SEXUAL HEALTH

Erectile Dysfunction Solutions

Erectile dysfunction (ED), sometimes called ‘impotence,” is the repeated inability to achieve and maintain an erection of sufficient rigidity for satisfactory sexual intercourse.

 

First-line therapy for ED is the use of oral drugs called phosphodiesterase (PDE) inhibitors. These drugs do not create immediate erections but require sexual stimulation to attain an erection.  However, oral formulations may not work for approximately 30% of the patients taking them. Patients who are not responding to first-line therapy may be offered second-line therapy.
 
Second-line therapy for ED is the use of Intracavernous Injection (ICI) therapy. Medications are injected in the corpora cavernosa, the erectile cylinders of the penis.  ICI therapy is an effective treatment with high success rates of 85%.  Injection therapy can be given as a single agent (monotherapy) or a multi-agent mixture such as Bi-mix, Tri-Mix, and Super Tri-Mix.
 

Injectable ED Medications (Tri-Mix):

• Tri-Mix Injection Formulas 1,2,3,4,5,6 ¹ (Not available in AL, CA, IA, MI, & NC)
  Prostaglandin (E1) / Papaverine / Phentolamine

• Super Tri-Mix Injection Formulas 1,2,3,4 ¹ (Not available in AL, CA, IA, MI, & NC)
  Prostaglandin (E1) / Papaverine / Phentolamine

• Prostaglandin (E1)¹ (Not available in AL, CA, IA, MI, & NC) – used to relax smooth muscles

• Prostaglandin (E1) & Phentolamine¹ (Not available in AL, CA, IA, MI, & NC) – causes blood vessels to expand, increasing blood flow to the penis
   

Sublingual Tablet Sexual Health Preparations:

• Oxytocin

• Sildenafil / Oxytocin

• Sildenafil / Tadalafil

• Tadalafil

• Tadalafil / Apomorphine

• Tadalafil / Folic Acid

• Tadalafil / Oxytocin 

• Vardenafil

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Peptide Hormone:

• Bremelanotide (PT-141) – Vial¹ (Not available in AL, CA, IA, MI, & NC)

• Bremelanotide (PT-141) – Nasal Spray¹

• Bremelanotide (PT-141) / Tadalafil - Sublingual Tablet

• Gonadorelin Acetate - Injection (Not available in AL, CA, IA, MI, & NC)

• Gonadorelin Acetate - Sublingual Tablet

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Topical Creams for Men and Women:

• Arginine / Oxytocin / Sildenafil

• Arginine / Oxytocin / Sildenafil / Testosterone

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