Testosterone > Testosterone For ED Therapy > Caverject ® Impulse
(For Men with Eerectile Dysfunction Symptoms)

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What Is Caverject ® Impulse?

Caverject ® is a prescription form of erectile injection prescribed for men with symptoms of impotence. Made by Pfizer, this popular ED drug medication is sold in a convenient inector pen kit called Caverject Impulse®. It is used to treat men with ED or Erectile Dysfunction, hypogonadism, Andropause or low testosterone. Caverject ® is made up of an injectable compound that includes a combination of three injections in a single dose - Phentolamine Mesylate, Papaverine Hydrochloride and Prostaglandin E1 for injection. Caverject ® Therapy is also known as Triple P and is very effective as an intercavernosal injection for erectile dysfunction. The therapy uses three vasoactive agents, papaverine, phentolamine, and prostaglandin E1 (PGE1 alprostadil), also used in Muse®, Edex®, Viridal®. This combination of androgens is common in testosterone replacement therapy, but this particular form of it is specifically formulated to treat impotence. Caverject ® is approved by the FDA and is an innovative solution featuring a long-acting androgen steroid shot to address erectile dysfunction issues in men of all ages.

Why use Caverject ® Injections?

Caverject ® is a great erectile solution when oral impotence treatment pills like Viagra, Cialis and Levitra are no longer effective treatment options. Caverject ® can be prescribed along with other androgen treatment on the market for use with other testosterone replacement therapy options, as it offers new and exciting possibilities when it comes to combining therapies to effectively treat erectile dysfunction. Most testosterone injection compounds require at least one, if not several, injections per week like Caverject ®. Similar to the P-Shot® or Priapus injection (Priapus Shot for ED), the Caverject ® compound is taken by injection directly into the penile shaft resulting in an erection, and with the ability for the man to have more erections for up to 24 hours. ED physicians and Urologists usually prescribe Caverject ® for ED symptoms in 3 weekly injections. An autoinjector pen and gel solution is also available.

How to Use Caverject ® as a TRT Treatment

Caverject ® must be prescribed and either self-administered or administered by a trained healthcare professional in a licensed medical clinic or office. You must have a prescription from your doctor in order to buy and use Caverject ®. A testosterone blood test and physical examination will assist your physician with providing a proper diagnoses and formulation of an effective androgen treatment program. You will receive a single shot in your buttock. Because of certain risks associated with Caverject ® (namely POME and anaphylaxis), you will need to remain at the clinic after you receive your shot to be sure you have no serious reactions to the injection. Caverject ® is indicated for ED therapy and for use with TRT Testosterone Replacement Therapy in adult males for conditions associated with a deficiency or absence of endogenous testosterone.

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Caverject ® Dosing and Administration Schedule

Caverject ® can be prescribed to treat Erectile Dysfunction Caused by Hypogonadism (Low T) with 2 to 3 shots per week. A typical dose of Caverject ® is an Alprostadil injections containing papaverine 30 mg, phentolamine 1 mg, and prostaglandin E1 (PGE-1) 10 mcg per 1 ml, or a BiMix of papaverine 30 mg and phentolamine 1 mg depending upon the patients age and condition of sexual dysfunction. Trimix injections for sale use all three P's their formulation for greater effectives in treating ED symptoms.

Caverject® Injections Dosing

The Caverject dosing schedule is as follows:

  • Initial Injection - 2.5 mcg
  • Initial Injection - up to 10 mcg for men over 65
  • Second Injection if needed up to 2.5 mcg
  • 24 Hour Intervals with increments of 5 to 10 mcg not to exceed 40mcg if needed to acieve erection.

The Initial dosage as recommended for Edex® and Caverject Impulse® is 2.5 mcg with a second dose of 2.5 mcg if the initial dose is insufficient. Caverject ® dosage can be increased by 5 to 10 mcg at each additional attempt depending upon the erectile response with each dose not to exceed total of 40 mcg. Higher doses for intracavernosal injections like Caverject ® are needed in older men age 65 to 85 in order to achieve erections. It is not uncommon for an initial dose of 10 mcg to be used for men who are over the of 65.

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How Caverject ® works?

