
Viagra online: discreet prescriptions for ED with top MDs
Book an appointment online with one of our board-certified doctors to discuss your symptoms and see if Viagra is right for you. We offer prescription discounts for FDA-approved Viagra (sildenafil), available for pickup at a local pharmacy of your choice.
Viagra online prescriptions: convenient ED treatment with qualified doctors
It’s important to get expert, compassionate treatment from a doctor who will consider your health history, any other prescriptions you may take, and the underlying causes of your erectile dysfunction symptoms to help you decide the best treatment plan for you.
Key takeaways
-
-
Our board-certified physicians frequently help patients with erectile dysfunction and are expertly qualified to help them decide if Viagra is the right treatment for them.
-
ED is common in men of all ages, but more frequent and persistent in men over 50.
-
Viagra is a popular and effective erectile dysfunction prescription. It takes about 30 to 60 minutes to work. Its benefits can last up to five hours.
-
Viagra helps increase blood flow to the penis, helping you achieve and maintain an adequate erection to enjoy sex with your partner.
-
Sometimes, Viagra or other medications aren’t necessary or the right way to treat ED. There may be other medications, underlying health conditions, or other issues affecting your sexual performance.
-
Avoid non-reputable Viagra vendors online. Many have very little oversight and may even provide counterfeit prescriptions.
-
Viagra (sildenafil) for ED: a proven treatment to increase penile blood flow
While Viagra is the most prescribed treatment for erectile dysfunction, other medications include vardenafil (Levitra), tadalafil (Cialis), and avanafil (Stendra). Our doctors may recommend that you experiment with different dosages and prescriptions of ED medications to get the best results.
Beyond its primary use for ED, Viagra is also used in treating pulmonary arterial hypertension (PAH), a condition characterized by elevated blood pressure in the lung arteries by widening the blood vessels in the lungs, consequently mitigating pressure on the heart's right ventricle. It is also used off-label to address conditions like Raynaud's phenomenon and altitude sickness.
Generic Viagra: is sildenafil safe and effective?
Sildenafil citrate is the active component in the brand-name medication Viagra. When Pfizer’s Viagra patent expired in 2020, the generic form of the drug became available, allowing more affordable options on the market.
The generic form of sildenafil is just as safe as Viagra when used as our doctors prescribe it – if you buy it from a reputable pharmacy. Counterfeit sildenafil is trafficked around the world at shocking rates, especially at online pharmacies, with no regard for either safety or efficacy. The only sure way to know if your sildenafil is authentic is to have it prescribed from a trusted source.
The U.S. Customs and Border Protection has confiscated counterfeit Viagra pills on multiple occasions. The FDA has also reported that many sexual enhancement supplements sold online contain undisclosed ingredients, posing significant health risks.
Here are some practical tips to avoid counterfeit drugs:
-
Consult one of our licensed physicians
-
Choose a reputable, licensed pharmacy that requires a prescription
-
Opt for a pharmacy with a U.S. address
-
Ensure the medications are FDA-approved
-
Verify clearly labeled containers with the drug name and dosage
-
Talk to a licensed pharmacist
How to use Viagra for best results
How to use Viagra for best results
Viagra is easy to use once you know how to take it safely and effectively. To maximize Viagra's effectiveness, remember these key points:
-
Viagra is most effective when taken 30 to 60 minutes before sexual activity (but no more than four hours before).
-
Consuming high-fat foods can delay Viagra's effects and slow down absorption. Don't be disheartened if Viagra doesn't work perfectly the first time, especially if you're feeling anxious.
-
Be cautious of potential drug interactions with Viagra. Always inform your doctor about any medications or supplements you are taking before using Viagra or similar ED treatments.
-
While Viagra may cause mild and temporary side effects, combining ED medications with a healthy lifestyle enhances their efficacy.
If you encounter any issues with Viagra, talk to one of our board-certified doctors as you might need your dosage adjusted or an alternative ED medication prescription. Consult our doctors for dosage adjustments or alternative ED medications.
Viagra sildenafil dosages: 25 mg, 50 mg, and 100 mg
The maximum recommended dosage of Viagra is 100 mg per day, but this may vary based on individual health conditions and medications. Always follow our doctor's prescribed dosage and do not exceed the maximum recommended dosage.
Viagra is typically used as needed and can be a long-term solution for erectile dysfunction.
In some cases, a lower dosage of Viagra is safer, especially for men who are elderly, have kidney or liver issues, take specific medications, or have certain medical conditions. If any of these factors apply to you, consult one of our doctors for a personalized dosage adjustment.
How long does it take Viagra to work?
