If you’re using tadalafil (Cialis) 5 mg daily, ask your APP how you should use this medication along with your injections. The 3 most commonly used medications for injection therapy are Trimix, Bimix, and papaverine. Most men begin injection therapy with Trimix, which is a mixture of 3 ingredients: alprostadil, phentolamine, and papaverine. These ingredients work by relaxing the smooth muscle and opening the blood vessels in your penis, causing an erection. Your APP will decide whether Trimix or a different medication is best for you. The alprostadil in Trimix can weaken over time, so Trimix should be stored in the refrigerator and away from light. This can keep the medication good for a few additional months. The rubber stopper comes off of the vial.Īfter your second training visit, your medication will be delivered directly to your home from the compounding pharmacy (specialized pharmacy).If you’re using Bimix or papaverine, you don’t need to keep the medication in your refrigerator because these medications don’t contain alprostadil.
Call the compounding pharmacy to make arrangements for billing and shipping. Prepare a clean surface for your supplies.This will limit delays in delivery.Ĭall your APP when you need a new prescription. If you’re using the medication for the first time, take the cap off.Wash your hands well with soap and water.You can use an empty detergent or bleach bottle with a cap, or a metal coffee can with a plastic top. Open an alcohol wipe and wipe the rubber stopper on the top of the vial. You must always wipe the rubber stopper with alcohol before you insert the needle. This will kill any bacteria on the rubber stopper. Be very careful not to let anything touch the needle. If anything touches the needle, you must throw the entire syringe away in the sharps container and use a new one. First, holding the syringe upright so the needle faces the sky, pull the plunger of the syringe back past the dose you were told to inject.This is because it will no longer be sterile. Next, push the plunger back up until the top of the plunger (the thin black line closest to the needle) is at the dose you were told to inject.
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