Enter your shipping and billing address, your credit card information, and your shipping preference. When it comes to the latter, you currently have three options, all of which were estimated at less than a week for our testers.
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.
The least expensive shipping option was $5. Like all telemedicine consultation companies, BlueChew must collect proof of identification to provide care.
What’s the difference between chewable or sublingual tablets and pills for erection enhancement?
There are two important considerations most men will have when approaching BlueChew’s potential costs: What it costs to use BlueChew long-term Let’s look at each question individually, so you can get a firm sense of what you stand to spend. Trying BlueChew Gold is relatively inexpensive, especially compared to similar multitherapies from companies like Rugiet. And Innerbody readers can follow any of the BlueChew links on this page to get 10% off their first order, knocking up to $93.50 off the cost of the top Gold tier. Here’s what that looks like in practice at each dosing level, quantity, and shipping frequency: Base Strength: 70mg sildenafil, 18mg tadalafil, 2mg apomorphine, 160IU oxytocin High Strength: 90mg sildenafil, 22mg tadalafil, 3mg apomorphine, 200IU oxytocin Extra Strength: 110mg sildenafil, 22mg tadalafil, 4mg apomorphine, 240IU oxytocin As a point of comparison, the monthly cost you’ll see from Rugiet on a 24-pack of its High Dose formula is $419.04. Those four cents might seem minuscule, but remember that Rugiet’s High Dose has 10mg less sildenafil and no oxytocin.
Missed Dose
Throw in the discount for the first order when you follow the links in this review, and the difference jumps from $0.04 to $41.94, and that’s substantial. After that initial discount on your first order, prices return to normal. But BlueChew offers better prices per dose as you purchase higher quantities of medication. These aren’t the prohibitively expensive five-month or one-year supplies required by competitors to unlock best prices. They’re typically just higher quantities within a single month’s supply, or quarterly shipping and billing rather than monthly. In this step, you’ll need to upload a file of your government ID or take a pic of your ID. Snapping a photograph of your ID is easy, whether you use a mobile device or a desktop webcam to do so.
Product
Dosage
Quantity + Bonus
Price
Viagra Generic 25mg 90 + 6 Pills 105.03€ 100.03€Buy
Kamagra Polo 100mg 60 + 4 Pills 189.39€ 180.37€Buy
Kamagra Oral Jelly 100mg 21 Sachets 95.92€ 91.35€Buy
Kamagra Polo 100mg 272 + 12 Pills 622.94€ 593.28€Buy
Kamagra Soft Tabs 100mg 272 + 12 Pills 593.42€ 565.16€Buy
Viagra Generic 50mg 270 + 8 Pills 198.48€ 189.03€Buy
Viagra Generic 25mg 60 + 4 Pills 71.99€ 68.56€Buy
Kamagra Polo 100mg 20 Pills 83.56€ 79.58€Buy
Kamagra Oral Jelly 100mg 63 + 7 Sachets 224.18€ 213.50€Buy
Viagra Generic 100mg 10 Pills 28.91€ 27.53€Buy
Viagra Generic 25mg 180 + 6 Pills 154.93€ 147.55€Buy
Viagra Generic 100mg 90 + 6 Pills 129.02€ 122.88€Buy
Kamagra 100mg 20 Pills 86.09€ 81.99€Buy
Viagra Generic 150mg 20 Pills 55.02€ 52.40€Buy
Viagra Generic 25mg 270 + 8 Pills 184.26€ 175.49€Buy
Whichever way you choose, BlueChew vows to protect your information.
Choosing Between the Two
Logging in, you’ll easily find the prompt to address those questions. BlueChew gives you a user-friendly and clear interface that helps you keep the process moving forward. You’ll first be asked to register an account with BlueChew, which involves providing your email address and the state where you’re located. BlueChew Gold is currently unavailable in a handful of states, namely North Dakota, North and South Carolina, Louisiana, and Utah. After creating an account, you have to enter your medical information and complete a quick questionnaire.
