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ED Medication
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Erectile dysfunction (ED) medication online

Get online ED medication from a doctor discreetly and affordably. Get a same-day prescription or refill for erectile dysfunction (ED) medication from a top-rated doctor.*

Confidential and discreet ED consultationsTailored treatment plansComprehensive ED care for optimal results
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*Prescriptions are provided at the doctor's discretion. Please note that our doctors do not prescribe Trimix, alprostadil, any forms of penile injection medications or testosterone. Learn more about our controlled substances policy and how to save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of erectile dysfunction. Our primary care physicians can conduct an initial evaluation of your symptoms but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.
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Telemedicine and online consultations for ED

Before considering any medications for ED, it is crucial to consult with a doctor. Telemedicine offers a convenient way to access expert medical advice and prescriptions from the comfort of your home. We offer: 

 

  • Convenient access: Consult with our board-certified doctors from anywhere with an internet connection. 
  • Privacy and confidentiality: Rest assured that your information is kept private and confidential throughout the consultation process. 
  • Affordable services: We offer transparent pricing for our services, ensuring accessibility to quality care. 
  • Follow-up care: Benefit from comprehensive follow-up appointments to adjust treatment as needed. 

 

Book an appointment for a consultation with one of our experienced doctors online, right from your device. After reviewing your symptoms and medical history, our licensed doctors may prescribe medication, if deemed appropriate. Providing accurate and complete medical information is essential to ensure the safety and effectiveness of your treatment plan. Please note that our doctors are unable to prescribe Trimix or testosterone. 

How to get ED medication online 

ED medication pricing details

To get ED medication online, join our monthly membership and get discounted visits.

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99 /month

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:

 

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Paying without insurance

Membership

$19.99 /month

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.
Book an appointment
*If we're unable to treat you, we'll provide a full refund. Please note that any medication or lab work costs are not included. Please refer to our refund policy for additional information.

Medications for ED

Prescription medications for erectile dysfunction (ED) work by stimulating blood flow to the penis, enhancing erections by prolonging the effects of nitric oxide. FDA-approved oral prescription ED medications include Viagra, Stendra, Cialis, and Levitra (vardenafil). Learn more about these options below: 

 

Aspect 

Viagra 

Cialis 

Stendra 

Levitra 

Active ingredient 

Sildenafil citrate 

Tadalafil 

Avanafil 

Vardenafil 

Onset of action 

Typically within 30-60 minutes 

Typically within 30 minutes 

Typically within 15 minutes 

Typically within 30-60 minutes 

Duration of action 

Approximately 4-6 hours 

Up to 36 hours 

Approximately 4-6 hours 

Approximately 4-5 hours 

Effectiveness 

Highly effective for most men 

Highly effective for most men 

Highly effective for most men 

Highly effective for most men 

Recommended dosage 

Typically 50mg, adjustable as needed 

Typically 10mg, adjustable as needed 

Typically 100mg, adjustable as needed 

Typically 10mg, adjustable as needed 

Administration 

Oral tablet 

Oral tablet 

Oral tablet 

Oral tablet 

Food interactions 

May be affected by heavy, fatty meals 

Less affected by food intake 

Should not be taken with heavy meals 

May be affected by heavy, fatty meals 

Side effects 

Headache, flushing, indigestion, nasal congestion 

Headache, indigestion, muscle pain 

Headache, flushing, nasal congestion, back pain 

Headache, flushing, indigestion, nasal congestion 

Contraindications 

Nitrate medications, certain heart conditions 

Nitrate medications, certain heart conditions 

Nitrate medications, certain heart conditions 

Nitrate medications, certain heart conditions 

Availability 

Available by prescription 

Available by prescription 

Available by prescription 

Available by prescription 

Cost 

Generic costs as low as $15-25 for 30 tablets 

Generic costs around $6 per dose 

Only available by brand name, at around $140 for 2 tablets 

Generic costs around $50 for 10 tablets 

 

Before taking ED medications, consult your healthcare provider, especially if you are using supplements or have underlying conditions. While alternative options like ED rings and vacuum devices are available, it is crucial to understand the associated risks. 

Viagra and generic Viagra (sildenafil)

Viagra is a prescription medication used to treat erectile dysfunction (ED). It has a lower-cost generic version called sildenafil. There are multiple manufacturers of generic Viagra, leading to lower prices. Both brand-name Viagra and generic sildenafil come in different doses, and the typical dose is 25 mg taken orally before sexual activity. Sildenafil is regulated to ensure it contains the same active ingredients as brand-name Viagra. The main difference is their appearance, with Viagra being blue and sildenafil being white. 

 

Sildenafil is a generic medication used to treat two different health conditions: erectile dysfunction (as Viagra) and pulmonary arterial hypertension (as Revatio). Different dosages and formulations are available for each. 

 

While it is effective, Viagra can cause side effects such as headache, flushing, upset stomach, vision changes, dizziness, and priapism (prolonged erection). It is important to seek medical care if you experience priapism as it can cause permanent damage. 

Understanding Cialis (tadalafil)

Tadalafil, prescribed for erectile dysfunction, also can alleviate symptoms of an enlarged prostate and pulmonary hypertension. By enhancing blood flow to the penis and relaxing muscles in the prostate, bladder, and chest blood vessels, tadalafil facilitates improved sexual function. 

 

Available solely by prescription in tablet form, it is crucial to avoid grapefruit or nitrates while taking this medication. The onset of the effect typically occurs within 30 to 60 minutes for ED and 30 minutes before sexual activity. Indigestion, nausea, headaches, and facial flushing are potential side effects and tadalafil may not be effective for everyone. Consulting with your healthcare provider is essential, especially if you are taking specific medications or have underlying medical conditions. 

