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(Alprostadil is also called prostaglandin E1. In powdered type, it could be named CaverJect or Edex.) Papaverine plus phentolamine plus alprostadil (Tri-Blend) is among the most strong selection. It needs refrigeration and it has a similar side effects as papaverine and alprostadil. Quad-Combine, a combination of Tri-Blend along with a drug named a