash hands thoroughly with soap and water or an alcohol-based solution to maintain proper hygiene.
• Wipe the top of the rubber stopper thoroughly with an alcohol pad.
• Insert a syringe into the vial through the rubber stopper and draw out the prescribed amount of Trimix into the syringe.
• Ensure that there are no air bubbles by tapping the syringe.
• Find an injection site on the penis. Do not inject at the top or the bottom of the penis. Also avoid injecting directly into any visible veins or arteries on the penis, as well as along the midline. The optimal locations to administer the Trimix injection are at the sides of the penis. Avoid using the same spot repeatedly for injections as this may result in the scarring of penile tissue.
• Once an injection site has been found, thoroughly wipe it with a fresh alcohol swab.
• Insert the needle into the penis and slowly depress the plunger to release the Trimix medication into the corpora cavernosa of the penis. Remove and carefully dispose of the syringe when this completed.
• Apply pressure to the injection site and massage the penis to ensure thorough distribution of the medication throughout the tissues inside the penis.

The effects of Trimix injection become evident about 5 – 15 minutes after its injection into the penis as it induces a penile erection. Its duration action typically varies depending on the individual, ranging anywhere between half an hour to an hour. However, its effects should not last longer than 3 hours; the prescribing physician should be consulted immediately if the erection becomes prolonged.

Benefits of Trimix Injection

Compared to other drugs that are used in the treatment of ED, some benefits of using Trimix injections include the following:

• Effects manifest quickly and are long-lasting
• Administration is simple and relatively painless
• Studies have indicated that Trimix has a high success rate

Side Effects Of Trimix Injection

Even though Trimix injection can be a generally safe medication to administer, some men may experience some side effects with its use. Some side effects that may occur are:

• Pain at the injection site which may occur if proper techniques are not followed while administering the injection. Topical anesthetics solutions may be used to reduce the likelihood of pain.
• Bleeding may occur at the injection site if a vein is inadvertently punctured while administering the Trimix injection.
• Temporary swelling of the penis skin may occur if proper injection technique is not adhered to.
• A prolonged erection, known as priapism, may occur. This requires prompt medical intervention as it is a medical emergency.

Where can Trimix Injection be Obtained

Buy Trimix Injection from Ozisik Eczane Pharmacy. This medication is a compound drug that has to be specially prepared by a pharmacist at a compounding pharmacy or outsourcing facility. The ratio of the various components of Trimix used in its preparation may vary depending on the needs of the individual and the prescription written by the healthcare provider. View our Trimix Injection Page for more details.