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Injecting TRIMEX and DUOMIX in your cock to get better and longer erections?

Written by Stu Fenton, Gestalt Psychotherapist and Addictions/Chemsex Specialist
Foto: private
Erectile dysfunction (ED) (not being able to get a hardon) is a common issue that many queer (gay, bisexual, trans) men who have sex with men face, especially when using certain drugs during sex. Medications like Duomix and Trimix can be effective treatments. Recently, it is becoming more common internationally that people with penis and who mixes sex and drugs are turning to Duomix and Trimix to be able to stay harder for a longer period of time. If injected correctly the erection can last from 3 to 6 hours. If incorrectly injected the erection can last longer than 12 hours and can be incredibly dangerous.
The risks

Overuse of Duomix and Trimix (also know as SKAT - Schwellkörper-Autoinjektions-Therapie) can lead to prolonged erections (priapism), which can be painful and dangerous. If incorrectly injected the erection can last longer than 12 hours and this can be incredibly dangerous.
So why choose Trimix over Viagra (or Viagra over Duomix)?

Duo Mix (Trimix) and Viagra, each cater to different needs and preferences. One of the primary benefits of Duomix and Trimix is its effectiveness for individuals who do not respond to oral ED medications. Unlike oral treatments, Duo Mix does not require sexual stimulation to work, allowing for more predictable outcomes. Additionally, it maintains full penile sensation and orgasmic function, which is so important for a satisfactory sexual experience. But the need for injections can be a significant drawback, as it may cause discomfort and reduce spontaneity. Also not so good for people who are scared of needles. Duo Mix also requires refrigeration, adding a layer of complexity.

Furthermore, improper injection techniques can lead to adverse effects, making it essential for users to be well-informed and cautious.

Stu Fenton has many years of experience in giving both therapeutic help to chemsex-participants, but also with providing harm reduction services.
Improper injection techniques can lead to adverse effects, making it essential for users to be well-informed and cautious.
Alternatively, Viagra is a well-known oral medication that has helped many men manage their ED effectively. Its convenience as a pill makes it a popular choice, as it is easy to take and does not involve the discomfort associated with injections. However, Viagra has its limitations. It can cause a drop in blood pressure, particularly when combined with other substances like poppers, posing a risk to users with certain health conditions. Many users also say that it can give you a bad headache as well just after administration.

Additionally, some users may experience decreased inhibitions, potentially leading to risky sexual behavior. Importantly, Viagra is not effective for everyone, and those who do not respond to it may need to explore alternative treatments like Duo Mix.

Overall, Duo Mix and Viagra offer different benefits and drawbacks for treating ED. Duo Mix provides a reliable option for those unresponsive to oral medications but requires careful handling and administration. Viagra, because it’s so simple to use remains a popular choice, though it may not be suitable for everyone.
Consult a health care provider before use

These injectable medications, containing combinations of alprostadil, papaverine, and phentolamine, work by increasing the blood flow to the penis. However, it's crucial to use them safely to avoid complications. Consulting a healthcare provider is essential to determine the appropriate dosage and ensure the correct injection technique.

Be aware of side effects and avoiding interactions with other ED treatments or recreational drugs is also important.
Once your doctor – or other health care providers - has explained to you clearly with good direction how to use it, it is also a good idea to read the instructions very clearly.

Interactions you should be aware of:


Alcohol and Marijuana: Both Trimex and Duomix can cause dizziness, and consuming alcohol or marijuana may exacerbate this effect, leading to increased dizziness and impaired alertness.


Drugs that Increase Potassium Levels: Trimex, which contains triamterene and hydrochlorothiazide, can interact with other drugs that increase potassium levels, such as spironolactone, amiloride, and cyclosporine. This can lead to hyperkalemia, a condition characterized by elevated potassium levels in the blood.

Bile Acid-Binding Resins: If you are taking drugs to lower cholesterol, such as cholestyramine or colestipol, it is advised to take Trimex at least 4 hours before or 4 to 6 hours after these medications to avoid interaction.


Recreational Drugs: In the context of chemsex, substances like crystal methamphetamine, mephedrone, and other stimulants are commonly used. Mixing these with medications like Trimex and Duomix can pose significant health risks, including cardiovascular issues and increased side effects.


Erectile Dysfunction Drugs: Mixing chemsex drugs with erectile dysfunction medications like sildenafil (Viagra) can lead to prolonged and potentially dangerous sexual activity.

NSAIDs and Diet Aids: Some over-the-counter products, such as NSAIDs (e.g., ibuprofen, naproxen) and diet aids, may contain ingredients that could raise blood pressure or worsen swelling, which should be considered if you are taking Trimex Duo Mix (Trimix) and Viagra.

User knowledge

Personally, I also have a friend who has been using duo mix for over five years and he was very kind to describe in graphic detail how to use this product safely and following his direction I have not had a problem. I called him my “Cock Coach.” And in the first month of experimenting with dosages, any questions I had, I was able to ask him, and he was always very clear on different ways of keeping it safe.

If the hardon won`t go down

If the erection has not gone down after 6 hours these are the immediate steps to resolve the problem.
1.Apply Ice Pack: Placing an ice pack on the groin area can help reduce the erection.
2.Physical Activity: Engaging in mild exercises like walking can assist in reducing the erection.
3.Cold Shower: Taking a cold shower may also aid in resolving the issue.


If these steps don`t work then immediately seek medical assistance:
What the doctor will most likely do…

1.A doctor may perform aspiration, using a needle and syringe to drain blood from the penis.

2.Medication: Injection of medications like phenylephrine or adrenaline into the penis may be considered to constrict blood vessels and reduce blood flow.

3.Surgical Options: In severe cases, surgical intervention might be required to create a shunt allowing blood to flow out of the penis.

Emergency Room Visit: Immediate medical attention is vital in cases of priapism to prevent permanent tissue damage and potential long-term erectile dysfunction.

Don`t hesitate to call for help!

Delaying treatment can have serious consequences. Some gay men who have successfully used Duomix and Trimix before may rationalize the situation by saying “It will go down eventually, but anything beyond six hours must be taken extremely seriously. I personally know of situations where men did not go and seek help from a hospital in these cases and negative effects have been long term and for example, can impact an individual`s ability to have effective erections in the future.

Not a protection against infections

If used correctly Duomix and Trimix can be great for people mixing sex and drugs (and people experiencing erectile dysfunction). It is important to know what you are doing though before you decide to inject something in your verry valued dick.
Practicing safer sex remains vital, as these medications do not protect against sexually transmitted infections (STIs). Having sex for many hours can increase the risk of sores due to frictions, wiych in turn can heighten the risk of hepatitis C and other bloodborne and sexually transmitted infections. Utilizing condoms and regular testing for sexually transmitted infections is recommended.
In the end we all look back to a very good party, and isn't that what it's all about?
Want to contact Stu Fenton?
Stu Fenton is an experienced clinical psychotherapist and counselor with over 18 years of expertise in addiction treatment. He’s known for his pioneering work in developing world-leading clinical programs, including the R12 Alumni Project and the ChemSex Abstinence Project. Stu did himself overcome Chemsex addiction himself to becoming a knowledgeable expert in the field. Stu Fenton is based in Berlin and you can reach him via:

http://www.beyondaddiction.eu/

https://stufenton.com.au/
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Publisert 17.8.2024