Cvs sildenafil cost

Be careful not to pull the syringe out as you’re injecting the medication. Once you have injected all of the medication, quickly pull the needle out of your penis. Don’t use a twisting or jerking motion, because this may cause bruising. Apply pressure at the injection site for 2 to 3 minutes with your thumb on the injection site and your index finger on the opposite side of your penis. If you’re taking a blood thinner or aspirin, hold the pressure for 5 minutes.

This will help to decrease any bleeding or bruising.

It usually takes a few injections to find the right dose for an erection firm enough to have sex. It’s important that you follow the treatment plan that your APP gave you.

If you’re adjusting your own medication dosing, the office will no longer be able to prescribe your medication.

Please use the grading scale below to rate your level of hardness after injecting.

Call your APP and tell them your responses and whether you’re getting the results you want.

Your APP will tell you which dose to try next based on your response. Please make sure to include the information below in your injection reports. For your first injection: inject ___________ units of ____________________________ while you’re at home.

Use cvs sildenafil cost the erection scale above and record your response below.

Call your APP after each injection to report your response. Keep calling your APP after each injection until we find the right dose for you.

Phone number:________________________________________.

Do not change your dose without speaking with your APP. Do not give yourself your next injection until you have reported the result of your last injection.

Don’t take more medication than the dose prescribed. Don’t change the dose without speaking to your APP.

Don’t give yourself another injection if the medication doesn’t work. Speak with your APP if you aren’t getting the effects you want. You can inject up to 3 times a week as long as there are 24 hours between each injection.

If you’re currently receiving chemotherapy for cancer, ask your oncologist (cancer doctor) when you can safely inject.

Don’t take any other medication for ED without speaking to your APP. Do not take the following medications within 18 hours of an injection (before or after): Medication Dose Sildenafil (Viagra) 20 mg to 100 mg Vardenafil (Levitra) 10 mg to 20 mg Avanafil (Stendra) 50 mg to 200 mg.

Your APP will order your supplies for you from a compounding pharmacy.

Your supplies will include: 1 vial (500 units) of ______________________ medication 30 syringes (29 gauge, ? inch) 24 pseudoephedrine HCl (Sudafed ® ) 30 mg tablets.

You will also need to buy alcohol pads from your local pharmacy. Your injection medication can’t be ordered from your local retail pharmacy (such as CVS, Rite Aid, Duane Reade, or Costco). They will be ordered from a specialty compounding pharmacy approved by MSK: MasterPharm www.masterpharm.com Telephone: 866-630-5600 Fax: 718-529-2780 Other: ______________________ ___________________________ ___________________________ ___________________________. They will order more supplies for you and will let you know if refills are included.

If refills are included, you can contact the compounding pharmacy directly to set up your billing and shipping. Pseudoephedrine HCl (Sudafed) Sometimes, penile injections can cause priapism (an erection that lasts too long). If you have priapism, taking pseudoephedrine HCl can help.

Read the instructions in the “Treating Priapism (An Erection That Lasts Too Long)” section for more information. If you want to buy the pseudoephedrine HCl at your local pharmacy, you don’t need a prescription, but the boxes are kept behind the pharmacy counter.

Take the pseudoephedrine HCl card that’s hanging on the shelf to the pharmacist (see Figure 4).

You will have to show a photo ID before the pharmacist gives you the box to purchase. Make sure to have pseudoephedrine HCl with you as long as you’re using the penile injections.

If you have problems with your heart, talk with your cardiologist about whether it’s safe for you to take pseudoephedrine HCl. Treating Priapism (An Erection That Lasts Too Long) Priapism is an erection that lasts too long. Priapism can develop without sexual stimulation and doesn’t go away after orgasm. There is a risk of having priapism after penile injection therapy. When you have a full erection, no fresh blood flows into your penis. This means that your penis isn’t getting oxygen, which can damage the tissue and lead to permanent ED.

If you have an erection at penetration hardness (a 6 or higher on the erection hardness scale) that lasts 2 hours, take 4 (30 mg) tablets of pseudoephedrine HCl (Sudafed). Don’t take extended-release or long-acting tablets, such as Sudafed 12 hour. Ask your pharmacist or APP if you have any questions. The pseudoephedrine HCl will be shipped by the compounding pharmacy along

with

For more information, read the “Pseudoephedrine HCl (Sudafed)” section above.

If your erection becomes less than penetration hardness within an hour of taking pseudoephedrine HCl, call your doctor’s office the next day to speak with your APP. You shouldn’t continue to inject with the same dose if you took pseudoephedrine HCl for a prolonged erection.

Your APP will make changes to your penile injection therapy medication dose. If you have an erection that lasts 3 hours (you still have an erection 1 hour after taking the pseudoephedrine HCl), call your APP and plan to go to MSK’s Urgent Care Center or your local emergency room.

Monday through Friday between 9:00 am and 5:00 pm , call your APP. Phone number: __________________________________________ Between 5:00 pm and 9:00 am , during the weekend, and on holidays, call 212-639-2000 and ask to speak to the urologist on call. Go to MSK’s Urgent Care Center at Memorial Hospital (1275 York Avenue, between East 67 th and East 68 th Streets) if you’re less than 30 minutes away. Your APP will call the Urgent Care Center so they know to expect you.

Your APP will give you more instructions during your call. Go to your local emergency room if you’re more than 30 minutes away from MSK’s Urgent Care Center. Your APP will give you more instructions during your call. If you have an erection that lasts 4 hours and you haven’t talked to your APP, this is a medical emergency.

You should treat it with the same urgency as a heart attack.

Erections lasting longer than 4 hours can cause permanent damage to your erection tissue.

Go to MSK’s Urgent Care Center if you’re less than 30 minutes away.

Ask the guard at the entrance to the hospital how to get there. Go to your local emergency room if you’re more than 30 minutes away from MSK’s Urgent Care Center. Tell the staff at the Urgent Care Center or emergency room that you’ve had an erection for 4 hours. If you aren’t treated quickly, it’s possible that you will end up with permanent ED.

Give the doctor or nurse the priapism card that was given to you to carry in your wallet.

You can also have the doctor or nurse call us at the numbers listed above. After Pelvic Surgery for Prostate or Bladder Cancer.

If you have had pelvic surgery for prostate or bladder cancer within the past year, your doctor may have told you to take a low dose of sildenafil (Viagra), vardenafil (Levitra), avanafil (Stendra), or tadalafil (Cialis) every night, except on days or nights you plan to inject.