Treatment FAQ

how to inject papa for ed treatment

by Earnestine Bahringer Published 2 years ago Updated 2 years ago
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Choosing an injection site
You'll give the injection in the middle third of your penis at the 10 o'clock (left side) or the 2 o'clock (right side) position (see Figure 3). To prevent trauma to your penile tissue, always change sides of your penis each time you inject the medication (right side, then left side).
May 21, 2021

Healthline.com

1. Panax ginseng...this herb is known to have anti-inflammatory action...

2. Rhodiola rosea...shown to improve energy and reduce fatigue...

3. L-arginine...it helps make nitric oxide...

4. DHEA...

5. Acupuncture...

6. Yohimbe...

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Top10homeremedies.com

1. Garlic...

2. Almonds...

3. Onion...

4. Carrots...

5. Pomegranate Juice...

6. Pelvic Floor Exercises...

7. Korean Red Ginseng...

8. L-arginine...

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Everydayhealth.com

1. Exercise Is an Active Erectile Dysfunction Treatment...

2. One Erectile Dysfunction Remedy Is a Healthy Diet...

3. Sleep Is a Natural Erectile Dysfunction Treatment...

4. Quit Smoking to Stop Erectile Dysfunction...

5. Limit Alcohol to Improve ED...

6. Monitor Your Meds to End Erectile Dysfunction...

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Webmd.com

1. Acupunture...needle therapy is said to boost blood flow...

2. Arginine...boosts circulation to the penis...

3. Ginko biloba...boost blood flow...

4. Horny goat weed...boosts energy...

5. Pomegranate...help arteries expand and remain supple...

6. Rhodiola rosea...boost endurance and sexual function...

7. Yohimbe...

8. DHEA...

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Trueremedies.com

1. Rational Living Habits...

2. Physical Activity...

3. Water...

4. Oysters...

5. L-Arginine...

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What are injectable Ed therapies and how do they help?

They can also help those with severe ED due to underlying health conditions, such as diabetes or high blood pressure. This article focuses on the different types of injectable ED therapies, how they work, how much they cost, and side effects.

How much do injectable Ed medications cost?

Depending on the dosage your doctor recommends, injectable medication may be as little as $5 per dose, according to GoodRx.com. This means that injection therapy may be cheaper, if not somewhat riskier, than oral medications. Your doctor can write you a prescription for an injectable medication after you’ve been diagnosed with ED.

What is intracorporeal injection therapy for erectile dysfunction?

Logistics of Intracorporeal Injection Therapy for Erectile Dysfunction. Usually, a small needle used by diabetic patients for injecting insulin is used for injection of these medications in the penis. It is important to inject the medication on the side of the penis at 90-degree angle to the penis (perpendicular).

How do injectable erectile dysfunction injections work?

Injectable ED treatments work by relaxing the smooth muscle of the blood vessel walls, causing them to dilate and fill the penis with blood. ED injections, in most cases, should not be used in combination with oral ED medications, which work in the same way.

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Where should I inject Trimix?

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.

How do you inject ED meds?

Hold the syringe similar to a dart, placing it at a 90-degree angle to the penis. Slide the syringe into the penis quickly. Use the thumb to push the plunger into the syringe. Remove the syringe rapidly and apply an alcohol wipe to the injection site, putting pressure on both sides of the penis for about 5 minutes.

How do you inject Trimix for men?

0:155:05ED Trimix Injections - YouTubeYouTubeStart of suggested clipEnd of suggested clipIncluding cost risk and administration trimix is a compounded drug that contains three vasodilatorsMoreIncluding cost risk and administration trimix is a compounded drug that contains three vasodilators papaverine phentolamine and prostaglandin it is injected in the side of the penis at the base. Never

How do you inject priapism?

Place the needle into the corpus cavernosum on the selected side, close to the base of the penis at the two or ten o'clock position. Aspirate a little to confirm that you are in the corpus, and then inject the phenylephrine. Remove the needle and wait to see if the priapism resolves in the next 10 minutes.

Do you stay hard after coming with Trimix?

Trimix allows a man to have sex without losing his erection even after he ejaculates, so that he may continue with intercourse and satisfy the sexual needs of his partner. By continuing to have intercourse, the patient is actually desensitizing the head of his penis.

