Susan – Michael should be very careful with the dosage given that he’s
had two priapism events. According to Dr.
John Mulhall, a highly regarded ED expert, an erection lasting 4 hours (above
penetration hardness) is considered a urologic emergency. Erections lasting longer than this deprive
the penis of oxygen which can kill erectile tissue much the same way that a
heart attack kills heart muscle. Men who’ve
had several cases of priapism are more likely to no longer respond to pills or
injections. He says 90 minutes should be
the maximum. If it lasts 2 hours you
should take 4 regular Sudafed 30 mg tablets in an effort to get it down under
penetration hardness. At 3 hours you
should be in contact with your doctor and if it is still at or above
penetration hardness at 4 hours – you should be IN the ER.
I agree that his mix may be too strong for him.
I believe the most active ingredient in Trimix is the prostaglandin (alprostadil
is a variant). By way of comparison my
Rx is: Papaverine 30mg - Phentolamine 1mg – Prostaglandin 10mcg/ml. Now I don’t know if Prostaglandin and
Alprostadil compare one to one, but my dose is 10 and Michael’s is 45. Of course, men respond differently to this
medication so it’s hard to compare, but at any rate I would definitely talk to
the uro about the dose.
However, no matter what dose you settle on, in my opinion, it would be
better for him to go low and work his way back up to an ideal dose. Expect a few flops along the way, but that’s
better than going 4+. And try each step
twice before increasing, just to make sure.
Hope this helps – and Good Luck!
Btw, here’s a video of Dr. Mulhall.
He talks about priapism around 14 minutes into the video.
Post Edited (tigerfan53) : 5/21/2012 12:15:31 AM (GMT-6)
Post Edited (JStars) : 5/22/2012 3:33:58 PM (GMT-6)