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FAQs

RX Buyers Club USA is committed to providing fast and reliable solutions for men’s health, offering discreet access to high-quality medications. Whether you’re looking for erectile dysfunction medication online or seeking personalized assistance, the streamlined process ensures convenience and privacy every step of the way. With dedicated customer support and nationwide delivery, RX Buyers Club USA has helped thousands regain confidence and improve their quality of life.

Erectile Dysfunction Medication Online

General Membership & Telemedicine

Trimix FAQs

PT-141 (Bremelanotide)

Rapid Dissolving Tablets (RDTs)

Troches

Shipping

When I search online for prices of the prescription drugs I am taking, the prices vary widely. Shouldn’t I simply pick the online vendor that’s offering the lowest price?

Not if you're serious about staying healthy. You should never order prescription drugs from an unknown vendor without first verifying the legitimacy of the operation and the quality of the drugs they provide.

How much is membership/enrollment?

Click here for pricing and breakdown

Do I need a prescription to order?

Yes. RX Buyers Club USA will assist you.

Is there a contract?

No, there is no contract.

Are services available overseas?

No, services are limited to the United States.

Are online telemedicine services available?

Yes. We will help facilitate Telemedicine service for you.

What is Trimix?

Trimix is a prescription injectable medication used to treat erectile dysfunction (ED). It contains a combination of three medications—papaverine, phentolamine, and alprostadil—that work together to force an erection.

 

Papaverine, Phentolamine and (PGE)Alprostadil

Papaverine: is a vasodilator: produces an erection by allowing for increased blood flow to the penis. (Brings blood into the penis)

Phentolamine: is an Alpha Blocker: induces an erection by relaxing and dilating the blood vessels of the penis, as well as by elevating cardiac output (Makes more room to store more blood )

PGE: (Alprostadil): known as Prostaglandin in the body: allows for more blood into the penis and lets less blood out by relaxing the penis's blood vessels and dilating cavernosal arteries (Retains blood in the penis )

The ratio of the mixtures of the the three come in many varieties to suit patient needs.

How does Trimix work to produce an erection?

Trimix induces an erection by relaxing the smooth muscles and widening the blood vessels in the penis. They are not dependent on nerve stimulation.

Does a tolerance develop, creating a need for increasing dosage?

This can happen over time. Aging also influences the need for stronger formulas.

Who is Trimix for?

Trimix is typically prescribed when oral ED medications (like Viagra or Cialis, which are PDE5 inhibitors) are ineffective.

How long has Trimix been in use?

Trimix has been in clinical use since 1983.

How effective is Trimix?

Will it work for you? Yes

Caveat: There is an apparent consensus of around 90% efficacy.

ie: It works for around 90% of the people who tried it

Research white paper summary:

Combination therapy was first introduced in 1991 by Bennett and coworkers[2] with a reported success rate of 92%

https://www.medscape.com/viewarticle/436979  

  • Efficacy for this treatment option is as high as 87% to 93%

Linet &. Ogring, 1996
https://www.suna.org/download/members/unjarticles/2006/06dec/449.pdf 
by JA Albaugh - ‎2006 - ‎Cited by 11 - ‎Related articles
(KSSMA) Guideline on Erectile Dysfunction - :: WJMH :: The World ...
https://wjmh.org/DOIx.php?id=10.5534/wjmh.2013.31.2.83
by JK Ryu - ‎2013 - ‎Cited by 18 - ‎Related articles
Aug 31, 2013 - Trimix was shown to have a better efficacy rate (92%) and less pain, but a higher risk of prolonged erection and cavernous fibrosis compared to ...

Variants & Alternatives

What is QuadMix?
Trimix + Atropine, prescribed when standard Trimix is ineffective.

What is BiMix?
Trimix without Alprostadil (PGE). Often used by those who experience pain from Alprostadil.

What is Forskolin?
A vasodilator occasionally substituted for Alprostadil in patients with sensitivity.

What is VIP?
A vasoactive peptide combined with phentolamine for ED, especially in men for whom other treatments are too harsh or ineffective.

Injection Instructions

What should I feel when I inject?

Most men report very light discomfort. The area has few nerve endings, so pain is typically minimal. 