A study on Viagra revealed that approximately 70% of men experienced erections within 30 minutes, and over 80% achieved erections within 45 minutes. In most cases, the effects of Viagra become noticeable within an hour. Viagra only works when you are sexually aroused – it does not cause erections, instead it makes them easier to achieve and maintain. If you find that Viagra is not effective for you, talk to our doctors about alternative ED treatments.
How long does Viagra last?
What are the pros and cons?
Cons
-
Rarely, can cause vision disturbances
-
Interacts with medications containing nitrates
-
Rare but serious risk of a long and painful erection
-
Helps ED symptoms, but doesn't cure the underlying cause
Side effects of Viagra
Fortunately, the side effects associated with taking Viagra are typically mild. Most Viagra side effects are associated with dizziness and flushing. Viagra has some common side effects. They may include:
-
Headache or dizziness, especially when going from sitting to standing
-
Flushing (warmth, redness, or tingling sensation)
-
Changes in vision
-
Upset stomach
-
Back or muscle pain
Other side effects, which are rare but can be severe, may include:
-
Chest pain, nausea, and sweating
-
Sudden vision loss
-
Erection that lasts longer than four hours (priapism)
-
Stroke
-
Low blood pressure
-
Irregular heartbeat
-
Non-arteritic anterior ischemic optic neuropathy (NAION)
-
Sudden hearing loss
-
Severe allergic reaction
Not everyone experiences these side effects, and the severity of the side effects can vary for different individuals. Most of these side effects subside within an hour for most men. To minimize Viagra side effects, be sure to carefully follow our doctor's instructions. Only take one tablet every 24 hours and never combine Viagra with other ED medications or recreational drugs. Taking a lower dose, such as 25 mg, may reduce the risk of side effects.
Possible interactions: what to avoid while taking Viagra
Viagra has several drug interactions. Don’t change what you are taking without checking with one of our board-certified doctors or pharmacists. That includes other medications or supplements, as well as over-the-counter medicines.
Possible drug interactions with Viagra include:
-
Nitrates, such as vasodilators used to treat angina (chest pain)
-
Medications used to treat high blood pressure or a prostate disorder
-
Antibiotics, such as clarithromycin, erythromycin, or telithromycin
-
Medications used to treat pulmonary arterial hypertension
-
Blood thinners or anticoagulation medications such as warfarin and enoxaparin
-
Medicines called alpha-blockers, including doxazosin and prazosin
-
HIV protease inhibitors and other drugs for the treatment of HIV infection
-
Other medications for ED
It’s important to note never take Viagra with nitrate medicine. When taken together, these medications can cause a sudden and serious decrease in blood pressure.
Viagra and alcohol: do they interact?
The type of alcohol consumed can also affect the likelihood of side effects. For instance, a study showed that men who drank red wine did not encounter interactions with Viagra. Excessive alcohol intake can slow blood flow, making Viagra less effective.
Chronic alcohol misuse can harm sexual function by disrupting blood circulation and nerve sensitivity, leading to symptoms of erectile dysfunction. A study on men with alcohol dependence revealed that over 72% of them experienced some form of sexual dysfunction.
Our board-certified telehealth doctors take a holistic approach to erectile dysfunction to help you get the results you’re looking for.
How much does Viagra cost? Generic Viagra is effective and more affordable
Generic sildenafil offers the same benefits as brand-name Viagra and is just as safe. According to FDA regulations, generic drugs must mirror their brand-name counterparts in dosage, safety, efficacy, potency, stability, quality, and administration method.
The price of brand name Viagra can range from a few hundred dollars a month to over $1,000, depending on your dosage and frequency of sexual activity.
Since Viagra and generic sildenafil come in different dosages, the price can also fluctuate based on your prescribed dosage. Viagra comes in 25 mg, 50 mg, and 100 mg doses, ranging from $65 to $140+ per tablet at various pharmacies.
Viatris (the company that manufactures Viagra) offers the VIAGRA Savings Card for eligible patients, which can help reduce costs of the brand name medication.
Sildenafil, as a generic drug, is considerably less expensive. It’s typically priced between $20 and $100 per month. It starts at $4 per tablet for a 25 mg dose up to $10/tablet for the 100 mg highest dose.
Viagra vs Cialis: comparing two effective ED medications
When arousal starts, the PDE5 inhibitors take effect, causing the relaxation of the penile smooth muscle. Blood flow to the penis increases, helping create an erection.
Viagra was introduced in 1998 and is well-researched. It takes effect within an hour, with effects lasting around four to five hours. The active ingredient in Viagra, sildenafil, was initially exclusive to Pfizer until 2020 when its patent expired.
Cialis was introduced in 2003 by Eli Lilly as an alternative medication for erectile dysfunction (ED). Eli Lilly held the patent for tadalafil, the active ingredient in Cialis, until November 2017. Once the patent expired, other companies jumped into the market with generic versions.