How long does Trimix last in a syringe?

For trimix, due to the delicate nature of alprostadil the beyond use date for an unpunctured vial is 30 days. Once you puncture the vial it should not be used longer than 28 days after you first puncture it.

Should Trimix be injected at room temperature?

4. Papaverine plus phentolamine plus Alprostadil (Trimix) is the most potent but requires refrigeration and has the same side effects as Papaverine and Alprostadil.

How many units of Trimix should I use?

TriMix Dosage The dosages will vary among patients depending on their individual level of ED, however, the initial dose should be 0.05 cc to 0.2 cc. Patients should wait a full 48 hours before increasing their dosage. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached. The maximum dose is 0.50 cc.

Can I mix Viagra and Trimix together?

Park et al. [8] evaluated the clinical response and the haemodynamic changes in the cavernous arteries, and found that combined oral sildenafil and ICI with trimix (papaverine, PGE1 and phentolamine) is the best combination for a pharmacological erection test [8].

What is the best injection for erectile dysfunction?

Alprostadil is a medicine that men take for ED (erectile dysfunction). It's only available by prescription. This drug makes the blood vessels expand. That boosts blood flow throughout the body, including the penis, so it helps men with ED have an erection.

How do you inject priapism with phenylephrine?

For the injection, use a mixture of 1 ampule of phenylephrine (1 mL:1000 mcg) and dilute it with an additional 9 mL of normal saline. Using a 29-gauge needle, inject 0.3-0.5 mL into the corpora cavernosa, waiting 10-15 minutes between injections.

How to inject a syringe into the penis?

Hold the syringe between your index and middle fingers and place a thumb on the plunger to inject the entire contents of the syringe. Then take the needle out of your penis. 15. Immediately apply pressure to your penis with your thumb and index finger for two to three minutes using the alcohol swab.

What is the medication used to improve blood vessel circulation in the penis?

Trimix Injections . For many years, we have used medication to improve blood vessel circulation in the penis. These medications include papaverine, phentolamine, and prostaglandin E1 — Trimix is a mixture of all three of these drugs. Scientists have found that these drugs can induce a penile erection when injected directly into the penis.

How to sterilize a needle?

1. Tear open an alcohol swab and wipe the rubber top of the bottle to sterilize it. 2. Peel open the syringe carefully and remove the protective cover from the needle. It is important that you do NOT contaminate the needle with anything but the rubber bottle cap. 3.

How long do you have to wait to take penile injections?

We allow a maximum of three injections per week, but you must wait 24 hours before taking another dose. And make sure you alternate between sides of the penis for each injection. However, injection therapy is not always a good long-term option for some men and that is when they may want to consider the penile implant.

What causes erectile dysfunction?

Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need

What happens if you don't get a response from penis surgery?

If you get no response from the treatment, it could a be a result of: wrong technique, expired medication, inadequate dose, scarring or deformity (curvature) of the penis, or. penis infection.

Does Levitra work for erectile dysfunction?

Medications like Viagra, Cialis, or Levitra do not work for every man dealing with erectile dysfunction. However, penile injection therapy is another viable option. The thought of injecting a needle into your penis may sound intimidating, but about 70 percent of men are highly satisfied with this therapy.

What is penile injection therapy?

Penile Injection Therapy. This information will help you learn to inject medication into your penis. This is called penile injection therapy. Penile injections can help you achieve an erection if you have erectile dysfunction (ED). Read this resource carefully before starting injection therapy. If you do not follow the instructions in this ...

How to inject a syringe?

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. 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.

How long does pseudoephedrine HCl last?

If you have an erection at penetration hardness (a 6 or higher on the erection hardness scale) that lasts 2 hours, take 4 (30 mg) tablets of pseudoephedrine HCl (Sudafed). Don’t take extended-release or long-acting tablets, such as Sudafed 12 hour. Ask your pharmacist or APP if you have any questions. The pseudoephedrine HCl will be shipped by the compounding pharmacy along with the vial of medication and syringes, or you can buy it at your local pharmacy. For more information, read the “Pseudoephedrine HCl (Sudafed)” section above.#N#If your erection becomes less than penetration hardness within an hour of taking pseudoephedrine HCl, call your healthcare provider’s office the next day to speak with your APP. You should not use your penile injections again until speaking to your APP. Your APP will make changes to your penile injection therapy medication dose.

