But most men will find that they can get better prices on other medications — as well as a wider variety of doses, billing periods, and combination therapies — from Hims. Either way, both companies offer convenient, effective options for managing ED. Dunn, P.J., Sandwich, K., Wood, A.S. (1997, June 4).
- Chewable sildenafil can be taken with or without water.
- When to take: about 30 minutes before sexual activity.
- Do not crush or swallow the tablet whole, chew thoroughly.
- Alcohol can decrease the effectiveness of the medication.
- Be aware of side effects like nasal congestion or back pain.
- It is important to follow dosage instructions carefully.
- The medication is prescribed for adult men only.
- Inform your doctor if you have kidney or liver problems.
- Do not share your medication with others.
- Use as part of a broader treatment plan for erectile dysfunction.
- Sildenafil does not cause spontaneous erections without stimulation.
- Regular check-ups are advised when using sildenafil long-term.
Cardiovascular Safety of Phosphodiesterase Type 5 Inhibitors After Nearly 2 Decades sildenafil white on the Market. Sexual Medicine Reviews, 6(4), 583–594. British Journal of Clinical Pharmacology, 53(Suppl 1), 61S. Vardenafil has an extended, 8 h duration of action. Nature Clinical Practice Urology, 4(2), 62-63. Pathophysiology of visual disorders induced by phosphodiesterase inhibitors in the treatment of erectile dysfunction.
What other drugs will affect sildenafil?
Keeps: Hims’ chief competitor in the hair loss space is in the midst of launching several new products unrelated to hair loss, including ED medications (tablets, not chewables). At this point, prices don’t appear to be competitive with BlueChew or Hims. While some of these companies may offer viable medications at competitive rates, none of them compare to Hims or BlueChew in terms of price or diversity of chewable offerings. In our final analysis, it’s clear to us that Hims is the superior choice for men who intend to take ED meds for any length of time. Those just starting out can certainly take advantage of BlueChew's free trial to see whether a given medication works at all, and BlueChew’s sildenafil price still beats Hims. Drug Design, Development and Therapy, 10, 3407-3413. The role of tadalafil in treated hypertensive patients with erectile dysfunction. The Journal of Clinical Hypertension, 24(2), 182-183. The phosphodiesterase inhibitory selectivity and the in vitro and in vivo potency of the new PDE5 inhibitor vardenafil. International Journal of Impotence Research, 13(5), 282–290.
- Sildenafil chewables are designed for rapid action.
- Avoid taking other ED medications concurrently.
- The tablet should be thoroughly chewed before swallowing.
- Use only under medical supervision for safety.
- The effects are influenced by individual health status.
- Avoid high-fat diets around the time of dosing.
- Be mindful of the timing of administration relative to sexual activity.
- Do not use if you have a known allergy to sildenafil.
- Follow dosing instructions provided by your healthcare provider.
- Report any persistent or severe side effects immediately.
- Sildenafil does not protect against sexually transmitted infections.
- Maintain regular health check-ups while using ED medication.
Which of available selective serotonin reuptake inhibitors (SSRIs) is more effective in treatment of premature ejaculation? International Brazilian Journal of Urology : Official Journal of the Brazilian Society of Urology, 45(6), 1209-1215.
