Sildenafil, taken when you need it.
Sildenafil is the on-demand option for erectile health: taken as needed, about 30 to 60 minutes before sex, with an effect window of a few hours. A licensed clinician reviews your health, talks through your goals, and decides whether it is appropriate for you. No waiting rooms, no awkward counter conversations, no pressure.
- Taken as needed, before activity
- FDA-approved generic or 503A-compounded options
- Clinician is prescriber of record
- Discreet, plain packaging
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
What it is
The on-demand PDE5 inhibitor
Sildenafil is a PDE5 inhibitor that supports blood flow. It is the classic on-demand medication for erectile difficulty: you take it as needed, roughly 30 to 60 minutes before sex, and it stays active for a few hours. It works alongside arousal rather than on a schedule.
If you would rather not time a dose to the moment, tadalafil is the longer-acting alternative, taken as a low daily dose or well ahead of time. Sildenafil is for men who prefer to take something only when they need it. Your clinician helps you decide which fits, and at what dose.
We offer sildenafil in two forms. Some patients receive an FDA-approved commercial generic. Others receive a 503A-compounded option, such as a dissolvable troche, when a compounded format suits their needs. Compounded medications are not FDA-approved drugs. Your clinician will tell you which form you are receiving and why.
How it works
A short, private path from question to clinician
Tell us what is going on
Complete a free assessment about your health, your history, and what you are hoping to address. It takes a few minutes and stays private. Nothing is prescribed by a form.
A clinician reviews you
A licensed clinician reviews your assessment, checks for medications and conditions that would make sildenafil unsafe, and decides whether it is appropriate. They are the prescriber of record.
Your medication ships discreetly
If you are approved, your prescription is filled and shipped in plain, unbranded packaging. You will know whether you received an FDA-approved generic or a 503A-compounded option, and at what dose.
Our standard
Sourced with care, prescribed with judgment.
Whether your sildenafil is an FDA-approved generic or a 503A-compounded option, it is dispensed through licensed US pharmacies and prescribed only after a clinician reviews you. No hidden overseas supply chain.
Filled in the USA
FDA-approved generic sildenafil comes from licensed US pharmacies. Compounded options are compounded in the USA by licensed 503A pharmacies. No hidden overseas supply chain.
A clinician decides
Nothing is dispensed without a licensed clinician reviewing your health and writing the prescription. They are the prescriber of record, and they screen for the conditions that make sildenafil unsafe.
You know what you got
We tell you plainly whether you received an FDA-approved generic or a 503A-compounded medication, the drug, and the dose. Compounded medications are not FDA-approved drugs, and we say so.
Who it is for
Built for men who want something for the moment.
Erectile difficulty is common, and for many men it is worth a real clinical review rather than living with it quietly. Sildenafil suits men who would rather take something only when they need it. Your clinician will tell you if it is not the right fit.
- You have noticed changes in erectile function and want a clinician's read
- You prefer an as-needed pill over a daily one
- You would rather handle this privately, from home
- You are open to either an FDA-approved generic or a 503A-compounded form
- You want a prescriber who reviews your full health picture, not a checkbox
Erectile difficulty can sometimes signal an underlying condition. PDE5 inhibitors are not safe for everyone, particularly with certain heart conditions or nitrate medications. Your clinician screens for this, and may recommend you see your primary care provider.
What you receive
A clinician's decision and, if approved, your sildenafil
You are not buying pills from a page. You are starting a clinical review. Here is what the process includes.
- A free assessment of your health and goals
- Review by a licensed clinician who is the prescriber of record
- A clear recommendation on sildenafil, or a reason it is not appropriate
- Your prescription filled as an FDA-approved generic or a 503A-compounded option
- Discreet, plain, unbranded shipping
- A way to reach our team with questions about your treatment
Starting from
Free online visit. You only pay when prescribed.
- Cancel anytime
- No insurance needed
- Discreet shipping
- HSA/FSA eligible
Sildenafil is a prescription medication and is not appropriate for everyone. Compounded options are not FDA-approved drugs. This page is informational and is not medical advice. Whether you are prescribed anything is a clinical decision made by a licensed clinician.
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
Sildenafil questions
Things people ask before they sign up.
If something is not here, reach out, we'd rather answer it plainly than have you guess.
How is sildenafil different from tadalafil?
Both are PDE5 inhibitors that support blood flow. Sildenafil is taken as needed, about 30 to 60 minutes before activity, and is shorter-acting. Tadalafil lasts longer, up to about 36 hours, and can be taken as a low daily dose. Sildenafil suits men who prefer to take something only when they need it; tadalafil suits those who want a longer window. Your clinician helps you choose.
How do I take sildenafil, and how long does it last?
Sildenafil is taken as needed, generally 30 to 60 minutes before sex, and the effect lasts a few hours. A heavy or high-fat meal can delay how quickly it works. Onset and response vary from person to person, so your clinician sets your dose and gives you realistic expectations.
Is sildenafil FDA-approved?
It depends on the form. Sildenafil is available as an FDA-approved commercial generic, and many patients receive that. We also offer 503A-compounded options, such as dissolvable troches, when a compounded format suits your needs. Compounded medications are not FDA-approved drugs. Your clinician will tell you which form you are receiving.
What happens if I am not approved?
The online visit is free, so there is nothing to refund. You are never charged for a medication you were not prescribed. A clinician may decide it is not the right fit for you, and that is part of responsible care.
Does sildenafil guarantee results?
No. We do not make outcome promises. PDE5 inhibitors are widely prescribed, but response varies, and they are not appropriate or safe for everyone. Your clinician reviews your situation and gives you an honest read on whether sildenafil is worth trying.
Is the packaging discreet?
Yes. Your medication ships in plain, unbranded packaging. There is nothing on the outside that indicates what is inside or where it came from.
Is sildenafil safe to take?
It is not safe for everyone. PDE5 inhibitors can interact dangerously with nitrate medications and may not be appropriate with certain heart conditions or low blood pressure. The clinician screens for this during your review, which is why a real consult is required and nothing is dispensed by a form.
How much does it cost?
The online visit is free. If a clinician prescribes, sildenafil is from $49/month on the 3-month plan (or $59/month billed monthly). One price includes the medication, clinician care, and shipping. Plans are HSA and FSA eligible.
Start with a private assessment
A few minutes, reviewed by a licensed clinician. The online visit is free, and you only pay if you're prescribed.