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Let’s get some medical questions answered!
A licensed provider in your state will review your details and determine your treatment plan.
Yes, your prescription will be electronically sent from the physician.
Patients with severe erectile dysfunction, who sildenafil, tadalafil and vardenafil no longer work for.
The physician practices evidence based medicine and bases the decisions on similar charts and profiles with treatment success.
An infection in the penis is rare, since there is a lot blood in the penis and blood is a healing property in the body. You will use alcohol pads to wipe the area that you will inject to prevent infection.
No, In most cases insurance doesn’t cover compound medicines. In the rare instance that your insurance covers, it will be in the form of reimbursement.
More medical questions answered.
No, our provider will evaluate proper treatment for them as this is a specialized treatment.
Yes, in fact, this is one of the main reasons the medicine was created.
Yes, this is one of the top causes of erectile dysfunction and why this treatment medicine is made.
Yes, this is a localized treatment that only affects the penis and will give you an erection.
Yes, it is a top cause of erectile dysfunction. The trimix treatment will only affect the penis, not your heart, your brain or any other organs and systems.
Yes, the trimix treatment is a localized treatment that only affects the penis.
Yes, trimix is a treatment for erectile dysfunction when a patient has leakage.
Not everything can be done with this wonderful medicine.
No, we suggest you consult with the physician who inserted the implant.
No, we suggest you consult with a local urologist.
You can consult with a physician you feel comfortable with.
No, we are a telemedicine platform; we do everything over the phone and get the medicine shipped to your doorstep.
Search online for a local urologist in their city or zip code.
No, it is only a treatment each time a patient wants to have intercourse. The treatment does have rehabilitative affects where some patients only need the treatment from time to time.
No, but it will give you your full natural size, bringing max blood flow to your penis.
Intracavernous injections are a treatment option for erectile dysfunction that injects medication directly into the corpus cavernosum,
the spongy tissue within the penis that generates an erection.
About the Treatment Questions
This medicine is not for everyone. The medicine is for patients who have severe erectile dysfunction.
To start and keep an erection firm enough for penetration. The result is that you will have a firm, rigid erection for up to 1 hour, even if you ejaculate. After ejaculation you will stay erect until the medicine wears off.
No, you can only use the medicine 3 times a week at a maximum and not more than once a day. Space out every two days.
The medicine can be used unitl it’s expiration date. Discard the medication after it’s expiration date.
Immediately put the medicine in freezer or refrigerator. You can keep the medicine out of the freezer or refrigerator for a short period of time while you are applying the medicine.
Put the medicine back in the freezer or refrigerator.
No, the sensation is the same as if you didn’t use the medicine.
We’re here to make this medicine available to patients who really need it.
Trimix or quadmix is a medicine to treat erectile dysfunction.
For most patients trimix medicine is highly effective. It’s rare that it doesn’t work.
Medications called vasodilators for veins and arteries in the penis that include papaverine, phentolamine, atropine and Prostaglandine E1.
Yes, you do not need to mix it prior to injecting it is pre-mixed and ready for use.
The medicine is comprised of 3 vasodilators that open up your vessels, veins, capillaries and nerve walls in the penis. It also pushes back any plaque caused by cholesterol.
The medicine will bring blood to your penis and keep blood in your penis from 30 minutes to 1 hour whether you ejaculate or not.
Effectiveness is what patients are really looking for.
If it doesn’t work what’s the point? Good news is that we know what works!
Once the medicine is injected into your penis you will become erect in 5 to 10 minutes.
No medicine has a guarantee. The provider will assess your chart and profile to determine the best treatment with a high success rate.
Usually one treatment at a time or 1 10 milliliter vial at a time. We need to make sure the formula and dosing instructions work, monitor your progress and use the medicine according to the best use date once opened, which is typically around two months.You can buy up to two more 10 milliliter vials but they will need to stored in the freezer and not opened until the first vial is completely used. Using 1 vial at a time.For Alabama, California and Mississippi you will get 2 5 millileter vials instead of 1 10 millileter vial.