The three P's in Caverject ® ED Injections also known as Trimix Injections, help create an erection by relaxing the smooth muscles and widening the blood vessels in the penis. Caverject ® Injections using a combination of the three erectile injections in a single dose should begin to work within 5-20 minutes, and its effects should last about 30 minutes to an 1 hour or two. Most men should be able to naturally have an erection for about 24 hours after Caverject ® administration. The different erectile products are available separately in lower strengths than that found in the Caverject ® Injection. For most men, using .5cc of Caverject ® should give good results and in many cases the erection may last too long well or in excess of 2 hours and the dosage to may then be dropped to .45 cc or lower.

Caverject is an Alprostadil Injection. Alprostadil Injection is a prostaglandin (PGE-1). It works by relaxing certain muscles in the penis and widening blood vessels, which increases blood flow to the penis and helps to cause an erection. When the effect of the alprostadil wears off, blood flow returns to normal and the erection disappears. Phentolamine shots are given by injection causing penile blood vessels to expand increasing blood flow. When injected into the penis intracavernosally, it increases blood flow to the penis resulting in an erection. Papaverine is a penile vasodilator that relaxes smooth muscles in your blood vessels to help them dilate or widen. This lowers blood pressure and allows blood to flow more easily through your penile veins and arteries. Papaverine is used to treat many conditions such as erectile dysfunction in men and health conditions that cause spasm of smooth muscle. Trimix is an injectable mix of three ED drugs prescribed as a male impotence medication and used by most Urologists to treat erectile dysfunction in men. The active ingredients in the Trimix mixture are usually Caverejct components such as alprostadil, papaverine, and phentolamine.

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Risks & Possible Side Effects of Caverject ®

Caverject ® has been reported to be safe and effective. For over two decades it has been prescibed for men with impotence, and Caverject ® self-injection therapy has proven to be both safe and effective. It is considered the best second-line drug therapy for the management of erectile dysfunction by Urologists, ED Physicians and Endocrinologists. However as with all prescription medications there are risks and side effects. Fibrotic reactions with intracavernous injection therapy have been observed. A variety of reactions, ranging from subcutaneous nodules, intracavernosal fibrotic areas, penile plaques, lumps, swelling, tenderness, or curving have been reported. For this reason, routine clinical follow-ups are used to help identify fibrosis or new fibrosis, and PGE1 causes less fibrosis than the other drugs used for ED. Any penile nodules, lumps or swelling that occur with Caverject ® injection therapy disappear within a few months of stopping.

The 3 vasoactive agents commonly used alone or in combination are papaverine, phentolamine, and prostaglandin E1 (PGE1 alprostadil). Some men have sensitivities which could cause penile pain, headaches, dizziness, bruising at the injections site, and prolonged erections. The ED product should not be used by men with anatomical deformation of the penis or with penile implants.

How to Inject Caverject ®

  • If you have an Autoinjector like Caverject® Impulse from Pfizer, a premeasured does will be able to be set and easily injected.
  • For those with a traditional vial, place your Caverject ® medication vial, syringes, and alcohol swabs on a clean surface.
  • Wash hands with soap and water. Wipe the top of the vial with the alcohol swab.
  • Remove the syringe from its package, attach the needle and pull off the cap.
  • Pull on the plunger until an amount of air is in the syringe equal to the amount of medication you will be injecting. Insert the needle into the rubber stopper at the top of the vial and push in the air.
  • Turn the vial and syringe upside down and draw up the recommended dosage into the syringe. Tap the syringe gently and push gently on the plunger to remove air bubbles.
  • Sitting upright, hold the head of your penis stretching it lengthwise. Inject the medication into the corpora cavernosa which is the spongy tissue on the sides at the base of your penis. Some men massage the area for a few seconds after injection.
  • Clean the injection site with a fresh alcohol swab.

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Where and How to buy Pfizer Caverject ® Injections?

You can order Caverject ® Injections and testosterone from a licensed medical practitioner, Endocrinologist or ED Physician. Contact us to find a Caverject ® certified physician who trained in the administration and precautions of using Caverject ® for their patients. If for any reason you are not a good candidate for ED Therapy with Caverject ®, then the other testosterone replacement options may be more suitable. You can read more about Enanthate Injections Online and Cypionate Injections Online, get info about Propionate Injections Online.