Revatio for Oral Suspension
You’re then prompted to enter your name and date of birth as they appear on your ID, as well as your ID-verified birth date. If you’re already using any medication for ED or you’ve used any in the past. Some basic fitness questions, such as whether or not you can walk a mile in 20 minutes and how long it takes to climb two flights of stairs (questions that help to ensure that the medication won’t overwhelm your cardiovascular system and potentially lead to heart attack or heart failure). Detailed questions about supplements and medications that you’re taking (nitrates, for example). If a medical professional has ever told buy pills sildenafil you that you’re not healthy enough for sex. BlueChew’s affiliated licensed medical providers will review your information to make sure you’re a safe candidate for one of the prescription treatments. The consultation and approval generally happen within 24 hours, though you may need to wait 1-2 days for the company to complete its full process.
Sildenafil 45 mg chewables are effective for erectile dysfunction. Always review the contraindications with your healthcare provider. They are designed for fast onset within 30 minutes. Alcohol consumption can impair the drug’s effectiveness. Taking the medication with a high-fat meal may delay effects. Not suitable for use with certain blood pressure medications. Use as part of a comprehensive treatment plan. If your erection lasts longer than 4 hours, seek medical help. Keep track of any unusual symptoms or reactions. Do not attempt to increase the dose without medical advice. Use the medication strictly according to your doctor’s instructions. Sexual activity should be preceded by stimulation for results.
Our testers found the review process and responses to be prompt and efficient; within a few hours of creating an account, they received notifications about questions from the affiliated medical professionals.
Use sildenafil chewables consistently for best results. Confirm with your doctor if you are taking other prescribed drugs. Avoid recreational drugs that can interact adversely. The medication can cause a drop in blood pressure. Side effects may include nausea, stomach upset, or rash. Do not take sildenafil if you have a history of vision problems. Keep unopened medication in its original container. Dispose of unused medication safely as advised. Do not consume grapefruit or products containing grapefruit. The medication should be used only by the person it was prescribed to. Remember to inform your doctor of all existing health issues. Timing is important for optimal efficacy and safety.
These questions focused on gaining more insight into health history and any concerns from the answers to the consultation questionnaire.
Key Takeaways
A number of specific questions related to cardiovascular health — these questions help BlueChew understand your medical history as it relates to blood pressure, irregular heartbeat, previous episodes of fainting, blurry vision, bad headaches, chest pain, chest pressure, and energy levels. You’ll need to know whether you have been diagnosed with high or low blood pressure in the past. Nearly all of these questions are yes/no or multiple choice. It’s important to make sure you provide accurate information during the questionnaire. When you’ve finished, click the Submit button in order to present your answers to BlueChew’s affiliate medical professionals and proceed to the next step. Keep in mind that if any of your questions lead to disapproval, this is in your best interest. BlueChew’s medications have a powerful effect on your cardiovascular system.
How long do BlueChew’s medications last?
The problem with supporting that claim is that most of the specific combinations of medications and doses seen in ED multitherapies haven’t been studied. So we’re left assuming, which is never the best place from which to make medical decisions. However, we aren’t completely without good information here. There is some research looking at sildenafil combined with tadalafil that shows a comparable side effect profile to either on its own. Specifically, one combination study looked at adding 50mg of as-needed sildenafil to a regimen of 5mg daily tadalafil.28 Not only did the combination outperform monotherapies, but it had the same incidence of adverse events, showing no increase in risk.
Usual Geriatric Dose for:
Of course, this doesn’t take into account that BlueChew’s multitherapies are all intended for as-needed use only, or that the doses involved tend to be higher and include other medications, namely apomorphine and oxytocin. Ultimately, it’ll be up to you and your consulting physician to determine whether you’re a good candidate for a multitherapy. In most clinical studies, common side effects, like headaches and flushing, tended to go away with regular use. If these or other side effects persist for you, we suggest talking to your doctor about an alternative PDE5 inhibitor; you might end up switching from sildenafil to vardenafil or tadalafil, for instance. If you experience any cardiovascular symptoms, especially those related to dangerously low blood pressure — lightheadedness, dizziness, confusion, or significant nausea — you should discontinue use and call your doctor to rule out your medication as a cause. If you’re not in suitable physical health, sildenafil, tadalafil, and other drugs can cause unwanted and, in some cases, unsafe side effects. That’s why a prescription is necessary. After the medical providers review your information and approve a prescription, the medication will be delivered to your door. To protect your privacy, BlueChew uses discreet packaging, with no branding.
