Erectile dysfunction is the inability to maintain an erection firm enough for sex, on an ongoing basis. Symptoms related to erectile dysfunction may include:
- Trouble getting an erection
- Trouble keeping an erection
- Reduced sexual desire
Erectile dysfunction treatments vary, but one therapy that is recognized by the American Urological Association as being safe and effective is an intracavernous injection of multiple medications (usually referred to as Tri-Mix). A Tri-Mix compound consists of the medications alprostadil, papaverine, and phentolamine. The AUA states, "As monotherapy, alprostadil is the most popular vasoactive agent; however, combination therapy with other vasoactive drugs (Bi-Mix and Tri-Mix) can either increase efficacy or reduce side effects" -(AUA Guideline on the Management of Erectile Dysfunction).
A Tri-Mix penile injection needs to be compounded by a specialty pharmacy. Bayview Pharmacy, Rhode Island's premier Tri-Mix injectable compounding pharmacy, has the ability to compound Tri-Mix, as a sterile injectable solution. As a leading Tri-Mix injection compounding pharmacy, our solutions for injection are compounded under the stringent USP <797> guidelines for sterile compounding.
An example of how you might prescribe follows:
Alprostadil 10mcg + Papaverine 30mg + Phentolamine 1mg
Sterile Injection Solution
Inject 0.2ml to 1ml as directed
Tri-Mix for ED can be costly, but Bayview Pharmacy is a unique compounding pharmacy - in that we bill prescription drug insurances. We also have the ability to ship medications via UPS.
For more information, please contact Ryan Dyer, RPh./Owner, M-F 9-6pm @ 401-284-4505, or fill out the "Ask the Pharmacist" form on our "About Prescription Compounding / Bayview Pharmacy" page.