| Parameter | Value | Unit | Notes |
|---|---|---|---|
| Tmax (Time to peak) | 30-60 | minutes | When the maximum plasma concentration occurs |
| Half-life | 4-5 | hours | Duration of drug activity |
| Bioavailability | 40-50 | % | Fraction of drug absorbed into circulation |
| Onset of Action | 15-30 | minutes | Time until effect begins |
Phosphodiesterase-5 inhibitors for premature ejaculation: A systematic review and meta-analysis.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Viagra Generic | 50mg | 60 + 4 Pills | 83.93€ 79.93€ | |
| Viagra Generic | 150mg | 30 + 2 Pills | 72.32€ 68.88€ | |
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Viagra Generic | 100mg | 10 Pills | 28.91€ 27.53€ | |
| Viagra Generic | 100mg | 30 + 4 Pills | 60.91€ 58.01€ | |
| Viagra Generic | 25mg | 20 Pills | 37.74€ 35.94€ | |
| Viagra Generic | 150mg | 360 + 10 Pills | 423.48€ 403.31€ | |
| Viagra Generic | 100mg | 90 + 6 Pills | 129.02€ 122.88€ | |
| Kamagra | 100mg | 60 + 4 Pills | 201.34€ 191.75€ | |
| Kamagra | 100mg | 20 Pills | 86.09€ 81.99€ | |
| Kamagra Polo | 100mg | 12 Pills | 60.21€ 57.34€ | |
| Viagra Generic | 100mg | 360 + 10 Pills | 330.21€ 314.49€ |
Efficacy and safety of avanafil as compared with sildenafil in the treatment of erectile dysfunction: A randomized, double blind, multicenter clinical trial. International Journal of Urology, 29(4), 351-359. Effect of vitamin D sildenafil 20 mg tablets supplementation on testosterone levels in men. Evaluation of vitamin E in the treatment of erectile dysfunction in aged rats. Life Sciences, 90(13-14), 489–494. Avanafil for erectile dysfunction in elderly and younger adults: Differential pharmacology and clinical utility. Therapeutics and Clinical Risk Management, 10, 701.
Usual Adult Dose for Erectile Dysfunction
On the prescription side, you can access SSRIs, which have a long history of treating PE, even though sildenafil citrate tablets 50 mg they’re technically prescribed off-label for that purpose. You might see benefit from PDE5 inhibitors like sildenafil and tadalafil, as well, which have also performed well in PE studies.16 17 Hims is one of the biggest online hair loss treatment providers, offering topical and oral finasteride and minoxidil, as well as various customizable combination treatments. One of those combinations even includes tadalafil to treat hair loss and ED simultaneously. Hims’ skin care line includes custom-formulated prescription anti-aging and acne creams, as well as cleansers and moisturizers you can get without a prescription. Our testers have tried them all, and we consider Hims anti-aging cream to be one of the better custom-tailored options out there.
Raynaud's phenomenon
Hims’ mental health care offerings have shrunk a bit over the years. At their height, they included psychiatric care and a bevy of group therapy sessions, as well as the promise of individual counseling in the future. Now the care is limited to available prescriptions for anxiety. Hims offers prescription valacyclovir for the management of oral and genital herpes. You can get just a few pills shipped to you at a time, with the intention to use them episodically (a typical regimen), or you can get a daily prescription to take prophylactically.
4. Complete your purchase
At this time, the prices and available doses from Roman are superior to Hims. The online weight loss industry is booming, with GLP-1 receptor agonists like Ozempic, Wegovy, and Mounjaro taking the fight against obesity by storm. Hims offers access to these drugs but doesn’t work with insurance companies, so you will likely pay full retail prices, which can cost over $1,000/month. We alluded earlier to some of Hims’ chief competitors, and one of those — Roman — also offers ED medications. That makes it a viable alternative to both BlueChew and Hims, at least until you start comparing prices. Customer: I would like to pause my plan for two months. There are no health issues or problems with the medication. Technician's Assistant: I understand you'd like to pause your BlueChew plan for two months. Just to clarify, which type of BlueChew plan are you currently subscribed to (e.g., Active, Chewable, Sildenafil, Tadalafil)? Customer: I'm on the chewable plan with 10 tablets a month of 45 mg sildenafil. Technician's Assistant: Thank you for sharing that you're on the chewable 45 mg sildenafil plan with 10 tablets per month. Could you let me know when you would like the pause to start?
What happens if I overdose?