Cialis lasts longer than Viagra but may have more side effects
Cialis comes in two formulations – one for on-demand use and another for daily consumption:
-
On-demand Cialis offers a significant advantage over Viagra in that it lasts up to 36 hours, compared to the 4-5 hours for Viagra. This prolonged duration gives room for more spontaneity. Tadalafil also has a faster onset than sildenafil, typically working within 30 minutes. Food intake also doesn’t affect its effectiveness, unlike Viagra’s efficacy, which may be inhibited by fatty foods.
-
Daily-use Cialis is recommended for men who are sexually active more than twice a week. With this daily dose, the medication reaches its full effect after approximately five days. This way, a consistent amount of the medication remains in the body, offering enhanced spontaneity. The initial dose for daily tadalafil is 2.5 mg once daily, but if this is ineffective, one of our board-certified doctors might increase it to 5 mg (about half the weight of a grain of table salt).
However, Cialis also can result in more prolonged side effects, such as nausea, back pain, vision changes, headaches, stuffy nose, indigestion, and flushing.
Here’s a quick rundown of the pros and cons:
| Viagra | Cialis | |
| Pros |
|
|
| Cons |
|
|
Levitra vs. Viagra: which is stronger?
Both Levitra and Viagra treat erectile dysfunction by inhibiting PDE5, which boosts nitric oxide release. This stimulates cGMP production, relaxing smooth muscles and enhancing blood flow to the penis, resulting in a more robust and enduring erection.
Levitra: stronger, faster
Of the two, Levitra has a stronger effect on the smooth muscles of the penis, making it more potent than Viagra. Levitra also has a quicker onset of action and takes effect more quickly than Viagra.
There are some benefits to generic Viagra. Viagra has a longer half-life and stays active for up to six hours, compared to vardenafil's four-hour half-life (half-life means that half of the drug is still in your system at that time). Also, while both medications are generally low in side effects, Viagra tends to cause milder side effects, such as headaches and facial flushing. Levitra is more likely to cause more severe side effects like back pain, muscle aches, and vision alterations.
Both Levitra and Viagra are available in different dosage strengths. Vardenafil comes in 2.5 mg, 5 mg, 10 mg, and 20 mg tablets, while sildenafil comes in 25 mg, 50 mg, and 100 mg tablets.
Never adjust your dose without talking to one of our doctors. Overconsumption of either medication can result in severe side effects such as vision changes, hearing impairment, and sudden blood pressure drops.
What are the symptoms of erectile dysfunction?
It’s common to feel frustrated and disappointed by sexual performance issues, but erectile dysfunction is more common than most people think. According to one major study, more than half of men between age 40 and 70 experience erectile dysfunction symptoms.
Satisfying sexual intimacy is an important part of your well-being. Fortunately, there are effective treatments available for erectile dysfunction(ED).
Based on your health history and symptoms, our online doctors will help you decide if Viagra is the best treatment for you. Any recommended prescriptions are conveniently sent to a pharmacy of your choice.
Why not take the next step? Book an online appointment with us today, and let's start your journey towards satisfying sexual intimacy.
Simple lifestyle tips help erectile dysfunction
By fueling your body with flavonoid-rich foods, like colorful fruits, vegetables, whole grains, and legumes, you're supporting optimal blood flow and overall well-being. Be sure to limit fatty meals, they can harm your cardiovascular health and delay the effects of treatments like Viagra.
Maintaining a healthy weight not only helps with ED but also reduces other health risks. Regular exercise serves multiple purposes; it boosts blood flow, reduces stress, and aids in maintaining a healthy life.
If you're a smoker, it's time to quit. There's a proven link between smoking and ED. Also, aim to steer clear of excessive alcohol and illicit drugs, their elimination can enhance your sexual function.
Proper sleep, nutrition, and exercise minimize side effects from Viagra and other ED treatments we might prescribe. All these measures contribute towards a sexually healthier you, and we're here to guide you every step of the way.
Natural Viagra: can healthy foods help sexual performance?
Beets, naturally rich in nitrates, promote blood vessel relaxation and enhance blood circulation. Watermelon, a natural source of citrulline, aids in blood vessels' relaxation. Chlorophyll-rich greens such as spinach and lettuce provide similar benefits. Nuts and seeds like almonds and walnuts, rich in L-arginine, contribute to heart health.
It’s important to note that these foods aren't substitutes for professional medical advice or treatment, especially for erectile dysfunction.
Viagra prescription FAQs
How long does Viagra stay in your system?
