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Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 4/28/2008 8:29 AM (GMT -6)   
I'm having trouble getting my prescription filled for Caverject Impulse.  The pharmacist said it was on back order.  Has anyone else had this problem?  Has Pfizer stopped making it?

DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 4/29/2008 8:31 AM (GMT -6)   
Surely we have another Caverject user here who can help...bumping so this does not get lost.

Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/29/2008 9:05 AM (GMT -6)   
Caverject Impulse users are scarce.  Most Docs start with Caverject Impulse (usually free) to see how it is handled by the patient.  Not many will stay on it permanently.  Impulse (the preloaded syringe) is more a doctor office provided item, being very costly to buy (about $55 per dose here).  Most who stay with Caverject move on to the premix liquid or powder in vials, with syringes, like we use for Bi and Trimix.  I don't know about the scaracity of Impulse.  I do know when I went to get my first Caverject Powder prescription, the pharmacist had to order it, it not being a normal stock item, but he didn't mention any scaracity of it.  Maybe this is a problem within this particular pharmacy's supplier chain?

James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


BIGSAM1967
New Member


Date Joined Apr 2008
Total Posts : 2
   Posted 4/29/2008 8:27 PM (GMT -6)   
YES I HAD THE SAME PROBLEM THERE HAS BEEN A BACK ORDER SINCE FEBRUARY

BIGSAM1967
New Member


Date Joined Apr 2008
Total Posts : 2
   Posted 4/29/2008 8:32 PM (GMT -6)   
I AM 41 AND WAS DIAGNOSED WITH A PENILE LEAKAGE I USED THE CAVERJECT IMPULSE 10MG 6 TIMES WITH GREAT RESULTS BUT THE LAST 2 TIMES I DID NOT GET A ERECTION AT ALL CAN SOME ONE RESPOND TO THIS

Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 4/30/2008 11:07 AM (GMT -6)   
Thank you all for your help.  I called Pfizer's helpline and was told that Caverject is on back-order with no timetable when it would be available.  I had my doctor write a script for Edex and I just picked it up from CVS.  I'm hoping I achieve the same positive results with Edex as I did with Caverject.

Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 4/30/2008 12:05 PM (GMT -6)   
Rob,

I have not heard of Edex, Have you ever used it before?

Has anyone ever used it on the board ever used it?

Are the painful effects similar to Caverject?

Honestly, after going to the Bimix, you will never want the Caverject again.
52 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
3 PSA's all < .1 - Undetectable


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/30/2008 1:36 PM (GMT -6)   
BIGSAM, that sounds strange, the last 2 times not working.  Caverject can make a garden hose stiff, if you know what I mean.  It is really effective, so I don't know what to tell you.  You haven't changed anything with the process, such as letting the mix get hot, or changing syringes or needles, or technique have you?  An occasional miss is expected and the norm for us but 2 times after 6 successes sounds odd. 

James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/30/2008 1:38 PM (GMT -6)   
Rob, do you have good luck with Impulse, as to aching or painful erections when using it?  what dosage do you use?  What's your satisfaction scale, 1 to 10 for using it?

James C. 
 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 672
   Posted 4/30/2008 8:57 PM (GMT -6)   

I used Caverject, but stopped due to the discomfort it caused.  I went to the bi-mix, which was not as effective, but caused me no pain.  I have suffered a little "bending" pyronies with the bi-mix. Trying to find a solution for that.

The Caverject is expensive, I still have 5 prefilled syringes at about $40 a pop. I guess I will just dump them after their use date, what a waste.

The Edex is the generic Caverject (alpostradil , prostaglandin), mostly sold in Canada, it is less expensive, but is suppose to work the same way.
biopsy 10/16/06
T2A,  PSA 4.7
Gleason  4+4=8  right side
DaVinci Surgery  1/16/07
Post op confirms gleason 4+4=8
no extension or invasion found
no continence problems
PSA 90 day -.01  , 6 month -.01 , 9 month +.02 , 1 year +.02
Ed problems continue
Now using Bi-mix
 
 


Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 5/2/2008 8:10 AM (GMT -6)   

Ripandburn,

I've never used Edex before.  Edex is made by Schwarz Pharma headquartered in Germany and has the same active ingredient (alprostadil) as Caverject.  I'll keep you posted on how well it works for me.

James,

Caverject work well for me, but only after some trial and error.  The first 2 or 3 times it did not work and I was very discouraged.  Then, after reading a post from this forum, I tried taking it with Levitra and BAM, it worked great.  I had a 100% erection that lasted for an hour.  I took 10mg of Levitra a hour before the injection.  The injection strength was 20mcg and I took half of that.  Before injection, I encourage a little bit of blood flow into the penis and I think that is the key.  I've tried the Levitra/Caverject combination 4 times and have a 100% success rate.  As far as pain accompanying injection, I'm one of the lucky few because I have not experienced any.  It's never a pleasant task to poke yourself down there, but as far as efficacy, I would give it a 10.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/2/2008 8:17 AM (GMT -6)   
Rob, email me will ya?  I have some Edex info to share.   Just click the email icon of the left side of the message screen, just above the Date joined line..

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/3/2008 8:35 AM (GMT -6)   
Concerning valve leakage.  I did notice that the Caverject gave a much firmer, if more painful and aching response, but it also really reduced the amount of urine leakage.  It's much more aggressive response must really put some constriction on the whole penis. Still not a worthwhile tradeoff for the pain and aching though...lol
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