At every turn, Roman has higher prices. It also has just one formula for a chewable in its catalog, which contains 55mg of sildenafil and 22mg of tadalafil. This is an even more intense dose than the 11mg of tadalafil in Hims’ chews, making it a product only suitable for men who’ve tried just about every dose up to that point. The strongest competitor against BlueChew and Hims is Rocket Rx, which offers better sildenafil prices than either and tadalafil prices that rival the best deals you can get from Hims. And it does this without requiring the long billing periods and high up-front costs you see with Hims’ best deals.
100% Online, 100% Convenient
In addition to Rocket Rx and Roman, there are a few other noteworthy alternatives: Rugiet: This company combines sildenafil, tadalafil, and apomorphine into sublingual lozenges (you let them dissolve under your tongue rather than chew them). Its products are significantly more expensive than BlueChew or Hims at this time. Promescent: The original purveyor of an oil-aqueous lidocaine spray for premature ejaculation has recently joined the ranks of ED medication providers with decent prices on tablets but no chewable medications. Sildenafil tablets start at $6/dose, which isn’t great, but 5mg tadalafil tablets start at just $2/dose. That’s lower than BlueChew’s 6mg tadalafil chews and the same price as BlueChew’s stronger tadalafil chews, but it’s not lower than the price of Hims’ daily tadalafil in either chewable or tablet form. Technician's Assistant: Thanks for letting me know you want the pause to start immediately and that you just received a shipment today. Have you paused or changed your BlueChew plan before, or would this be your first time making an adjustment? Technician's Assistant: I appreciate you sharing that you've paused your plan once before.
Still pretending everything's fine?
These men might prefer to stick with a brand-name drug, especially if they’ve had unexpected reactions to generics after having success with brand-name equivalents. We recommend sticking with regular generics for anyone starting out on their ED journey. They’re cost-effective and virtually identical to the original medication. That said, sildenafil is also sold as a blood pressure medication (brand name: Revatio), and its generic form is either less expensive or more readily available than the generic form of Viagra, as we tend to see it more often on telehealth platforms. You can tell the difference between the two generics by looking at the doses.
How does BlueChew work?
Generic sildenafil based on Viagra uses dose increments of 25mg, whereas generics based on Revatio use 20mg intervals. BlueChew uses neither increment, as its medications are custom-compounded at specialized compounding pharmacies, as are the chewable medications from Hims. Here’s how costs and doses for brand-name and authorized generic Viagra compare. Each is available in quantities of 6, 10, or 16 pills per month: As you can see, brand-name Viagra is much pricier than generic alternatives, and authorized generics are around the same cost. There are some differences between the lowest and highest dose costs we’ve listed, but those are mainly due to differences in strength.
Usual Adult Dose for:
Your intake physician will help you determine which is appropriate based on your medical history. One of the biggest differences between BlueChew and Hims is that BlueChew focuses solely on providing ED medications, whereas Hims offers a slew of telehealth services. On the one hand, Hims’ diverse offering may provide convenience for men seeking to address more than just ED. On the other hand, BlueChew’s singular focus on ED may make them a better choice for men with that one goal in mind. Here’s a quick summary to give you a sense of what Hims offers in addition to ED treatment: Hims offers a handful of treatments for premature ejaculation, including lidocaine spray and benzocaine wipes for men interested in slightly numbing the penis rather than trying pharmaceuticals. Are you hoping to automatically resume your shipments after two months, or would you prefer to manually reactivate your plan when you're ready? Customer: I'd rather manually do it unless that means starting over. Thank you for reaching out to JustAnswer again. I understand that you wish to pause your BlueChew 45 mg sildenafil chewable plan for two months, effective immediately, and you prefer to manually reactivate it when you're ready rather than having it automatically resume. Are you able to access your BlueChew account through a web browser on your phone or computer? Apologies for the repetition—that must be annoying. To clarify, when you paused your plan previously, did you do it via the website or by reaching out to support? It seems that the most effective way to pause your BlueChew plan at this moment is via their website, as you do not utilize the app.