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How much does Caverject ® cost?

ED related procedures can cost from $400 to over $2,000 depending upon the treatment. Injection of Corpora Cavernosa with Pharmacologic Agents is in the range of $400 to $600 depending upon the prescription of Caverject ®.

Men's testosterone levels decline as they age and it could be Low Testosterone that is also causing impotence, loss of sex drive, weaker or softer than normal erections, flabby muscles, obesity, unexplained mood swings, irritability, extreme fatigue, inability to sleep and depression. If your testosterone is low enough, you may already have some symptoms of erectile dysfunction. A simple, fast blood test (Low T Test) can tell you if your testosterone levels are low. Fill out the info request form to speak with a Testosterone specialist today.

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Caverject Impulse® Pen Use and Storage

The Caverject Impulse is a Single Dose Penile Injection

Unmixed Caverject solution should be stored at room temperature (59º F to 86º F) and should not be refrigerated or frozen. After mixing, the erectile drug should be used within 24 hours. After initial injection, you should not use any leftover Cavereject solution or reuse the syringe or needle. Caverject Impulse® is a single-use ED medication only and should be thrown away after a each use.

Is it ED or Low T?

Men with low testosterone can also have symptoms of Erectile Dysfunction

Take the Low T Symptoms Test. A fast simple blood test is all you need to find out if low testosterone levels are responsible for your symptoms. Low T in middle-aged men has been linked to serious age-related health risks including cardiovascular disease, osteoporosis, obesity, low libido, erectile dysfunction, and even an increase in death. Many times Alprostadil is used to test for impotence and if you are found to need ED therapy, Caverject ® or BiMix erectile therapy may be right for you.

Testosterone in men is responsible for a healthy sex drive and strong muscles, bone density, physical strength and mental acuity, metabolism and fat distribution, sperm and red blood cell production. By your 30's, your testosterone levels have already started to decline by 1-2% per year and by your 40's and 50's low testosterone symptoms will begin to appear.

Many men are reluctant to talk about having Low T with their spouse, friends or even their family doctor. Testosterone therapy can help and slowly the stigma associated with low testosterone levels and male sexual performance problems caused by impotence and erectile dysfunction are becoming progressively less as the population ages and hormonal deficiency and imbalance become a more common occurance.

Since every male will experience low testosterone levels at some point in his life, it makes sense to explore possible treatment options and discuss symptoms with a male hormone specialist. In the US, it is estimated that 4 to 5 million American men may be suffering from low testosterone levels.

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Do You Suffer From Low Testosterone Levels (LOW T)?

Ask yourself:

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If you answered Yes to any of the above questions, (LOW T) - low testosterone levels may be to blame. You may be experiencing andropause (hypogonadism), the male version of menopause. During andropause, men experience a deficiency in testosterone, however, some men experience a faster decline resulting in a lower level sooner. The testosterone deficiency causing adverse health conditions is known as Low Testosterone or Low T.

Symptoms associated with Low T are in addition to the normal signs of aging. Low T is completely treatable, reversible and even preventable with proper hormone replacment, nutrition and exercise. Many times testosterone treatment injections are combined with HGH Injectons for a more comprehensive treatment plan.

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Chemical formula: C19H28O2
Drug class: Androgen (Anabolic Steroid)
Treatment: Hypogonadism (Andropause), Delayed puberty, ED (Erectile Dysfunction), Breast Neoplasm
Typical Caverject ® Dosage using Titration: 2.5 to 50 mcg Prostaglandine (Alprostadil), 30 mg Papaverine, 1mg to 1.5 mg Phentolamine; Prefilled Autoinjectors .6ml
Administration: Testosterone is an IM shot (injected into a muscle) Weekly, bi-weekly or monthly. Daily as a cream, gel, patch or pill. 3 to 5 months as an implantable pellet. Side effects: Headache, Acne, Increased facial or body hair, Increased sex drive, Redness at injection site, Swelling, Numbness, Itching, Rash, Aggression or Anxiety
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These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. No claim or opinion on the HGH.BZ website is intended to be nor should it be construed to be medical advice or hormone diagnosis. Please consult with a healthcare professional before starting any therapeutic program including HRT - Hormone Replacement Therapy.


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About Testosterone

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