trimix injections and viagra

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whm
New Member


Date Joined Aug 2009
Total Posts : 5
   Posted 12/7/2009 8:17 PM (GMT -6)   
hey everyone hows it goin?hope  everyone is doin ok.i have a quick question have any of you tried the trimix injections(im currently on .60) with 100 mg.of viagra? my doctor said this is not a great idea as they might tend to work against each other is this truth or just his opinion?any thoughts on this guys or expierences to share?thx  very much        whm

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 12/7/2009 9:25 PM (GMT -6)   
Is your doc a urologist? or GP? Combination therapy like this is very common. Sounds odd to me.
Paul
www.franktalk.org ED website for PCa guys


46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!


apacker1950
Regular Member


Date Joined Nov 2008
Total Posts : 122
   Posted 12/8/2009 1:01 AM (GMT -6)   
I have been using Trimix for 3 1/2 yrs. and have used viagra with the shot several times.  For me it didn't seem to make any difference except to give me the same headache I got when I tried Viagra shortly after my surgery.  So, for me, I just save the money it would cost for Viagra and use the Trimix.  Great results and no headache.  Many others here use both with great results however, so like many other issues discussed here, it seems to be an individual thing.  Like Paul, I'm suprised that your Dr. said not to use them together.  You may want to check with another Dr. who is more knowledgable about ED treatments. 
 
Best of luck to you,
 
Allan
Dx PCa age 54. Jly 05- PSA 8.1 Sept 05- PSA 10.7
Sept 05- Biopsy  9 of 12 cancerous, Gleason 3+3=6, T2
Bone scan and cat scan showed hot spot on hip bone.
Oct 05- bone biopsy, ouch.  benign , no cancer in bones.
Nov 05- PSA 15.4 Nov 18, 05- Nerve sparing open RP at Huntsman Cancer Center, by Dr. Robert Stevenson. 100% continence at 3 months. ED- Tried the big 3 pills with no results. Feb 06-Started VED, worked, but painful with constriction rings. May 06 started Trimix injections.
ED appears to be perminant but doing great with Trimix.
PSA remains undetectable.


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 12/8/2009 5:33 AM (GMT -6)   
Hi whm,

I use Trimix alone, one time I did add 50mg of Viagra before and all it really did was add the headache and sinus congestion. May have increased the duration of the erection a bit but it was not worth the side effect of the Viagra so I never use them both together now

If you do decide to do the 100mg Viagra with Trimix (25 or 50mg first may be a safer option), I suggest you have some Sudafed (regular not PE) handy just in case. I suspect your Doc was worried about an erection in excess of 4 hours with both drugs taken at the same time
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 12/8/2009 8:02 PM (GMT -6)   
I also use trimix alone. The one time that I used viagra with it I noticed no difference.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1


whm
New Member


Date Joined Aug 2009
Total Posts : 5
   Posted 12/8/2009 9:02 PM (GMT -6)   
ok thx guys for the input i sort of thought they might enhance each other and you asked about my doctor? uroligist yes just a young guy i had someone more expierenced do the surgery this guy is just doing my follow up care.....how often do you guys have psa tests done its been a few months for me and im about 14 months since my rp prostatectomy ok thx again guys for the input this place is the greatest for opinions and support whoever started this place tony or whomever just wanted to say thx it fills a huge HUGE need............cheers all =) WHM

clearwatercowboy
Regular Member


Date Joined Oct 2009
Total Posts : 135
   Posted 12/9/2009 1:10 AM (GMT -6)   
WHM,

I find that recommendation from your physician a little strange also. I just saw my Uro doc in clinic last week, and he encouraged me to continue to use Cialis in conjunction with the Bimix that I inject. According to him, he felt that the two type of medications actually compliment each other, and by using the Cialis, I could actually decrease the required dosage of Bimix, thereby hopefully decreasing the amount of pain that was created by the injectable medications. Last night, in an attempt to experiment with this, I only used 10 mg of Cialis, but kept the injectable at previous dosages, and failed miserably at creating and maintaining a functional erection. However, I had taken ibuprofen earlier in the evening, in an attempt to reduce the pain from the Bimix, and the ibuprofen might have interferred with the performance of the Bimix.

Some others on here have stated that they believe that taking Viagra/Levitra/Cialis is overkill when using injectables, but others will report that they do use oral and injectable together to get a better overall response. I am too new into the process to be able to judge that, but if I ever get it nailed down, I'll share it with the crowd here on the forum.