How long does it take to inject tadalafil?

If you take tadalafil (Cialis ®) 10 mg or 20 mg, do not inject within 72 hours (3 days) of taking the medication. If you’re using tadalafil (Cialis) 5 mg daily, ask your APP how you should use this medication along with your injections.

How to get a syringe out of a vial?

Look at the syringe again to make sure you have the right amount of medication. When you have the correct amount, pull the needle out of the vial. Place the cap back on the syringe without touch ing or bending the needle. If you touch or bend the needle, you’ll need to throw away the syringe and start at step 2.

What is the most common medication used for 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.

Does priapism go away after orgasm?

Priapism can develop without sexual stimulation and doesn’t go away after orgasm. There is a risk of having priapism after penile injection therapy. When you have a full erection, no fresh blood flows into your penis. This means your penis isn’t getting oxygen, which can damage the tissue and lead to permanent ED.

What is ED injection?

Erectile dysfunction (ED) is a condition in which it’s difficult to get or keep an erection firm enough to have sex. There are many ways to treat ED, including lifestyle changes, psychotherapy, oral medications, surgical procedures, and penile injection therapy, ...

How does penile injection help with ED?

They help treat ED by improving blood flow to the penis, which leads to firmer erections. While the thought of injecting a needle into your penis may make you cringe, a 2019 review. Trusted Source. found that penile injection therapy is generally an effective and well-tolerated treatment for ED.

How to get a needle out of a syringe?

Once the syringe is empty, quickly pull the needle straight out. Apply gentle, but firm pressure on the injection site with your thumb and your index finger on the opposite side of the shaft. Do this for 2 or 3 minutes to avoid any bleeding or bruising. Put the syringe in the sharps container for disposal.

What is ED treatment?

Cost. Getting a prescription. Takeaway. Erectile dysfunction (ED) is a condition in which it’s difficult to get or keep an erection firm enough to have sex. There are many ways to treat ED, including lifestyle changes, psychotherapy, oral medications, surgical procedures, and penile injection therapy, or intracavernosal injection therapy.

What are the side effects of penile implant surgery?

upset stomach. flushing. back pain. Some men may also prefer injection therapy over other ED treatments, such as having penile implant surgery and the risks and potential side effects that can accompany that approach.

How to get rid of bubbles in penis?

Let go of the head of your penis and pick up the syringe with both hands. Remove the cap on the syringe, and make sure the dose is correct and there are no bubbles in the syringe. With one hand, hold the syringe between your thumb and your index and middle fingers, as though you were about to throw a dart.

What to use for sterile syringes?

1 sterile syringe. 2 alcohol wipes. 1 sharps container for used syringes. It’s best to use a container that’s been approved by the Food and Drug Administration (FDA) Trusted Source. . If you don’t have access to one, you can use a sturdy plastic container, such as an empty detergent bottle with a cap.

What is the name of the syringe used for ED?

Syringe and Dose. Injection Technique. Penile Injections for treatment of ED are called intracavernosal injections (ICI), because you inject within the corpus cavernosum – the erectile tissue of the penis. Oral medications including tadalafil (Cialis) and sildenafil (Viagra) are the first line therapy for the treatment of erectile dysfunction.

How to get rid of scar tissue after a penis injection?

After withdrawing the needle place your thumb over the injection site and gently squeeze the skin between your thumb and forefinger. Keep this light pressure on the penis at the injection site for 1-2 minutes. The pressure will minimize bruising and bleeding and is thought to minimize scar tissue formation.

What gauge needle is used for penile injection?

Gauge refers to the thickness of the needle (the diameter). Common gauges for penile injection, in order of thickest to thinnest are 27 gau ge, 29 gauge, 30 gauge, and 31 gauge. 31 gauge is the thinnest needle in this example and 27 gauge is the thickest. All of these gauges are very thin needles. You might be thinking you want the thinnest needle, but the thinner the needle is, the more likely it will bend.

What is the length of a penile needle?

The most common needle lengths for penile injection are 5/16-inch (8mm) or ½-inch (12.7mm). You might be thinking you want the shortest needle, but your doctor may have chosen a specific length based on how you were trained and your anatomy and/or pathology.