Side Effects and Abuse Questions
Side effects should always be talked about it in medicine.
Yes, you can get scar tissue if you inject more than 3 times a week and don’t space out injections 2 days at a time. You can use extra precaution by holding down on the spot where injected and massaging for 2 minutes. The other is a priapism, which is a blood clot in the penis, this can happen when the medicine causes a 4 hour erection. You must use extra precaution to apply the reversal antidote medicine if you have an erection that last 2 hours to catch a priapism early. A 4 hour erection is a medical emergency and requires you to go to the emergency room.
The same exact way you injected the trimix, you will inject the reversal antidote medicine called phenylephirine. Usually the dark vial.
The other is a priapism, which is a blood clot in the penis, this can happen when the medicine causes a 4 hour erection. You must use extra precaution to apply the reversal antidote medicine if you have an erection that last 2 hours to catch a priapism early. A 4 hour erection is a medical emergency and requires you to go to the emergency room.
Yes, please watch our videos as we will demonstrate the supplies and how to apply trimix. The way you injected the trimix is the same way to apply the reversal antidote.
No, and that would be deemed as abuse and we would ban you from buying treatment from us.
Absolutely not, your prescription and medicine is only for you and only for you to use. The prescription will be specific to your treatment needs.
Here we tell the patients of the concerns of the medicine.
We are very concerned that patients don’t get a priapism reaction or 4 hour erection.
Priapism is a rigid erection with little or no flexibility lasting more than 4 hours. If left untreated, it may cause pain and potentially tissue damage if not promptly reduced. A priapism occurs as a result of over-reaction to a specific combination of vasodilators. Patients on trimix are responsible for its proper use and for taking all necessary steps to promptly resolve such complication should it occur.
Yes, It must be treated with urgency to prevent damage. You must apply the reversal medicine the same you applied the trimix to reverse the erection. Patients on trimix are responsible for its proper use and for taking all necessary steps to promptly resolve such complication should it occur.
After 2 hours of an unrelenting, 100% full erection, Stop all forms of sexual stimulation. Take the reversal antidote medication called phenylephedrine. It is provided at 1 milligram per 5 milliliter vial. Please withdraw 50 units on the syringe and inject into the penile shaft exactly the same way as you would with trimix. Repeat this step after 20 minutes if needed. If that does not work and the erection remains full, you must proceed to the nearest emergency room immediately. Once settled, please fill out our contact form to report the incident. The physician will then adjust your medication to a different combination to prevent this from happening again.
Your physician will adjust the formula to prevent further occurrence of this problem.
You may have either developed scarring or fibrosis which is an uncommon complication of injections, or you may have had a pre-existing scar prior to application which has now become more pronounced. Please discontinue use and promptly schedule an appointment with a local urologist.
Ordering Questions
Here is a basic understanding of the ordering process.
Here are clear answers so you can make an informed decision.
New Treatment packages start at $599 which includes speaking to a provider, the medicine, the syringes, alcohol wipes, the auto injector, the reversal antidote and shipping with gel ice packs. Refill treatment packages start at $559.
Click on the button that says “Get Treatment”. Refill treatment packages start at $559.
This is how we schedule an appointment with the provider.
We need to know your medical history, your history with erectile dysfunction medicine and most importantly the current medicine you are taking including the milligrams and how many times per day. This will better assist the provider to prescribe a trimix treatment that will work.
We need to schedule an appointment for the patient and the provider.
The provider appointment needs to be paid for the telehealth visit which will be by phone or video and to keep the patients card on file to pay for the prescription medicine.
Then the patient is only charged for the provider telehealth visit.
The pharmacy wants to make sure the patient is the one who will be receiving the medicine. You can block your driver’s license number.
Yes, you can upload pictures on our secure site after speaking to the provider.
3-5 business days.
The medicine comes shipped in an insulated container with gel ice packs via a global shipping company.