Good luck
Dallas
RRP May 04, 2009
Pre-op Gleason 6
Post-op Gleason 7


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 12/9/2009 2:11 AM (GMT -6)   
Hi WHM,

When you say .60 Trimix is that as in 2/3 of a 1cc syringe ? If it is then what do you get to a 5ml vial 7-8 shots ?

You also may want to look at a Uro that specializes in ED recovery, sometimes a urologist does not research all the options as they are also focused on the many other aspects of Uro care
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 12/9/2009 4:01 PM (GMT -6)   
I do the following routine to get ready for an erection.

take 50 mg Viagra (ADC equivalent)
wait 15 - 20 minutes (good time for foreplay)
plump the penis by squeezing blood from the base on up (if not sufficienly plump from the wait)
inject .05 ml Trimix
go back to foreplay ready to go.

It lasts 1 to 2 hours depending on how much action is involved.

I only use .05 ml (5 units on a .5cc insulin syringe with a 31 gauge 5/16 inch needle) because any more than that makes it too hard and it hurts and lasts too long.

My uro started me with .1 cc and that was waaaay too much so I experimented and settled on the above routine that has worked very well for 2 1/2 years. By the way, my current 5 ml Trimix vial is over 18 months old and still going strong.

Jim
Age 75. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06. Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + .03 cc Trimix = Excellent Results
PSAs from 1/3/07 - 7/17/09 zero.
Next PSA - July/2010
Lung cancer dxed on 5/16/08. Surgery on 6/25/08 T1N1M0 - Stage IIA Finished 4 cycles of chemo on 11/7/08.
CT scans on 12/2/08 - 9/22/09 - in remission!!!
Next scan in December 09.
Biker90's Journey
http://www.caringbridge.org/visit/jimrobinson
"Patience is essential, attitude is everything."


Romeo
Regular Member


Date Joined Aug 2009
Total Posts : 23
   Posted 12/10/2009 11:05 AM (GMT -6)   
Biker,

I have a question for you. I tried the timix last summer and my doctor is the one who injected me with I believe .3ml. I had an erection that would not go away. After 4 hours or so I called my doctor who told me to go to emergency which I did. After having the erection for about 7 hours they injected medication in my penis and also withdrew a ton of blood to get the erection to go away. My doctor told me nothing about sudafed and told me that the next time I should only use .1 or so. Needless to say I have been a bit gun shy and have not tried it again for fear of going through the same thing. Any suggestions?
 
PSA 4.7 August 2008
PSA 4.7 September 2008 retest
Biopsy late September 2008 6 of 12 positive and gleason 8
DiVinci radical laposcopy surgery November 3, 2008
Nerve spariing surgery.  left side not touched and right side partly disturbed
results of pathology report, cancer contained in capsule in one area
gleason reduced to 7
seminal vessicles and lymph nodes clear
regained full control of bladder with no leakage in about April 09
erections coming back in April 09 and improving
PSA January 09 <.1
PSA April 09 <.1
PSA July 09 <.1
 
 


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 12/10/2009 7:23 PM (GMT -6)   
Yeah Romeo,

Start low and work up. My doc started me with .1ml and I can't imagine what I would have gone through with .3 ml.

The reason I use Viagra and plumping before my injection is that I can use only a tiny amount of Trimix. .05 ml is only a few drops really. And I believe that when injection stuff into my tender part, less is always better.

My opinion is that most docs don't have a clue about how much to use. They merely follow the drug company's recommendation. If they tried .1 ml themselves, they'd quickly change there advice to ED patients.

We are all different and conquering ED takes experimentation and patience. My routine works fine for me but it took 6 - 8 months of use to finally find the right combination.

Jim
Age 75. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06. Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + .03 cc Trimix = Excellent Results
PSAs from 1/3/07 - 7/17/09 zero.
Next PSA - July/2010
Lung cancer dxed on 5/16/08. Surgery on 6/25/08 T1N1M0 - Stage IIA Finished 4 cycles of chemo on 11/7/08.
CT scans on 12/2/08 - 9/22/09 - in remission!!!
Next scan in December 09.
Biker90's Journey
http://www.caringbridge.org/visit/jimrobinson
"Patience is essential, attitude is everything."

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