What is an injection liquid?

Injection Liquid Formulations. The injection liquid is most commonly a mixture of two or three medications in a sterile vial. The possible medications are alprostadil (sometimes called prostaglandin E1, or PGE1), papaverine, and phentolamine.

How is ICI injected?

ICI medications are injected into the penis using a very small needle, the same type of need le and syringe diabetics use to inject insulin. The syringe is the plastic part of the device that holds the liquid. Printed gradations on the syringe allow you to measure a certain volume (amount) of liquid (your dose).

How long does it take to depress a penis needle?

After the needle is inserted begin to depress the plunger. Take 1-2 seconds for every 10 units of fluid you inject. For example, if you are injecting 30 units that means you depress the plunger for 3-6 seconds. Once the plunger is fully depressed you can withdraw the needle from the side of your penis.

How It Works

Penile injectable therapy is a quick, highly effective, and mostly pain-free way to relieve your ED. It is also useful for those who cannot take traditional ED pills or have not had success taking them.

Before Use

Do not take any ED drugs for at least 24 hours prior to your appointment, especially Cialis or Viagra. Traditional ED drugs like these should never be taken with penile injections. 4

Dosage

The slogan often used with penile injection therapy dosing is to go low and slow. This means that your healthcare provider will probably start with a low dosage and increase your dose each time until you get the effect you want.

Side Effects

Occasionally, penile injections may cause a dull ache at the injection site, as well as fainting, dizziness, and low blood pressure, but these side effects usually resolve quickly and on their own. Pain can also occur as a side effect of alprostadil, in which case the medication Bimix (papaverine, phentolamine) may be prescribed instead.

Warnings

You should never take an injection if you have taken Viagra, Cialis, or any other oral erectile medication the night before or the morning of your penile injection therapy. The same is true of your teaching appointment with your urologist if they will be administering your first injection.

A Word From Verywell

Penile injection therapy is a safe and effective tool to solve your ED problems, but it isn’t for everyone. Injections are less effective in people with vascular disease, uncontrolled diabetes, or high blood pressure.

How does injectable ED work?

Injectable ED treatments work by relaxing the smooth muscle of the blood vessel walls, causing them to dilate and fill the penis with blood. ED injections, in most cases, should not be used in combination with oral ED medications, which work in the same way. Experts state injectable therapies trigger a spontaneous erection without ...

Where do you inject ED?

To inject, a person inserts the needle directly into their penis on the left or right side of the shaft, avoiding the base and head of the penis.

How to get air out of a syringe?

Slowly expel any air bubbles from the syringe by pushing the plunger towards the correct dose by roughly 1–2 units. Remove the syringe and tap the side a few times to release any additional air. Push the plunger to the correct number of units, which will cause the medication to expel from the needle.

How to prepare for injections?

To do this, a person should: Wash their hands with soap and warm water. Wipe the top of the medication bottle with an alcohol wipe. Remove the syringe from the container. Carefully remove the syringe cap, making sure nothing touches the needle.

How long does it take for a Viagra erection to develop?

Injectables also overcome drug absorption issues that may occur with certain oral medications. Erections typically take 10–15 minutes to develop, lasting for roughly 30–60 minutes.

Can ED injections be used for diabetes?

Erectile dysfunction (ED) injections are usually an effective alternative treatment for people who cannot use other ED medications. They can also help those with severe ED due to underlying health conditions, such as diabetes or high blood pressure. This article focuses on the different types of injectable ED therapies, how they work, ...

Does Medicare cover ED injections?

Note that insurance companies often do not cover the cost of ED injections. Medicare programs also typically do not cover the injections since they are not considered medically necessary.

How long can you skip an ED injection?

We have also noticed that some men with ED can benefit sufficiently from 1 injection to be able to skip additional injections for one to two weeks at a time. They are able to achieve adequate erections spontaneously for some period of time after an injection before they need another injection.

What is a small needle used for?

Usually, a small needle used by diabetic patients for injecting insulin is used for the injection of these medications in the penis. It is important to inject the medication on the side ...

Can a prior dose of medication not work?

It is also possible that something happened in your body such as your diabetes worsened or your cholesterol is higher, or testosterone levels lower and as a result, the prior dose of medications does not work well. Please schedule an appointment for a re-evaluation.

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