The bottom line on purchasing?
We are all about getting to the point!
A 10 milliliter bottle that can have 10 to 100 doses depending on your dosing instructions.For Alabama, California and Mississippi you will get 2 5 milliliter vials instead of 1 10 milliliter vial.
Technically 10 to 100 doses depending on your dosing instructions. In most cases the 10 milliliter bottle or 2 5 milliliter vials is good for 25-50 doses. AL, CA, MS comes in 2 5 milliliter vials instead of 1 10 milliliter vial.
In units. A full syringe is 100 units. The number marks on the syringe indicate how many units.
1000 units is equal to 10 milliliters. You will receive a 10mL vial or 2 5mL vials for Alabama, Mississippi and California.
The medicine comes from a specialty compound pharmacy that makes the medicine to order, and 1 vial is the minimum order the pharmacy will process.
Yes, The main ingredient in trimix is approved by the U.S. Food and Drug Administration – Prostaglandine E1. Other ingredients are papaverine, phentolamine and atropine.
The medicine is made with bacteriostatic water and is water based to prevent irritation.
Let’s go over more ins and outs.
We are here to assist and understand patients have questions.
You will need to purchase the treatment cash via credit or debit card, then send us your flexiable savings account or health savings account form to be signed by our physician and then you will be reimbursed by your flexiable savings account or health savings account.
Speaking to a provider, the medicine, syringes, alcohol pads, the auto injector, the reversal antidote medicine and overnight shipping from the pharmacy in an insulated container with gel ice packs.
It starts at $5.99 to $59.90 per dose depending on your dosing requirements in units. 10 units dosing will be $5.99 per dose at 100 doses, 100 units dosing will $59.90 per dose at 10 doses. Most patients fall in the range of 20-40 units. 20 units of dosing is $11.98 per dose at 50 doses, 40 units dosing is $23.96 per dose at 25 doses.
No, it’s a 1 time payment thats non-reoccurring each time you order the trimix treatment.
No, only when you onboard with us. Afterwards you can just order and process your refills online. You will need to speak to a provider if your health conditions change from your first order.
Your driver’s license or identification card in your state and proof of address if your shipping address is not on your driver’s license or identification card. You can provide a utility bill, any valid mail or even a picture of a computer screen showing your name and mailing address of an account. A current valid identification will be required to kept on file at all times.
We currently do not serve South Carolina.
We accept all major credit and debit cards.
No, our support team can answer questions. Just fill out our contact form.
No, we require the telehealth visit to be paid which includes speaking to a provider.
The provider will ask what treatment term you would like, such as 2 months, 4 months or even 6 months, then your medicine will be processed. But if the doctor rejects your treatment request you will only be charged the physician fee.
Refill Ordering Questions
Once a patient is settled in, it becomes easier.
Refills are a snap after you onboard and your formula and dosing are just right!
You would just click the button that says “Get Treatment” and then select refill.
Yes, refills cost less as no auto injector and reversal antidote medicine is provided.
No, you can search online for these supplies as they are standard in the industry.
Yes, you can order the reversal antidote medicine anytime as it requires a prescription.
Shipping Questions
Shipping is a big deal in United States.
We got you covered with overnight shipping from the pharmacy once the medicine is made.
Yes, once a tracking number is generated we will notify you via text or email.
Yes, it will only have the name of the pharmacy on the label.
Fill out our contact form and describe the issue you are having and we will assist promptly.
You can contact the global shipping company once we send you a tracking number and request to pick it up at their neareast shipping facility to your zip code – you will need to move quickly on this and show ID at pickup.If the shipping address is in California – you can make additional requests – you will need to show ID.Please be advised that you will need to track and be on top of receiving your package with these methods. You cannot receive shipping to a PO BOX unless the shipping address is in California.
Yes, except for California. If the shipping address is in California – the pharmacy will call you and make shipping arrangements.
Storage and Travel Questions
Here is information on storing and preserving the medicine.
