Several possibilities why the Caverject is pushed. It is aggressively marketed by drug reps, whereas the bimix and trimix is a generic form, compounded by individual pharmacies. It is fairly easy to fill a Caverject prescript
ion locally, even if you have to wait a couple days for them to order it. Also, it if the only one that my (most?) insurance companies will pay for. It's shelf life is much greater than the mixes, reducing costly waste from out of date ingredients. It's usually the main thing that most docs know about
and hear about
from the above drug reps, along with their having access to samples to start the patient off with right in the office. There is some evidence that Caverject does cause less side effects to the penis, such as curvature, Peyrones, etc. It is also more reliable (dependable) for getting a successful injection resulting in a usable erection . My experience has been the docs are familiar with the mainstream drug, Caverject, and have heard of but don't have much experience with the mixes. A patient usually has to be assertive to know what to ask for and to push to get it. I know my doc had heard of the mixes, but had never prescribed for a patient before me. His protocol was pump, then Viagra, then CAverject, until I became a patient. I had to educate him, as well as myself, to tell him what I wanted and how it should be compounded. I suspect that is the case with most docs, outside of a specialized clinical practice.
Co-Moderator- Prostate Cancer Forum
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.
open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.
Post Edited (James C.) : 11/26/2008 7:02:05 AM (GMT-7)