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(Alprostadil is also called prostaglandin E1. In powdered sort, it may be called CaverJect or Edex.) Papaverine plus phentolamine in addition alprostadil (Tri-Mix) is among the most potent alternative. It demands refrigeration and it has the same side effects as papaverine and alprostadil. Quad-Blend, a combination of Tri-Blend and a drug called at