What is priapism:
Priapism is an involuntary erection which lasts more than 4 hours and is unrelieved by ejaculation. This condition is a true urological emergency and early treatment allows the best chance for functional recovery.
How to prevent priapism when taking Tri-Mix or other penile injection therapies (ICP):
If priapism occurs:
Over-the counter medications to take:
How to use amyl nitrate to treat priapism: Usually sold as “poppers”, amyl nitrate usually comes in a bottle containing breakable capsules. You do not take amyl nitrate orally, instead break the capsule and inhale (sniff) the broken capsule. Inhale over 15-30 seconds or for 2-6 nasal inhalations to help reverse erection.
Prescription medications
Terbutaline– 10mg once, then take another 5mg-10mg 15 minutes after the first dose only if needed. If you have been prescribed Tri-Mix or any other ICP injection and are concerned about priapism you may request a prescription for Terbutaline to have on hand.
If these do not work and erection has been present for 4hrs and/or is exquisitely painful then immediately visit the ER for treatment.
Instructions for Intramuscular Injections
Instructions for Subcutaneous Injections