This is a follow-up to a post from last week. Has anyone out there tried using injections on some nights and pills on others? I have my injection lesson appointment Thursday. My concern is losing efficacy over time. I don't want implants until I'm older. Thursday is the first time I actually get to talk to the urologist. Up until now I could only see a PA. It seems like most guys here who lost efficacy quickly with injections have diabetes and/or cycled through the pills quickly also. Pills worked fine for me for 15 years, so I'm optimistic that the injections will last a while. Still, I want to be careful.
The pills work for me still on most nights (total fail on others), but just enough to do the basics. I thought if we used the injections a couple of times a month and then take our chances with pills a couple of times a month the injections might maintain efficacy for more years. I realize the best thing to do is ask the doctor questions Thursday and wait to see how well the injections work for me in the first place, but I wondered if anyone had tried the same thing or had an opinion on that. Thanks.
A Different Approach
A Different Approach
45 y.o. ED and Low T since about 28. Cialis for ~15 years, Viagra since 11/2020, starting Tri-Mix on 1/28/2021.
Re: A Different Approach
I'm not a medical professional of any kind. Anything I post is based on my own experiences at best and hallucinations and/or delusions at worst. Internet forum advice is likely worth what you paid for it, or worse. Always ask your doctor and follow his/her advice.
In my non-professional opinion what you desire to do is possible using caution and with some risk. I also think what pills you are using could also be important. Those pills that have multi day residual effect will complicate things as it will be harder to know what pill effect you will be stacking onto the injection meds.
I highly recommend you get stabilized on injections alone before you complicate matters by adding pills. Once you are stabilized on the injections you could try adding a low dose of pills on off injection days as an experiment. Keep the initial doses low and possibly unusable, until you learn what the stacked reaction will be and then slowly work up to a usable level of pill dose. I think this slow method of working up will reduce the likelihood of an ER level episode of priapism.
In my case it wouldn't be an issue as pills have almost no effect on me by themselves and never have. That is obviously not your situation. You still react well to the pills so you need to be careful. Have you tried adding novelty/sex shop cock rings to your pills. That might postpone the need to go to injections, at least for awhile.
How quickly injections will lose efficacy for you will be dependent on your cause of ED and if it's worsening. My ED is directly related to cancer related RRP and hasn't seemed to have changed. My ED is very profound but I do react very well to mono-mix injections and have for about 10 years.
In my non-professional opinion what you desire to do is possible using caution and with some risk. I also think what pills you are using could also be important. Those pills that have multi day residual effect will complicate things as it will be harder to know what pill effect you will be stacking onto the injection meds.
I highly recommend you get stabilized on injections alone before you complicate matters by adding pills. Once you are stabilized on the injections you could try adding a low dose of pills on off injection days as an experiment. Keep the initial doses low and possibly unusable, until you learn what the stacked reaction will be and then slowly work up to a usable level of pill dose. I think this slow method of working up will reduce the likelihood of an ER level episode of priapism.
In my case it wouldn't be an issue as pills have almost no effect on me by themselves and never have. That is obviously not your situation. You still react well to the pills so you need to be careful. Have you tried adding novelty/sex shop cock rings to your pills. That might postpone the need to go to injections, at least for awhile.
How quickly injections will lose efficacy for you will be dependent on your cause of ED and if it's worsening. My ED is directly related to cancer related RRP and hasn't seemed to have changed. My ED is very profound but I do react very well to mono-mix injections and have for about 10 years.
R.R.P 2011 Mayo Jacksonville, Dr. M. Wehle. Not nerve sparing. C in margins. Radiation 2023, V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ 8 - 14 units. Originally Edex20, then compounded PGE due to cost. Inject. 12 yrs. It works. Treasure coast of FL.