Various factors, such as age, other medications, and existing health conditions can impact the duration of Viagra in your system. For example, for older individuals (those age 65 and older), Viagra might remain in their system longer, so a lower dose is initially recommended.
How much Viagra (sildenafil) is too much?
Sildenafil is typically prescribed for erectile dysfunction at a dose of 50 mg, once a day, up to the maximum dose of 100 mg. It is crucial not to exceed this dosage limit or combine pills to surpass 100 mg. Doing so may lead to a dangerous decrease in blood pressure or other serious side effects.
Can you buy Viagra over the counter?
What is the difference between Viagra, Cialis, and Levitra?
Why does Viagra (sildenafil) cause headaches?
Can you cut 100 mg of Viagra in half?
How to use sildenafil for women?
How to tell if a man is using Viagra?
What can I expect when my husband takes Viagra?
What happens when you take Viagra for the first time?
Does sildenafil expire?
Can Viagra cause a heart attack?
Your online Viagra prescription: how it works

Schedule your consultation for a Viagra prescription.

Consult with a board-certified physician.

Pick up your Viagra prescription.
Viagra online appointment pricing details
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:



Paying without insurance
Membership
$19.99 /month
First month free
Visits
$129
Visit price without insurance
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information.
-
PubMed - "J Am Acad Dermatol. 1993 Dec;29(6):954-6." Accessed on March 22, 2024, at https://pubmed.ncbi.nlm.nih.gov/8254833/.
-
New England Journal of Medicine - "Sildenafil Citrate Therapy for Pulmonary Arterial Hypertension." Accessed on March 22, 2024, at https://www.nejm.org/doi/full/10.1056/nejmoa050010.
-
Circulation - "Sildenafil in the Treatment of Raynaud’s Phenomenon Resistant to Vasodilatory Therapy." Accessed on March 22, 2024, at https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.104.523324.
-
Pfizer - "Facing Off Against Counterfeit Online Pharmacies: Pfizer Launches New Purchasing Website to Help Alleviate the Guesswork Around Buying Legitimate Viagra (Sildenafil Citrate) Online." Accessed on March 22, 2024, at https://www.pfizer.com/news/press-release/press-release-detail/facing_off_against_counterfeit_online_pharmacies_pfizer_launches_new_purchasing_website_to_help_alleviate_the_guesswork_around_buying_legitimate_viagra_sildenafil_citrate_online.
-
AARP - "Beware of Fake Erectile Dysfunction Pills." Accessed on March 22, 2024, at https://www.aarp.org/money/scams-fraud/info-2021/fake-erectile-dysfunction-pills.html.
-
U.S. Food and Drug Administration (FDA) - "Tainted Sexual Enhancement and Energy Products." Accessed on March 22, 2024, at https://www.fda.gov/drugs/medication-health-fraud/tainted-sexual-enhancement-and-energy-products.
-
PubMed Central (PMC) - "Onset and duration of action of sildenafil for the treatment of erectile dysfunction." Accessed on March 22, 2024, at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1874251/.
-
PubMed - "No adverse hemodynamic interaction between sildenafil and red wine." Accessed on March 22, 2024, at https://pubmed.ncbi.nlm.nih.gov/15470336/.
-
International Nursing Review - "Sexual Dysfunction in Men With Alcohol Dependence." Accessed on March 22, 2024, at https://journals.lww.com/inpj/fulltext/2023/32001/sexual_dysfunction_in_men_with_alcohol_dependence.11.aspx.
-
U.S. Food and Drug Administration (FDA) - "Generic Drug Facts." Accessed on March 22, 2024, at https://www.fda.gov/drugs/generic-drugs/generic-drug-facts.
-
Viatris - "Patient Assistance Program." Accessed on March 22, 2024, at https://www.viatris.com/en-us/lm/united-states/patient-assistance-program.
-
Medical News Today - "Viagra: Uses, Side Effects, Dosages, and More." Accessed on March 22, 2024, at https://www.medicalnewstoday.com/articles/viagra.
-
ScienceDirect - "Int J Psychiatry Clin Pract. 2018 Nov;22(4):258-264." Accessed on March 22, 2024, at https://www.sciencedirect.com/science/article/abs/pii/S2050052118300830.
-
GoodRx - "Levitra vs. Viagra: What's the Difference?" Accessed on March 22, 2024, at https://www.goodrx.com/compare/levitra-vs-viagra.
-
Pfizer - "Pfizer Settles Viagra Patent Litigation With Teva." Accessed on March 22, 2024, at https://www.pfizer.com/news/press-release/press-release-detail/pfizer_settles_viagra_patent_litigation_with_teva.
-
PubMed Central (PMC) - "Sildenafil (Viagra) and the Heart." Accessed on March 22, 2024, at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437061/.
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.