Any prefs for Bimix?

Do doses- in either ml or units- tend to run about the same for Trimix and Bimix, for the same effect?

lifeguyd said...
I have been very successfully using a 30 to 1 bimix for many years. My original prescription called for a .40 injection, however I now use .15 to .20 several days a week. I have never had any after injection ache or pain as I did with straight alprostadil (prostaglandin).

I always store mine in the refrigerator and most compounders will ship it to you with an ice pack. I think someone said that bimix is less stable than trimix, so needs to be kept cool.

Thank you Ligeguyd! I don't know what the mixture is the pharm is planning on using, apparently something they have had good success with over a lot of years. If you happen to know, is that 30 to 1 mixture you use 30 times more papaverine than phentolamine or vice versa? Just curious, not that it matters I'm sure I'll be using whatever they are willing to give me.

EDIT: Never mind, I think I see the answer:
"The trimix may be increased to a super trimix combination of the same papaverine 30 mg, while doubling both the phentolamine (to 2 mg) and the prostaglandin E1 (to 20 mg) (EDIT #2 surely they meant 20 MCG?) in doses up to 1 ml maximum. Finally, if a single-agent prostaglandin and trimix are ineffective, atropine 0.15mg/ml can be added to the trimix combination to create a quad mixture (Baniel et al., 2000; Montorsi et al., 2002)."
So looks like standard is Pap 30 mg to Phen 1 mg, I guess that is what you have been using. Sounds like you are happy with it.

Post Edited (BillyBob@388) : 6/7/2014 4:19:14 PM (GMT-6)

*JimO* said...
BillyBob

Caution - on your edit note, you have the Prostaglandin at 20 mg. It should be 20 mcg.

Jim

You are most likely correct. I did not pay much attention to that as I just copied and pasted from a web site where a super Trimix was being described( I should have copied the link also), and as my interest was whether the 30 to 1 was Papav to Phent, I did not even really look at the alprostadil dose. But 20 mg seems about 1000 times to high, so I will edit that again to mcg. Thx for catching that.

Well, I've got my Bimix. After an afternoon of reading up on it, I am a little anxious. Seems it has a higher rate of both penile fibrosis and Priapism than the trimix, which is already higher than alprostadil alone. But, alpros/PGE-1 hurts!