erectile dysfunction medicine

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Erectile Dysfunction (ED) affects more than 18 million men in the U.S alone. Most of these men are over 40 years old, although it can strike you no matter what your age may be. ED is sometimes an unfortunate side effect of a disease. Men who have diabetes, decreased testosterone levels, high blood pressure, an enlarged prostate, may get ED. Smoking, alcohol misuse, or certain medications can also cause ED. It can even be the result of everyday pressures such as anxiety or stress. Fortunately, no matter what the cause, Erectile Dysfunction can be successfully treated.

While some men respond well to oral ED treatments such as Viagra or Cialis, others have uncomfortable or even dangerous side effects to these medications. In those cases, custom compounded medications can be used successfully to treat ED.

Oral ED Medications

Viagra (Sildenafil)

Another medicine we use to help patients address ED is Viagra. This is available as an oral tablet ranging from 25 mg to 100 mg. A starting dose of 50 Mg taken about one hour prior to sexual intercourse has been recommended8. Viagra has been reported as a safe and efficacious treatment for ED, however, it is ineffective in approximately 27 to 35% of the population and has been associated with a variety of adverse effects including headache, flushing, dyspepsia, and adverse interaction with nitrates and inhibitors of cytochrome P450 enzymes. Viagra should not be taken in conjunction with nitrate therapy.

Oral ED Medication

Cialis (Tadalafil)

Cialis is another oral tablet we offer at our clinic in West Bloomfield, ranging from 5 to 20 mg. The recommended tadalafil starting dose for most men is 10 mg, taken as needed before sexual activity (but not more than once daily). The dose may be increased to 20 mg or decreased to 5 mg, per its efficacy and the man’s personal tolerance of the drug. Cialis’s 36-hour effectiveness earned it the nickname, “The Weekend Pill”; like sildenafil, tadalafil is recommended as an ‘as needed’ medication. Cialis is the only one of the three that is also offered as a once-daily medication.

ED Medications Available


One erectile dysfunction medicine we offer at Cratus Medical Vitality Institute in West Bloomfield comes in the form of injections. The injectable medications we use, including Papaverine, Phentolamine, Alprostadil (Prostaglandin E1) the three of which are also called Trimix, as well as Atropine, Chlorpromazine, and/or Forskolin can either be administered individually or in combination. While an injectable ED medication may sound intimidating or even painful, the treatment involves very little discomfort and is an easy and very effective way to treat ED.

We offer 2 services that can be used alone or in combination with other treatment modalities—the P-Shot and GainsWave.

Additional Information Regarding Tri-mix

General Information

Tri-mix is administered as a penile self-injection, typically considered to be the most powerful class of anti-erectile dysfunction agents. While the components of Tri-mix are, on there own, indicated for a vast number of different conditions (papaverine, phentolamine, PGE1 monographs), the practice of bringing them together in concert to treat erectile dysfunction has become commonplace in sexual medicine and is now considered to be the go-to treatment if conventional PDE5 inhibitors are contraindicated or nonresponsive. and is now considered the go-to treatment if a patient is not responsive to conventional PDE5 inhibitors such as Viagra or Cialis.

Trimix FAQ

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