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Medications · Sexual health
Combination injectable for erectile dysfunction (state-restricted).
What it does
Trimix is a compounded injectable combination of papaverine, phentolamine, and alprostadil (PGE1) used for erectile dysfunction in patients who don't respond adequately to oral PDE-5 inhibitors. It's prescribed by urologists and sexual-health doctors and dispensed in states where the regulatory environment permits.
How it works
Each component contributes to penile smooth-muscle relaxation through a different pathway: papaverine is a non-specific PDE inhibitor, phentolamine is an alpha-adrenergic blocker, and alprostadil is a PGE1 analog. Combined, they produce a more reliable response than any one alone, often even when PDE-5 inhibitors fail.
How long it's been studied
Each component has been clinically used for decades; the combination has been compounded for ED since the 1980s-90s. Prescribing patterns and safety data are well-established in urology practice.
Dosing
Doctor-prescribed and titrated under medical supervision. Trimix is dispensed in vials with doctor-instructed dosing volumes (typically 0.05–0.5 mL injected into the corpora cavernosa). Initial dosing is done in the doctor's office to titrate response and avoid priapism.
This page is informational, not a dispensing aid. Trimix Injection is dispensed only on a patient-specific prescription written by a licensed doctor for an identified patient. Compounded drugs are not FDA-approved and should not be evaluated using branded-drug trial data. Availability varies by state and prescribed medication.
How to access Trimix Injection through RonanRx
Doctors can prescribe compounded Trimix Injection for individual patients through RonanRx. Patients with a doctor can sign up to receive their prescription. Patients without a doctor can learn how the referral works.
For doctors
A pharmacist will follow up within two business days. We'll cover state availability, supported formulations, and what integration looks like for your clinic.
Patient with a doctor
If your doctor has already prescribed Trimix Injection, sign up so we can prepare and ship your medication. The signup wizard collects intake and connects you to the prescribing workflow.
Patient without a doctor
RonanRx prescribes through partner clinics — we don't initiate prescriptions on this site. Read how the referral process works and how to find a partner clinic in your state.
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