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I started using injections for my ED nearly 3 years ago.

While I was very responsible to Caverject, I had an unpleasant first 6 months because of the pain.

Eventually, and as a consequence of my own research, I went back to the local NHS GP and initiated a conversation about Invicorp.

It was clear that I knew more that she did, and eventually I was referred back to the Urology consultant at the hospital because it wasn’t something the local NHS practise was prepared to prescribe without a consultant’s approval.

Fortunately, my consultant was well-informed, and was happy to recommend it for me.
He said that it wasn’t in common use in the U.K. at the time (considered to be a third line treatment), although his experience was that users were very positive about Invicorp, both with regards to the lack of pain, and with its effectiveness.

I had a recent conversation with a fellow British member of FT who has recently been prescribed Invicorp by his local GP.

I’m wondering if it’s becoming more available, and more frequently prescribed than it was three years ago.

So my question to other U.K. users of Invicorp prescribed under the NHS:-
How difficult was it for you to get prescribed?
Was it prescribed initially by a specialist or by your GP?

I’m also interested in chatting to anyone about responsiveness and dosage.
How would you compare it to Caverject for example?

Hi Rich,
I was prescribed Invicorp by a specialist. I'm currently allowed 1 pack (5 injections) per month on the NHS.
I too was responsive to caverject but Invicorp doesn't cause me any pain and has more of a natural feel. I just hope it continues to work for many years to come.

Is Invicorp different from bimix/trimix? Any info on scarring?

Invicorp seems to be aviptadil/phentolamine mesilate which I have not heard mentioned before.

I've just started using 17.5mcg of Viridal Duo (Alprostadil), works very well - in fact I had to use cold gel packs after the 2 hr mark last night as I was getting concerned that it was going to be a trip to A and E! (first time use at home). I'll try 15mcg next time.

Viridal Duo is a two part syringe with alprostadil in powder form, and saline in next part of tube. When you depress the reusuable plunger bit then it mixes the two together. The really useful part is that it doesnt have to be stored in the fridge. Just below 25C. I've seen a lot of guys in the US struggling with being near a fridge.

The cost is £66 for 4 x syringes, apparently I can only get 1 a month on NHS..... but its a solution. I do get a bit of an ache but its nice to feel something going on down there so totally manageable.

I'm interested in the Invicorp even though it has the store at low temperature issue. If it doesn't produce scarring or pain/ache then it would be another option for me to try.

I'm kind of wondering of how to use injections when dating. Yes you can say I'm just popping to bathroom but like its a bit of a rush, then you need to compress area for 5 mins, store the sharps back in case etc. She's going to think your taking a crap ffs! Then there is the issue of how to carry a syringe in a case around with you. I mean I've just bought a 'vape pen' type mini case that should do it but it still a bit of an item to take around with you. I didn't want to resort to a man bag!
Any suggestions?

Another Q - is it possible to use injections as a long term solution or does it always lead to people eventually getting scarring or effectiveness wearing out and men have to go to implant?

I'm pretty much at 11 years on alprostadil with no noticeable damage or loss of effectiveness. I don't think there is really any way to predict. If the base cause of your ED is steadily getting worse then your run will be limited by that. My ED is directly caused by nerve damage from a RP. Of course that doesn't mean I can't develop some other problem to compound the problem and end my injection run. As for scaring or fibrosis, it is my understanding that straight alprostadil is the least likely to cause damage. However, I would have to think that no matter how thin the needle each needle stick has to be causing some damage even if minute.

If you take Invicorp for a date remember to bring the fridge with you.

Hah. I did laugh when I saw the comment about taking the fridge with me!

The pain of alprostadil is really putting me off. Oh and the difficulty of depressing the plunger on the Viridal syringe is horrible. No way that can be right. I’ll maybe try backing off and not sticking needle all the way in.

Invicorp. - is this only available in UK or have other markets got access to it?

Would it be classed as a BiMix then? aviptadil & phentolamine mesylate
25mcg / 2 mg

I’ve asked my GP if I can try it, they have gone off to do some research as not familiar with it.