Where do I inject Trimix?

Inject one inch from the base of the penis, aiming for the 3 o’clock or 9 o’clock position. Avoid veins and rotate injection sites to prevent tissue damage. 

How should I hold the penis while injecting?

Hold the penis fully extended and flat to create a smooth surface with minimal wrinkles. 

What type of needle should I use?

Use a 1/2-inch, 29–30 gauge needle, and insert it at a 90-degree angle to the shaft. 

TriMix Usage

Trimix produces erections generally lasting 1-4 hours

Trimix produces erections generally regardless of your circumstance, including too much alcohol, too much caffeine, too much etc...

Extended erections can be quite hazardous and dangerous to penis health. Penises need fresh blood flow after a while and TriMix inhibits this. 

What to Expect?

What if I feel strong resistance when pressing the plunger?

Stop. You may have hit the wrong area. Withdraw and try a different site using proper technique.

Can I inject again if the first attempt didn’t work?

No. The first dose will still absorb into the system. Wait until the next day to try again on the opposite side of the penis. 

How to Open Trimix Vials

Click Here:  How to Open Trimix Vials  | Opens New Window 

Select 2nd Video : "What Trimix Is and How to Self-Inject TriMix Medication (with Step-by-Step Instructions)" remove cap starts at: 00:55 

How to Inject TriMix Videos

TriMix Injection Techniques videos

Click Here for Trimix Videos | Opens New Window 

Dosing & Duration

What is the starting dose?

Start with 0.1 ml (10 units) to gauge your response, then adjust as needed under medical guidance.

How long does an erection last?

Typically, 1 to 4 hours depending on dosage and personal response.

How many doses in a 5ml vial?

With an average 0.2 ml dose, a 5ml vial provides approximately 25 doses.

TriMix Reversal

Phenylephrine: Erection Reversal

  • Use only when needed (after about 4 hours of sustained erection)
  • Not recommended: using Phenylephrine every time just to "knock down" your erection can result in other issues
  • Waiting longer than 4 hours may negatively affect your results with Phenylephrine
  • Dose yourself with .5 ml (50 units on the syringe),  keep repeating every 5-10 minutes until the erection is lost
  • Inject into your penis in the same method as Trimix​

Liquid Phenylephrine is strongly recommended for those with any blood pressure or heart issues


Phenylephrine Reversal

Phenylephrine is a potent vasoconstrictor.  Inject 100-500 mcg <micrograms> (0.1 ml - 0.5 ml) into the penis cavernosa. Repeat every 5-10 minutes and/or up to 1,000 mcg (1 ml) until your erection is gone.

After injection, massage the penis (the corpora cavernosa) to facilitate drug distribution.

Lower volumes should be used in patients with severe cardiovascular disease


Trimix and Sudafed for Erection Reversal

Sudafed and Benadryl can be used to reduce a prolonged erection.  However NOT Recommended for those with any blood pressure or heart issues (use Liquid Phenylephrine)

Memorial Sloan hospital instructs: take 4 (30 mg) tablets of pseudoephedrine HCl (Sudafed) of the "Fast Acting" variety Only, not the "Time Release": via Memorial Sloan https://www.mskcc.org/cancer-care/patient-education/priapism

Storing TriMix

Keep Refrigerated. It begins to lose its potency after 6-8 weeks.

Storing frozen, membership reports having stored Trimix frozen 6-9 months after which it began to lose potency. 

How you thaw matters. Recommended: Rubbing between your palms and shaking to break up the ice will thaw a vial in about 3-5 minutes without risking excess heat exposure

Thawing & Freezing repeatedly is not recommended. Cycling often between frozen and liquid form may degrade its stability and potency.

Thawing in water is Not Recommended

Other options

1) Putting some pre-measured syringes in the refrigerator and freezing the difference (however the syringe plastic does not freeze well) 

2) Buying sterile vials online and refrigerating some of them and freezing the difference.  