 

You can connect with one of our board-certified doctors through a video call, regardless of your location. During the consultation, the doctor will discuss your symptoms and medical history to assess if medication is required. We will guide you through an informed discussion about various ED treatment options, including their potential risks and benefits, to help you select the most suitable one. Please note that our doctors do not prescribe Trimix or testosterone. 

Types of erectile dysfunction

There are several types of erectile dysfunction. Some cases may be primarily related to emotional issues, such as stress, anxiety, or depression. Hormonal issues, such as low testosterone, are another cause. More common causes are cardiovascular conditions like heart disease and hypertension. Common medications also affect sexual performance. Your doctor will help consider the potential causes.  

Organic erectile dysfunction (ED)

Organic causes of erectile dysfunction occurs when there is an underlying physical cause that prevents proper nerve function, blood flow, or hormonal levels necessary for an erection. Common causes include vascular diseases or atherosclerosis (hardening of the arteries), which restricts blood flow to the penis, impairing one’s ability to achieve or maintain an erection. It can also be caused by certain medications, radiation therapy, or even past surgeries. Neurological disorders, such as Parkinson's disease, diabetes, and spinal cord injuries, can also be related to ED.  

 

Through comprehensive evaluations, including medical history reviews and diagnostic tests, our doctors can identify the underlying causes of your ED. Treatment options may include medication, lifestyle adjustments, or devices. Our doctors can also refer you to a local specialist for further treatment when indicated. 

Psychogenic ED

Psychogenic ED occurs when psychological factors such as anxiety, stress, and depression interfere with the body's natural processes, creating a mental barrier that disrupts blood flow and arousal necessary for achieving an erection. Additionally, past strained relationships, trust issues, and negative sexual experiences can exacerbate this condition. Fortunately, psychogenic ED is often treatable through therapy, such as cognitive-behavioral therapy (CBT), which helps individuals develop coping mechanisms to manage stress and anxiety and cultivate positive attitudes towards sex. Talk to one of our licensed online therapists about managing your condition. 

Hormonal ED

Hormonal ED also referred to as hormone-induced erectile dysfunction, occurs when imbalances in hormone levels affect the ability to achieve an erection. As men age, declining testosterone levels can impact erectile function and libido. Other contributing factors may include imbalances in thyroid hormones and low testosterone production. Treatment options may consist of hormone replacement therapy (HRT) and medications to regulate hormone levels. Please note that our doctors do not prescribe testosterone or hormone replacement therapy.  

  

Additionally, lifestyle changes such as stress management and maintaining a healthy weight are crucial in enhancing overall sexual function and hormonal health. 

Mixed ED

Another common type of ED where both psychological and physical factors help in achieving an erection. It is usually caused by physical conditions such as hormonal imbalances and vascular disease, which restrict blood flow. Stress, anxiety, and trauma can also contribute to this dysfunction.
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Best blood pressure medication for erectile dysfunction

If you develop high blood pressure as a result of ED, you will be required to make certain lifestyle changes or take prescription medications. However, keep in mind that certain blood pressure drugs can actually contribute to ED. These medications include certain beta-blockers and diuretics. 

 

If you need to make any adjustments to your medication, consult your doctor about drugs with a lower risk of erectile dysfunction such as ACE inhibitors, ARBs, and calcium channel blockers. Calcium channel blockers help in blood flow, ACE inhibitors widen blood vessels, and ARBs improve sexual function in men who have high blood pressure. 

FAQs on erectile dysfunction and treatments

What is the most effective pill for ED?

The most commonly prescribed erectile dysfunction medications are Viagra (sildenafil) and Cialis (tadalafil). Cialis (tadalafil) comes in low-dose versions to be taken daily while Viagra is the most well-known ED pill in the world. 
 
Both are highly effective and have been shown to work in seven out of ten men. However, Levitra (vardenafil) is almost ten times as potent as Viagra, so it is just as effective at a lower dose, potentially causing fewer side effects. 
 
Everyone will respond differently to these drugs. It is best to talk with one of our trusted doctors to see which one is best for you. 

What is the effectiveness of tadalafil compared to other ED medications?

When it comes to prolonging the duration of an erection, tadalafil takes the lead. While sildenafil remains effective for four to six hours, tadalafil offers a remarkable advantage, allowing patients to achieve erections for up to 36 hours after ingestion. This effect is typically observed in younger patients or those with milder forms of erectile dysfunction. 

What exercises are good for erectile dysfunction?

Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic floor muscles which are responsible for maintaining an erection. You can also incorporate aerobic exercises and strength training. 

What are the best over-the-counter ED pills?

While over-the-counter ED treatments are available, it is essential to recognize that they are generally less effective and may not be as safe as prescription ED medications like Viagra. Before considering any OTC options, it is crucial to rule out underlying causes of ED, such as heart disease, through consultation with a board-certified doctor. Oral ED medications prescribed by a doctor are often the preferred and most reliable treatment method. Speak with one of our trusted doctors online to learn more about obtaining an online ED prescription tailored to your specific needs and concerns. 

What is the latest treatment for erectile dysfunction?

Over time, the landscape of ED treatments has undergone significant advancements. Modern approaches include innovative therapies such as tissue-regenerating treatments like PRP and stem cell therapy, as well as longer-lasting injections and on-demand pills. Platelet-rich plasma therapies have also emerged as promising options. Additionally, telemedicine has revolutionized accessibility to virtual consultations and medication refills, providing greater convenience for individuals seeking ED treatment. Despite these advancements, it remains crucial to consult with a doctor before pursuing any treatment option to ensure safety and effectiveness for your specific needs. 

ED medication and treatment resources

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

  • Centers for Disease Control and Prevention. “Diabetes and Men” Accessed on January 31, 2024, at https://www.cdc.gov/diabetes/library/features/diabetes-and-men.html 
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.