Trimix Gel Information and Patient Instructions

This therapy is used to increase blood flow to the penis for rehabilitation purposes and for the treatment of erectile dysfunction. These instructions are intended to help you use prescribed Trimix gel safely.

Trimix gel and Trimix injections are not interchangeable

Trimix gel and Trimix injections are not the same therapy. Trimix injectable comes in a syringe with a needle for injection only. These medications are not the same strength and must never be interchanged or mixed together.

Medication route warning

NEVER switch Trimix gel and Trimix injectable

Trimix gel and Trimix injectable are different prescriptions with different formulations, strengths, routes, and supplies. They must not be interchanged, mixed together, transferred between syringes, or used with the other product’s instructions.

Use Trimix gel only as directed for urethral insertion.
Use Trimix injectable only as directed for injection.
Do not transfer either medication into another syringe or applicator.
If you have prescriptions for both products, keep them separate and confirm which one you are using before each dose.

Wrong product or wrong route: do not switch, mix, or transfer Trimix medications.

When to use

You can insert the gel a maximum of once every 24 hours, or as recommended by your physician, either for sexual intercourse or for rehabilitation purposes.
Use of the gel does not need to be associated with sexual intercourse.
If the gel is being used for rehabilitation purposes, it may be advisable to use it the maximum number of times each week recommended by your physician, even in the absence of sex.
Most men experience blood flow effects within 5 to 15 minutes following insertion.
Your dose should be based on your physician’s order. These instructions are printed on the pharmacy label and may be expressed as a range.
Start with a low dose and titrate upward on subsequent uses to get the desired effect.
If you do not experience results from the gel, do not reinsert more gel and do not use an injection of Bimix or Trimix. Wait 24 hours before reattempting.

Taché Pharmacy Trimix Gel Patient Instructions

Instructions for urethral gel

Remove the reusable cap from the syringe and line up the opening of the syringe with the urethral opening of the penis.
Insert the small tapered tip of the syringe gently into the urethra. See Figure 2.
Slowly depress the plunger to insert the gel into the urethra. Note: It may be necessary to squeeze the tip of the penis with your thumb and finger to create a tight seal around the penis and the syringe. This helps avoid gel flowing out while you are depressing the plunger.
Depress the plunger to insert your indicated dose. See Figure 3.
Remove the syringe from the urethral opening and squeeze the tip of the penis closed to stop the gel from coming out. While the urethral opening is closed off, use your other hand to squeeze the whole penis like you are making and relaxing a fist. Continue for 2 to 3 minutes while keeping the urethral opening closed.
If there is medication left in the syringe, recap the syringe and store it in the refrigerator for your next insertion.

Taché Pharmacy Trimix Gel Patient Instructions

Rigidity scale

You may not experience success with your first insertion. Record the response after each use. A satisfactory response in the source chart is rated between 2 and 9, with 5 to 6 marked as just firm enough for penetration.

Goal: 2 to 9

0 1 2 3 4 5 6 7 8 9 10

No change in blood flow into the penis Just firm enough for penetration Maximally rigid erection

Tracking chart

Use the chart to record the date, volume inserted, duration, and rigidity score. Bring a printout or your notes to your doctor’s office if you have follow-up questions.

Date
Volume Inserted (mL)
Duration of Erection
Rigidity Scale

Urgent symptoms

Do not exceed the prescribed dose. If you experience a prolonged erection, return to the clinic or go to the emergency room. If you experience persistent pain, swelling, or fever, contact your doctor as soon as possible.

Warnings

If you experience burning or aching, this is a known adverse reaction that is fairly common and may resolve on its own. Follow up with your physician.
Do not use Trimix gel for sexual intercourse with a pregnant woman, or a woman of childbearing potential, unless using a condom barrier to prevent the partner from exposure to the medication.
Do not exceed the prescribed dose of medication since it may cause a painful erection known as priapism. Prolonged erections may cause penile damage and permanent, irreversible erectile dysfunction.
Do not take Viagra, Levitra, Staxyn, or Cialis the same day that you are planning to use Trimix gel unless instructed to do so by your physician.
If you experience persistent pain, swelling, or fever, you may have an infection. Please contact your doctor as soon as possible.