The key is to always keep the medicine cold from 0 to 39F, the colder the better, until it’s time to use it.
The medicine is preserved for 1 year in the freezer from 0 to 31F and 6 months in the refrigerator from 32F to 39F before opening.
The beyond use date is usally around 2 months.
Wait until the medicine is completely thawed before injecting.
Yes, we will give you a travel letter and your prescription to present to customs. The medicine is legal to travel with.
You can reuse the insulated container and re-freeze the gel ice packs that comes in your delivery or purchase an insulated travel bag or kit online.
Yes, in the freezer, refrigerator, container, travel bag or travel kit with gel ice packs in travel.
We just need your itinerary from the hotel with your name on it in order to ship the medicine there.
Formula and Dosing Change Questions
Sometimes things don’t go as planned.
This is true and also rare but we should go over it.
The injection technique may have not been applied properly or the formula and dosing may need to be adjusted. Please review the instructions and try again after 2 days. You can also contact us.
No, you must consult with our provider so we can properly assess.
Your situation will be assessed for possible credits towards a formula change purchase on a case by case basis.
You can request a formula or dosing change. The physician will revalute your chart, profile and notes to make adjustments.
Refunds typically reflect by 1 week if not sooner with most credit cards and banks.
Applying and Injecting Questions
Placement of the injection is very important.
That is correct, there are also other details to be aware of.
You will draw the medicine from the vial, wipe the area to inject with the alcohol pads provided, then put the syringe in the auto injector provided, then put the auto injector on the side of your penis near the base area, then press a button after loading and setting to make a quick insert into the side of the penis on the shaft and then the medicine will be automatically injected. Please review the instructions and try again after 2 days. You can also contact us.
Only slightly at 1/4th of an inch or less. The auto injector will help you control the depth that is injected.
The pieces control how much of the needle will be inserted.
Yes, but make sure your partner is fully trained on how to apply the medicine. Many patients go with this method.
Yes, never near the head, never on the top – where most nerves are, never on the bottom.
The best position is at the 10 O’Clock when using your left hand or 2 O’Clock when using your right hand, when facing a clock. Most patients get the hang of it after once or twice.
The spongy tissue of your penis is less sensitive than your finger tips. You will feel a slight prick.
Here are some of the key elements of injecting.
Yes, of course, we want our patients to get it right!
Place the auto injector on the same side of the penis as the hand that holds the injector, right hand at the 2 o’clock or left hand at 10 o’clock position, anywhere from the base to the mid-shaft of the penis.
Press the button to release the needle into the penis, and then the spring action will slowly and automatically push the medicine into the penis – the injection is then completed.
Avoid the top of the penis at the 12 O’clock position to avoid large blood vessels and nerves. Also avoid any visible veins by pushing or rolling them out of the way using the nozzle of the auto injector.
When finished, gently pull the auto injector away and out, put it aside and firmly press the site of injection on your penis with
an alcohol pad for at least 2 minutes while letting go of the penis with the other hand. Apply pressure for at least 5 minutes if you are taking aspirin or other blood thinning medication.
Lastly, massage your penis for 5 to minutes 10 times to get the medicine throughout. The penis will become erect in 5 to 10 minutes.
Some pro tips on injecting.
We’ll make you a pro in no time!
Each time you inject, alternate injection sites on both sides of the penis and hold, press at the injection site after the injection to reduce the risk of any scar tissue.
Use your free hand to wipe one side of the penis with the alcohol pad. Pick up the auto injector with your dominate hand and hold it steady on the base of the shaft. Then press the button when you are ready.
If you are right-handed, use the left hand to hold the head of your penis and get ready use the auto injector in your right hand.
If you are left-handed, use the right hand to hold the head of your penis and get ready use the auto injector in your left hand.
Stretch the penis out and move it slightly to the left or right; keep the penis stretched out during the injection.
Most patients get use to applying the medicine after their first or second use. You can either use your dominate hand to inject on the left or right side with the auto injector or you can swap hands. Whichever is comfortable.