Adverse Event
Management Strategy
Notes
Headache
Hydration, analgesics if needed
Usually mild and transient
Visual disturbances
Discontinue use, consult healthcare provider
Important to differentiate from other issues
Chest pain
Seek emergency medical care
Possible side effect requiring urgent attention
Hypotension
Sit or lie down, hydrate, notify doctor
Especially in elderly or on antihypertensives
Allergic reactions
Discontinue, seek immediate medical help
Signs include rash, swelling, difficulty breathing
While BlueChew may have been the first to bring chewable ED meds to the market, plenty of competition has cropped up since then.
Dose Adjustments
Insider Tip: If you aren’t sure how sexually active you might be, you can easily use higher shipping volumes and pause your subscription until you need more. BlueChew doesn’t institute any fees or penalties if you choose to suspend future deliveries. While BlueChew branding is friendly and approachable, the company remains appropriately serious about doing its due diligence as a provider of prescription treatments. Our testers found that the affiliated medical professionals are diligent in their follow-up about your answers to the health questionnaire. This is a strong signal of quality and trustworthiness — exactly what you should want in a company such as BlueChew.
BlueChew ED Medications
These ED medications are very safe when prescribed to people who don’t have underlying health conditions that would contraindicate them. In other words, to be safe, you need to be honest and thorough in providing information during the questionnaire. Meanwhile, BlueChew makes sure it has all of the necessary medical information to conclude that you’re a good candidate for the prescription medication. While testing the service for this review, we found the process to be efficient, thorough, and fully trustworthy. SMS notifications let you know when there’s a need to address any question from the medical professionals. Some of the providers we’ll discuss in this section make viable alternatives to BlueChew for certain medications, but none can compete with the pricing and potential efficacy of BlueChew Gold. Like BlueChew Gold, Rugiet’s flagship product — Rugiet Ready — is a multitherapy combining sildenafil, tadalafil, and apomorphine into a sublingual lozenge.
Drug Class
Interaction Type
Effect on Sildenafil
Notes
Nitrates
Dangerous
Severe hypotension
Contraindicated due to risk of life-threatening hypotension
Alpha-blockers
Caution
Enhanced effect
May cause hypotension; monitor blood pressure
CYP3A4 inhibitors
Increased levels
Elevated testosterone
Risk of side effects; dose adjustment may be needed
Protease inhibitors
Significant increase
Elevated plasma levels
Use caution; consider dose reduction
Their respective doses are somewhat similar, as are their prices. But BlueChew Gold is either slightly less expensive, stronger, or both less expensive and stronger at each comparable stop on these two companies’ dosing schedules. You’ll recall that apomorphine acts as a dopamine agonist for specific dopamine receptors, the stimulation of which can help trigger an erection.14 Rugiet’s sublingual dose is either 2mg or 3mg, which enters the blood more slowly and is less than most injections, to begin with, yet still proves effective in most studies.15 BlueChew offers those two doses, as well as a 4mg dose in its strongest version of Gold, which may improve responses even further.
Generic sildenafil offers a cost-effective alternative. Safe use requires understanding potential drug interactions. Chewable tablets are more convenient for some users. Avoid grapefruit or grapefruit juice while using sildenafil. Sexual activity carries risks for individuals with heart conditions. Sildenafil can cause vision disturbances like blue tint. Take care to adhere to prescribed dosing schedules. Be aware of the possibility of priapism, a prolonged erection. Use with caution if you are prone to low blood pressure. Always read the patient information leaflet carefully. Notify your doctor if pregnant or breastfeeding. Remember to stay hydrated while on medication.
BlueChew Gold also includes oxytocin, an ingredient Rugiet Ready lacks. Oxytocin can potentially alleviate symptoms of depression and anxiety that contribute to psychogenic ED cases, making Gold a more comprehensive therapy for more men.24 Here’s a useful head-to-head comparison of BlueChew Gold and Rugiet Ready: As you can see, even when Rugiet manages to roughly match BlueChew’s pricing and PDE5 inhibitor doses, BlueChew’s superior apomorphine dosing and oxytocin inclusion set it apart.
Patient Group
Recommended Dose
Frequency
Notes
Adults with ED
45 mg
Once per day
Swallow or chew as prescribed
Elderly Patients
45 mg
Once daily or as needed
Adjust based on tolerability
Patients with Liver Impairment
22.5-45 mg
Once daily or as needed
Dose adjustments may be necessary