Re: A Different Approach
I dont think in your case, your going to have a problem with efficacy of injections, especially initially,
I think once you start using injectable medications, your reaction to pills may wane,
Control the variables you can which is maintaining viable tissues and mastering an injection technique that is custom fit to suit your body, those 2 variables are important in this type of treatment
I think once you start using injectable medications, your reaction to pills may wane,
Control the variables you can which is maintaining viable tissues and mastering an injection technique that is custom fit to suit your body, those 2 variables are important in this type of treatment
Re: A Different Approach
The prudent thing to say is that injections are rarely a long term solution and the underlying health of your cock will dictate future outcomes
However, hypothetically let's say you develop a great injection technique, and most importantly only inject each side of your cock one time per week, your disciplined in this approach
Your diligent about applying pressure for 3 minutes after injecting, tiny variables, discipline with frequency, whose to say that you couldnt possibly have a multi year run,
It's what I'm attempting with longevity, a bridge to at least 60, as I'm only 52,and 2 years into injection treatment
However, hypothetically let's say you develop a great injection technique, and most importantly only inject each side of your cock one time per week, your disciplined in this approach
Your diligent about applying pressure for 3 minutes after injecting, tiny variables, discipline with frequency, whose to say that you couldnt possibly have a multi year run,
It's what I'm attempting with longevity, a bridge to at least 60, as I'm only 52,and 2 years into injection treatment
Re: A Different Approach
The prudent thing to say is that injections are rarely a long term solution and the underlying health of your cock will dictate future outcomes
However, hypothetically let's say you develop a great injection technique, and most importantly only inject each side of your cock one time per week, your disciplined in this approach
Your diligent about applying pressure for 3 minutes after injecting, tiny variables, discipline with frequency, whose to say that you couldnt possibly have a multi year run,
It's what I'm attempting with longevity, a bridge to at least 60, as I'm only 52,and 2 years into injection treatment
However, hypothetically let's say you develop a great injection technique, and most importantly only inject each side of your cock one time per week, your disciplined in this approach
Your diligent about applying pressure for 3 minutes after injecting, tiny variables, discipline with frequency, whose to say that you couldnt possibly have a multi year run,
It's what I'm attempting with longevity, a bridge to at least 60, as I'm only 52,and 2 years into injection treatment
Re: A Different Approach
My Urologist clinic gave me advice regarding using injections then using pills. They should do the same for you. I ofcourse don't use pills due to tinnitus.
Edit:typo
Edit:typo
Last edited by frwmw1 on Sun Feb 07, 2021 1:49 am, edited 1 time in total.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML
Re: A Different Approach
I tried Trimix last year. Dr injected me at office but not much help. When I attempted injection at home, one big factor was missed by me and the doctor. Due to weight I could not see my penis to know where to inject. Thought about injecting in front of a mirror, but with the reverse image I did not feel confident to try. Wife declined to help too. People talk about the tiny needle but mine looked full size. Now taking generic Cialis but no luck. Guess I'll lose weight.
RP April 2017. Tried Trimix once. On daily Tadalafil but not much help, if any. 71 years old in 2023.
Re: A Different Approach
Update: the doc thinks injections are the way to go for me. She said my idea to switch between shots and pills is ok but she doesn't think it's necessary. She thinks the shots lose efficacy because people's conditions worsen, not because they build up tolerance to the injections. She thinks my other medications are part of the cause of my issues. The first shot wasn't very effective, but that's to be expected with a low dose. Thanks for all the help!
45 y.o. ED and Low T since about 28. Cialis for ~15 years, Viagra since 11/2020, starting Tri-Mix on 1/28/2021.
Re: A Different Approach
What was your prescribed mix strength and recommended dosage to start out with?
Re: A Different Approach
Based on my reaction to .1 cc she thinks .2-.3 will work. (I'm thinking .3-.4 as my .1 erection was just a bit chubby, but we'll see). It's the usual 30/1/10 mix. She thinks I'll do well because my issue is not likely hardened arteries since I've had ED since age 28 and we know part of it is psychological. I may ask for the test to see what the cause is so that we can guess my prognosis. The closest place for that testing is two hours away, but I have 7 weeks off in the summer and could make the trip easily.
45 y.o. ED and Low T since about 28. Cialis for ~15 years, Viagra since 11/2020, starting Tri-Mix on 1/28/2021.
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