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Dr. David Yablonsky provides an informational video on trimix and the proper steps to take to give an at home trimix injection. Trimix is a medication used to treat erectile dysfunction (ED). It is typically prescribed when other medications, such as oral medications like Viagra or Cialis, are ineffective. Trimix is injected directly into the penis, which can produce an erection by increasing blood flow to the area. Trimix is a combination of three drugs, which is where the name "trimix" comes from. The three components commonly found in Trimix are: Alprostadil (Prostaglandin E1): Alprostadil is a vasodilator, meaning it widens blood vessels and increases blood flow. In the context of erectile dysfunction treatment, it helps relax the smooth muscles in the erectile tissue, allowing blood to flow into the penis and create an erection. Papaverine: Papaverine is another vasodilator that works similarly to alprostadil. It helps to relax the smooth muscle tissue in the penis, allowing for increased blood flow. Phentolamine: Phentolamine is an alpha-adrenergic blocker. It helps to prevent the constriction of blood vessels, promoting the dilation of blood vessels and facilitating increased blood flow to the penis. Trimix is usually prescribed in specific doses based on individual needs and response to treatment. The injection is self-administered by the patient, and healthcare professionals provide instructions on how to do this safely. It's important to note that Trimix injections should only be used under the supervision and guidance of a qualified healthcare professional. They will assess the patient's overall health, provide proper instructions on administration, and monitor for any potential side effects or complications.

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Tricare would only cover the generic versions of Viagra and Cialis under a new policy passed by a Defense Health Agency (DHA) panel Wednesday.The DHA Beneficiary Advisory Panel, which provides advice and recommendations on what Tricare should cover, voted 6 to 2 for a policy that would also require physicians to prescribe new users generic Viagra before trying generic Cialis to treat erectile dysfunction.Viagra, generic name sildenafil, tablets are for short-term use, while Cialis, or tadalafil, is considered "long-acting" and can be used to treat an enlarged prostate.The panel's discussion was mostly about how physicians choose which drug to prescribe first."But [physicians] said they need them both," said Charles Hostettler, a panel member representing AMSUS, an organization for military health care professionals, "and yet you're forcing them to use the short-acting first in all cases and which to me just seems to be a little bit strange."The recommendation to change Tricare's coverage came from the Department of Defense Pharmacy & Therapeutics Committee, which voted last year to modify it after determining that generic and brand-name erectile dysfunction drugs have the same efficacy.If approved, this policy would also move erectile dysfunction drugs Stendra, Staxyn, Levitra and all their generics to Tier 4 status, meaning they won't be covered under Tricare.

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