TRAINING INSTRUCTIONS: Syringe and Auto Injector Instructions Part 1
Introduction
The focus here is loading the syringe. Prepare all of your supplies. This step is very key to applying the medicine; we will explain to you how to prepare properly. The 1st step is to load the syringe. This is when you will get the syringe ready for use.
Wash your hands thoroughly with soap.
Use a new, never used syringe. Open a new alcohol pad, and wipe the rubber stopper at the top of your vial. Remove the orange cap from the syringe.
Pull the plunger to the level equal to your prescribed unit dosage. Pierce the rubber stopper in the middle of the vial and inject air from the syringe into the vial.
Turn the vial upside down; withdraw a small amount of fluid and inject it back into the vial, in order to get rid of air bubbles. Withdraw the fluid again and stop at the recommended dosage.
Pull the syringe out of the vial and replace the orange cap, covering the needle. The syringe is now loaded.
TRAINING INSTRUCTIONS: Syringe and Auto Injector Instructions Part 2
Introduction
The focus here is using the auto injector properly. We want to make sure patients get the injection part right. This will explain how to our new patients! This is how to get the auto injector ready and use it.
The first thing to do is to calibrate your device for the depth of the injection. You will use the long depth adjuster and screw it into the syringe housing at the letter c. This sets the needle to insert at 1/4 of an inch, which is the starting point. You can adjust for a less or longer depth later by adjusting the depth adjuster. 2 depth adjusters will be provided.
Then insert an unloaded syringe uncapped into the syringe housing firmly with the plunger pushed all the way down and view the needle protruding from the depth adjuster.
Then double check the depth with the depth guide and it should be set at 6mm which is about 1/4 of an inch. Then remove the syringe and insert the depth guide into the depth adjuster, it will be used to set the main housing unit, next you will insert the depth guide into the injector housing unit to push back the spring action and will hear a click.
Then insert your loaded syringe into the syringe housing unit, next you will screw the housing unit and syringe unit together. Then push the housing unit and syringe unit together releasing the safety feature by pushing them together.
At this time you will prepare to inject into your flaccid penis; to inject on 10 o’clock or 2 o’clock spot.
Make sure to use an alcohol pad and wipe the area where you will inject.
The final step to injecting is to press the button on the housing unit and wait 5 to 10 seconds to allow all the medicine to be injected. The auto injector will insert the needle and automatically inject the medicine with one push of the button. Then pull the housing unit and syringe unit in opposite directions slightly, followed by unscrewing the 2 units to empty out the syringe for safe disposal. You can clean your auto injector with alcohol pads.
Remember if you have an erection that lasts for 2 hours you must apply the reversal antidote that is usually in a dark vial the same way we just demonstrated how to apply the trimix medicine. The antidote medicine is called phenylephrine. It will reduce the swelling of blood vessels.
Already on Trimix Questions
Absolutely, we welcome current trimix patients to our platform.
We will need to onboard the patient to our telehealth platform as a new patient. Thereafter the patient can simply order refills.
It’s best if we know the current formula and dosing a patient is using. We just need the information on the last vial used. The numbers next to mcg or mg on the vial and the units for dosing or cc numbers on the vial.
The patient can choose to you use the old injector or the new auto injector provided. All new patients will receive a new auto injector. No auto injector is required on refills.
All new patients to the telehealth platform will receive the reversal antidote medicine. No reversal antidote medicine is required on refills.
Customer Service and Tech Support Questions
We are here with you through the whole process!
Yes, fill out our contact form and we will reach out to you.
Yes, our website is mobile compatible. It’s just like if you are on a computer.
Not yet, but coming soon.
When you click the “Get Treatment” link you will have a chance to update your information or you can tell the care coordinator or physician to update your info.
Well we hope we did a good job in answering as many questions up front in our Questions section.
But don’t worry if you have more questions you can fill out the contact form and we will reach out to you.