ErecTrack

Important Safety Reminders

1. Do not change your dose without speaking with your healthcare provider (HCP). 

2. Keep calling your HCP after each injection until we find the right dose for you.

3. If you are having a medical emergency, call 911.

Top Tips

• Don’t take more medication than the dose prescribed.
• Don’t change the dose without speaking to your HCP.
• Don’t take more than 1 injection in 24 hours.
• Don’t give yourself another injection if the medication doesn’t work. Speak with your HCP if you aren’t getting the effects you want.
• Your partner shouldn’t inject you if they did not inject you at your training session.
• 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 erectile dysfunction without speaking to your HCP.
• Do not go to sleep until your erection is bendable.
• Do not take the following medications within 18 hours of an injection (before or after):
  • Sildenafil (Viagra) 20-100 mg 
  • Vardenafil (Levitra)10-20 mg 
  • Avanafil (Stendra) 50-200 mg
• Do not inject within 72 hours (3 days) of taking tadalafil (Cialis) 10-20 mg.
• If you’re using tadalafil (Cialis) 5 mg daily, ask your HCP how you should use this medication along with your injections.
• Tell your HCP all of the medications you’re taking, especially if you’re taking one of the following:
  • Medication for depression, or classified as an monoamine oxidase inhibitor such as phenelzine (Nardil®)
  • A sleep aid, such as trazodone (Oleptro ER®)
•  If you have symptoms or concerns that you would like to discuss with us before your next visit, please call your healthcare provider’s office. On weekdays before 9:00 AM and after 5:00 PM, weekends, and holidays, please call 212-639-2000.
• If you have any questions or concerns, please contact the clinic though MyChart.

• Report any of these issues that occur frequently after the injection to your HCP. 
• You should apply firm pressure at the injection site for 2-4 minutes after injecting.

• Report any of these issues that occur frequently after the injection to your HCP. 
• You should apply firm pressure at the injection site for 2-4 minutes after injecting.

CRITICAL: 

1. Stop medication. 

2. Call Clinic at (212) 639-2000. Ask to speak to the urologist on call.

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 your penis isn’t getting oxygen, which can damage the tissue and lead to permanent erectile dysfunction. If you develop priapism

• 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 HCP if you have any questions. The pseudoephedrine HCl will be shipped by the compounding pharmacy along with the vial of medication and syringes, or you can buy it at your local pharmacy. 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 healthcare provider’s office the next day to speak with your HCP. You should not use your penile injections again until speaking to your HCP. Your HCP 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 HCP and plan to go to MSK's Urgent Care Center or your local emergency room.
  • Monday through Friday between 9:00 a.m. and 5:00 p.m., call your HCP.
  • Between 5:00 p.m. and 9:00 a.m., during the weekend, and on holidays, call the emergency number provided  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 67th and East 68th Streets) if you’re less than 30 minutes away. Your HCP will call the Urgent Care Center so they know to expect you. Your HCP 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 HCP will give you more instructions during your call.
• If you have an erection that lasts 3 hours and you haven’t talked to your HCP, 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. A healthcare provider should see you immediately. If you aren’t treated quickly, it’s possible that you’ll end up with permanent ED.
  • Give the healthcare provider the priapism card that was given to you to carry in your wallet. You can also have the healthcare provider call us at the numbers listed above.