Beginner's Guide to BlueChew: How to Take It & How Long It Lasts

BlueChew is a telehealth service that connects you with licensed providers who can prescribe sublingual ED medications, delivered discreetly to your door. Here's how BlueChew works, how to take it, how long it lasts, and how to get started.

• BlueChew offers seven prescription formulas. All are sublingual tablets that dissolve under your tongue, except DailyTAD, which is chewable.
• The active ingredients include sildenafil, tadalafil, and vardenafil (the active ingredients in Viagra, Cialis, and Levitra), plus apomorphine and oxytocin in GOLD.
• Sublingual formulas can start working in as little as 15 minutes.
• Formulas with sildenafil or vardenafil last up to 4–6 hours. Formulas with tadalafil, including GOLD, last up to 36 hours.
• Everything happens online. A provider usually reviews your intake within 24 hours, and approved orders ship within 24 hours.
• Plans start at $30, with no in-person doctor visits.

BlueChew connects you with licensed medical providers in your state who can prescribe compounded ED medications, all online. For a deeper look, see our guide to what BlueChew is.

BlueChew offers seven formulas:

• Single-ingredient: SIL (sildenafil), TAD (tadalafil), and VAR (vardenafil)
• Combination: MAX (sildenafil + tadalafil) and VMAX (vardenafil + tadalafil)
• 4-in-1: GOLD (sildenafil, tadalafil, apomorphine, and oxytocin)
• Daily: DailyTAD (tadalafil plus 7 essential vitamins, chewable)

Not sure which one fits? Compare all seven formulas.

Traditional ED pills are swallowed with water and absorbed through your digestive system. BlueChew's sublingual tablets dissolve under your tongue instead, so there's nothing to swallow and no water needed.

That makes them easy to take on the go, and absorbing through the tissue under your tongue can help them start working faster, according to research on sublingual sildenafil. They also come in compact, discreet packaging. See what patients say in BlueChew reviews.

Sildenafil, tadalafil, and vardenafil belong to a class of drugs called PDE5 inhibitors. They block the PDE5 enzyme, which lets blood vessels in the penis relax and fill with blood. More blood flow means firmer, longer-lasting erections when you're sexually aroused.

GOLD adds apomorphine, which acts on dopamine receptors in the brain involved in arousal, and oxytocin, which is linked to arousal and intimacy. For the full breakdown, see how BlueChew works.

If you're 18 or older and live in the U.S., you can get started online in a few minutes.

1. Choose your plan. Pick a formula, strength, and quantity on BlueChew.com, and create your account.
2. Complete your medical intake. Answer a short questionnaire about your health history and current medications. Some states require a quick video visit with a provider; if yours does, you'll be prompted to schedule one.
3. A provider reviews your intake. A licensed provider reviews your information, usually within 24 hours, and prescribes your plan if it's appropriate for you.
4. Your order ships discreetly. Approved orders ship within 24 hours in an unmarked mailer. Overnight shipping is available.

BlueChew ships throughout the U.S. except North Dakota, plus Guam, Puerto Rico, and the U.S. Virgin Islands. BlueChew doesn't ship internationally.

After you sign up, you can log in to your account to skip a shipment, change your plan, or message the medical team.

Your package includes instructions for your specific formula and strength, and your prescription label always comes first. Here's the basic routine:

1. Place the tablet under your tongue. Let it dissolve completely.
2. Take it 15–30 minutes before sexual activity for as-needed formulas.
3. Get in the mood. BlueChew's ingredients only work with sexual arousal, so you won't get an erection out of nowhere.

As-needed vs. daily formulas:

• As-needed: SIL, VAR, TAD, MAX, VMAX, and GOLD. Take a dose before you plan to be intimate.
• Daily: DailyTAD. This is the only chewable formula, and you take it every day, no matter when you plan to have sex.

If you have questions about your dose or timing, message the BlueChew medical team through your account.

BlueChew's sublingual formulas can start working in as little as 15 minutes after the tablet dissolves. Timing varies with the ingredient, your body, and whether you've just eaten a heavy meal.

It depends on the active ingredient in your formula:

Sildenafil and vardenafil are best when you know roughly when you'll have sex. Tadalafil gives you a 24–36 hour window for more spontaneity. For details, see how long BlueChew lasts.

Does BlueChew make you last longer in bed? BlueChew helps you get and keep an erection when you're aroused. Its active ingredients aren't designed to delay ejaculation, but firmer, more reliable erections can take some of the pressure off.

BlueChew plans start at $30, plus shipping and tax, and every plan includes your online consultation at no extra cost. GOLD starts at $7.30 per dose. New patients get 10% off their first order.

BlueChew doesn't accept insurance, but you can pay with FSA or HSA funds. Because these are prescription medications, BlueChew can't accept returns. If your formula isn't working the way you want, the medical team can help you find another option. For every plan and price, see the full BlueChew cost guide.

BlueChew makes ED treatment simple: choose a plan, complete a quick online intake, and a licensed provider takes it from there. No office visits, no pharmacy lines, and your treatment arrives in discreet packaging.

Explore BlueChew plans →

How do you take BlueChew? 

Place the tablet under your tongue and let it dissolve completely, 15–30 minutes before sexual activity. DailyTAD is the exception: it's a chewable tablet you take once a day.

How long does BlueChew last? 

Formulas with sildenafil or vardenafil (SIL and VAR) last up to 4–6 hours. Formulas with tadalafil (TAD, MAX, VMAX, and GOLD) last up to 36 hours.

How long does BlueChew GOLD last? 

GOLD lasts up to 36 hours, thanks to its tadalafil.

How is BlueChew different from Viagra? 

BlueChew's formulas contain the same active ingredients as Viagra, Cialis, and Levitra: sildenafil, tadalafil, and vardenafil. GOLD also includes apomorphine and oxytocin. BlueChew's medications are compounded in state-licensed pharmacies, aren't FDA-approved, and come as sublingual tablets, not pills you swallow.

What's the difference between sildenafil, tadalafil, and vardenafil? 

All three are PDE5 inhibitors that work in similar ways. Sildenafil and vardenafil last about 4–6 hours, which suits planned occasions, and some men find vardenafil causes fewer side effects. Tadalafil lasts up to 36 hours for more flexibility.

What are the side effects? 

Common side effects of sildenafil, tadalafil, and vardenafil include headache, flushing, congestion, muscle or back pain, and upset stomach. GOLD's apomorphine can also cause nausea, dizziness, drowsiness, or feeling lightheaded.

Less common but serious side effects include chest pain, sudden vision or hearing changes, an erection lasting more than 4 hours, and fainting or a sudden drop in blood pressure. If you have any of these, get medical help right away.

Don't take BlueChew if you take nitrates or guanylate cyclase stimulators, because the combination can cause a dangerous drop in blood pressure. PDE5 inhibitors can also interact with some blood pressure medications, HIV treatments, and certain antibiotics and antifungals. Share all your medications and health conditions in your intake so your provider can make sure BlueChew is safe for you. See the full safety information.

Do I need a prescription for BlueChew? 

Yes. A licensed provider reviews your online intake and prescribes your plan if it's appropriate. There's no in-person visit, and the consultation is included with your plan.

How much does BlueChew cost? 

Plans start at $30, and GOLD starts at $7.30 per dose. BlueChew doesn't accept insurance but does accept FSA and HSA payments.