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QuadMix Injections
QuadMix Injections
QuadMix Injections
QuadMix Injections
FREE doctor CONSULTATION + Prescription Every treatment includes a virtual visit with a licensed physician to review your needs and medical history, answer questions, and discuss treatment options.
FREE doctor CONSULTATION + Prescription Every treatment includes a virtual visit with a licensed physician to review your needs and medical history, answer questions, and discuss treatment options.

QuadMix Injections

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Quad-Mix is a compounded prescription injection designed to help men achieve and maintain an erection when oral ED medications may not provide the desired results. It combines four active ingredients that work through complementary mechanisms to promote increased blood flow to the penis and support erectile function.

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Phenylephrine is included with every subscription order and with the first order of a one-time purchase plan.
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  • Four active ingredients in one formulation — Combining medications with different mechanisms produces a coordinated vascular response.
  • Works directly in the erectile tissue — The medication is delivered locally through intracavernosal injection.
  • Support throughout the process — Detailed instructions are included, and our team is available to help with questions.
  • Compounded in the USA — All our medication is compounded in our accredited partner pharmacy right here in the USA.
  • 1 ML multiple-use vial — Your doses depend on your frequency of use and the amount prescribed by your physician.

Papaverine HCL: a smooth-muscle relaxant that promotes blood flow within the erectile tissue. 

Phentolamine Mesylate: an alpha-adrenergic blocker that helps reduce signals that cause smooth-muscle contraction. 

Alprostadil: a prostaglandin E1 medication that promotes smooth-muscle relaxation and vasodilation. 

Atropine Sulfate: an anticholinergic medication that has been incorporated into some four-drug intracavernosal formulations.

Four medications working through different pathways.
Quad-Mix combines multiple vasoactive agents in one prescription, creating a multi-mechanism approach to intracavernosal ED treatment.

Designed for men who need an advanced treatment option.
For some men, oral medications aren’t enough. Intracavernosal therapy provides a different treatment pathway that acts directly within the erectile tissue.

Personalized, provider-guided care.

Your treatment isn’t one-size-fits-all. Your provider evaluates your health and response to treatment and determines the appropriate dosing strategy. 

PAPAVERINE HCL:

  • Papaverine helps relax the smooth muscle surrounding the penile blood vessels. 
  • This supports increased blood flow into the erectile tissue, which is an important part of achieving an erection.

PHENTOLAMINE MESYLATE:

  • Phentolamine blocks alpha-adrenergic receptors involved in sympathetic signaling. 
  • This can reduce smooth-muscle contraction and support the vascular changes associated with an erection.

ALPROSTADIL:

  • Alprostadil is a prostaglandin E1 medication that directly promotes smooth-muscle relaxation and vasodilation. 
  • It is an established intracavernosal treatment for ED and is one of the key components used in combination injection therapy.

ATROPINE SULFATE:

  • Atropine blocks muscarinic acetylcholine receptors. 
  • It has been included in some four-drug intracavernosal formulations, but clinical evidence does not clearly show that adding atropine always improves erectile response.
  • Why we include Phenylephrine (read before use)
    Phenylephrine is a safety medication sometimes prescribed to help resolve an erection that does not go down after Quad-Mix. It is included complimentary with your first order when prescribed or with every subscription order. Use only exactly as your provider directs. If an erection lasts 4+ hours, go to the ER immediately even if you have phenylephrine on hand.
  • Shipping & Storage
    Your order is shipped overnight on ice in discreet packaging with tracking. Refrigerate on arrival and follow the beyond-use date (BUD) on your pharmacy label. We pack all supplies needed to begin once your provider has approved your plan.

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STEP-BY-STEP PROCESS

1. CHOOSE A PURCHASE OPTION

Explore our various treatment options.

2. COMPLETE AN ONLINE QUESTIONNAIRE

Because our products are RX, a licensed medical provider will review your needs and approve your medication.

3. ENJOY FREE SHIPPING

Products are shipped discreetly to your home.

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FAQS

Are Quad-Mix injections safe?

Yes, when done under the supervision of a medical professional, Quad-Mix is an extremely safe and effective treatment for erectile dysfunction (ED). As with any medicine, Quad-Mix can come with side-effects, the most common of which are headaches, dizziness, pain at the injection site, and prolonged erections.

Quad-Mix is injected directly into the shaft of the penis shortly before sex. To see a detailed injection video for Quad-Mix, you can click here: https://www.youtube.com/watch?v=-KGLryQMdsk

An erection usually lasts for 30 to 60 minutes. This can vary. But if it lasts over 4 hours, this is considered a medical emergency.

Peak Now does not believe in hidden fees. All prices are all-inclusive of the medication, physician consultation, supplies, overnight shipping, and full access to our support and clinical teams.

Quad-Mix is used shortly before sex. That’s because it usually takes about 5-10 minutes to get an erection after your dose. But if you don’t get an erection, don’t give yourself another dose unless instructed by your healthcare provider. Don’t take a different ED medication unless directed to — this can be dangerous. Make sure you’re not using expired medication, since this could be the culprit. But if Quad-Mix isn’t working for you, your healthcare provider may need to adjust your dose.

Most men describe a mild pinch that fades in seconds. We use a fine, short needle to keep it comfortable.

The vial of Quad-Mix that you are currently using should be stored in the refrigerator. Quad-Mix can be left at room temperature for a short period while you are using it. While traveling, transport Quad-Mix with an ice pack.

Most orders are approved the same day and shipped within 3 business days. However, processing times may be extended if additional information or documentation is missing during your online physician consultation. To help avoid delays, please monitor your email and messages regularly and respond promptly to any requests from your physician or care team. Once your consultation has been approved and your prescription has been issued, your order will be shipped within 3 business days via FedEx Overnight delivery. Pharmacy Shipping Schedule: Orders ship Monday through Thursday only. The pharmacy does not ship on Fridays, Saturdays, or Sundays. Orders approved after the weekly shipping cutoff or during non-shipping days will be shipped on the next available shipping day, typically Monday.

Your physician will manage the dosage of any prescribed medicine. It is important for your doctor to monitor your progress. As part of the program, you may contact your doctor approximately once every 4 weeks. You will also have access to our customer service team for questions.

No, compounded Quad-Mix medications are not covered by insurance. All services are self-pay, and Peak Now will do its best to work within your monthly budget.