(Also purchasing in larger 10ml vials and then storing, provides for significant quantity discount & shipping savings)

Does the medication lose potency over time even if stored correctly? Yes

  • It will Begin to lose its strength after 60-90 days in a refrigerator  
  • Frozen it can last for six months (or more) 
  • Also cycling between freezing and thawing may degrade its strength


Caution Advisory | Contamination Possibilities

The following indicates contamination of your injectable medication

(Trimix, Quadmix, Bimix, etc...) and Should Not be Used 

  • Medication with anything floating in the vial
  • Medication that is has discoloration, should be clear

Usage of contaminated medication can be very harmful! Do not use.

Important Reminders

Never inject more than once per 24 hours

  • Always alternate sides
  • Monitor duration closely to avoid priapism
  • Store and handle medication responsibly
  • Buy only from FDA- or ACHC-accredited U.S. pharmacies

Traveling & Trimix

Can I fly with Trimix?

Yes. TSA agents are familiar with medications that require cooling, and injectable medications like Trimix can be transported safely through airport security.

How should I pack Trimix for a flight?

Use a small thermos with ice or a TSA-approved insulin travel container. Make sure the Trimix is already frozen when you leave. Always bring your written prescription and consider laminating or taping it to your cooler or pouch.

What are the best products for traveling with Trimix?

FRIO pouch: No ice or power needed—just soak in water to activate cooling for 1–2 days.

Voyager Insulin Travel Fridge: Electrically powered and TSA-approved for consistent cold storage.

Should I notify TSA agents?

It's not required, but many travelers recommend proactively informing TSA that you're carrying prescription injectable medication. Having your prescription label attached to the syringe or cooler can ease the process.

Is checked baggage okay for Trimix?

It’s possible, but not ideal. If your checked bag is lost or delayed, you'll be without your medication. Most users prefer carrying Trimix in their personal or carry-on bag.

Bottom line?

TSA sees injectables often (like insulin), and as long as your Trimix is packed correctly and you have a valid prescription, you should have no issues at all.

Trimix Safety & Contamination

What are signs of contamination?

Do not use Trimix if:

• It appears cloudy or discolored

• You notice floating particles inside the vial

• Contaminated vials can lead to serious infections and should be discarded immediately.

Important safety note: If your needle becomes bent do not straighten and reuse it. A bent needle can break off during injection, which can result in serious injury. Always use a new, sterile needle.

TriMix Risks

There is always risk to whatever medication you take.

The big ones for Trimix you may already know:

Extended erections: Penises need blood, erections inhibit blood flow. Cut blood flow off long enough and it becomes an issue.  This is THE reason to have reversal medication available (phenylephrine)

Peyronies disease: Tissue hardening, especially at injection sites, can cause curvature over time. Making it a really good idea to alternate injection sites.

What is PT-141?

PT-141, also known as Bremelanotide, is a synthetic peptide used to treat sexual dysfunction in both men and women. It works by activating melanocortin receptors in the brain, enhancing sexual desire.

How is PT-141 administered?

PT-141 is typically administered via subcutaneous injection or orally. 

What are common side effects?

Common side effects include nausea, flushing, and headache.

What are RDTs?

Rapid Dissolving Tablets (RDTs) are tablets that dissolve quickly in the mouth without the need for water, allowing for rapid absorption of the medication.

What are the advantages of RDTs?

Advantages include ease of administration without water, rapid onset of action, and improved patient compliance, especially for those who have difficulty swallowing pills.

What is a troche?

A troche is a small, lozenge-like dosage form that dissolves slowly in the mouth, allowing the medication to be absorbed through the oral mucosa.

What are the benefits of using troches?

Benefits include bypassing the gastrointestinal tract, which can lead to improved bioavailability, and the ability to compound multiple medications into a single troche.

How are medications shipped?

All orders are shipped overnight using insulated packaging with cold packs when needed, ensuring your medications arrive quickly and safely.

When will my order arrive?

Once your prescription is approved and payment is processed, your order ships overnight. 

Do you ship to all states?

States Our Services Are Available

Alaska
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States Where Our Services Aren’t Available

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What should I do if there’s an issue with my shipment?

If your package is delayed, lost, or arrives damaged, please contact us immediately and we’ll resolve the issue promptly.

Have questions or need personalized guidance? We’re here to help—reach out to our team at RX Buyers Club USA USA for trusted answers and support.