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Frequently Asked Questions

For any medical emergencies, please call 911 immediately. If you believe that the emergency is related to treatment, discontinue treatment until after you have discussed your emergency with a licensed medical provider.

We currently offer sildenafil in 30 mg and 45 mg, tadalafil in 6 mg and 9 mg, and vardenafil in 8 mg doses and are working hard to offer additional options in the future.

To switch to a different dose or active ingredient, log into your account and click "Switch Plan" in the "Treatment" section under the “Membership” tab. If you need any assistance, please reach out to our support team via email support@bluechew.com, phone (970)438-2583, or chat on our website.

BlueChew-affiliated providers are a complement to your medical care, and not a replacement for your primary care provider. It is important to keep all providers who are involved in your care informed and updated on your health status and any medications that you take.

Sildenafil, tadalafil, and vardenafil are not included in standard drug screening tests and can be taken as medication when legally prescribed.

All drugs may cause side effects. Many individuals who take erectile dysfunction medications have no side effects at all, or only have minor side effects. The following are the common side effects of sildenafil, tadalafil, and vardenafil. This is not a complete list. There are other possible side effects. If any of these side effects or other side effects bother you or do not go away, please discontinue the medication immediately, call your healthcare provider, and/or seek emergency medical assistance.
Sildenafil side effects:

  • Flushing
  • Headache
  • Heartburn
  • Upset stomach
  • Runny or stuffy nose
  • Muscle pain
  • Back pain

Tadalafil side effects:
  • Flushing
  • Headache
  • Upset stomach
  • Nose or throat irritation
  • Muscle pain
  • Back pain

Vardenafil side effects:
  • Flushing
  • Heartburn
  • Upset stomach
  • Runny or stuffy nose
  • Back pain
  • Headache

If you have any other symptoms or concerns, please let us know! Everyone responds differently to different medications, so we suggest talking with your primary care provider if you have any concerns about a BlueChew prescription medicine and the effect it could have on your past/current health or medical conditions.

All past/current medical conditions and medications should be provided to our licensed provider team during the sign-up process. If you have any updates to your medical history, these changes should be reported to our licensed provider team as soon as possible.

All drugs may cause side effects. In rare situations, individuals who take erectile dysfunction medications could experience very bad, and sometimes fatal side effects. Stop use and seek immediate medical help if you experience any of the following signs or symptoms:

  • Chest pain or pressure or a fast heartbeat
  • A heartbeat that does not feel normal
  • Dizziness or passing out
  • Very bad headache
  • Weakness on one side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight
  • Change in eyesight
  • Loss of eyesight
  • Ringing in the ears, hearing loss, or any other changes in hearing
  • Trouble breathing that is new or worse
  • Swelling in the arms or legs
  • Fever
  • Any unexplained bruising or bleeding
  • Very bad muscle pain, back pain, soreness, or weakness
  • Very upset stomach or throwing up

Get emergency medical help if you have a painful erection (hard penis) or an erection lasting longer than 4 hours. This may happen even when you are not having sex. If this is not treated right away, it may lead to lasting sex problems, and you may not be able to have sex.

Get emergency medical help for any allergic reaction, like a rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.

Once you submit your medical intake form, our medical team will review the information submitted and ensure all answers are complete. After completion, our BlueChew-affiliated providers will review your medical chart information to determine if treatment is appropriate. Although it is usually a lot quicker, provider review can take up to 2 business days.
If it has been longer than 2 business days, or if you need any assistance, please reach out to our support team via email support@bluechew.com, phone (970)438-2583, or chat on our website.

Yes. Every treatment that we offer is prescribed by a BlueChew-affiliated provider who is licensed to treat patients in your state and complies with all telemedicine state laws.

Taking a combination of sildenafil, tadalafil, and vardenafil can cause potentially life-threatening side effects. For this reason, our patients will not be prescribed more than one type of medication at a time, and patients must not attempt to take any combination of the medications or doses together.

Every patient responds to medications differently. If you have concerns about your current treatment plan or feel that it is not working as expected, please reach out to our BlueChew-affiliated medical team via chat, email support@bluechew.com, or phone (970)438-2583.

Our team is standing by and is ready to assist you. You can also change your plan by logging in to your BlueChew account, selecting the “MY PLAN” tab, and then selecting "Switch Plans".

Everyone responds differently to medication, therefore each patient will have a unique experience. Studies show that patients taking erectile dysfunction medications such as sildenafil, tadalafil, or vardenafil have a higher chance of achieving successful sexual intercourse.

Erectile dysfunction medications work for the majority of men but do not work for everyone. We offer different erectile dysfunction medications and doses for our patients to choose from, so if one does not seem to work well, please reach out to our BlueChew-affiliated medical team via chat, email support@bluechew.com, or phone (970)438-2583 and they will be happy to assist you in choosing the right treatment.

BlueChew offers sildenafil, tadalafil, and vardenafil in a compounded chewable tablet form, which some patients report works faster in their body compared to commercially available tablets.

Sildenafil and vardenafil are generally prescribed for use, as needed. They take about an hour to provide effects, and will wear off after 4-6 hours. For this reason, a little extra patience (and planning) must be taken into consideration when using sildenafil or vardenafil instead of tadalafil.

For men that want to be able to have sex at any time, tadalafil might be the better choice. It also takes about an hour to provide effects; however, it stays in your system for 24-36 hours, giving you more opportunities for spontaneous intercourse whenever you and your partner are in the mood.

BlueChew services and treatment are not covered through insurance. However, our treatments are available at 50%-80% off retail cost of similar commercially available medications. Typically our patients pay less for their BlueChew treatment and services than they would when going to their primary care physician and a traditional pharmacy while using their insurance. This means that treatment and services offered through BlueChew are not just convenient and more accessible, but also cost-effective.

You can purchase our products using your HSA card (we accept VISA, Mastercard, American Express, and Discover). Please note that each HSA is different and reimbursement may or may not occur.

We highly recommend you speak to your HSA provider to discuss what is or is not covered, based on their policies.

Drinking alcohol while taking erectile dysfunction medications can increase the risk of experiencing a medication side effect. Alcohol consumption can also be a cause of erectile dysfunction in patients.

Studies have shown no major interactions with moderate alcohol consumption. An example of moderate alcohol consumption would be one to two 12 oz beers, one to two 1 oz shots of liquor, or one to two 6 oz glasses of wine per day.

Sildenafil absorption within the body can be affected by meals, especially large meals or those containing a lot of fat. If sildenafil is taken with or after a meal, particularly those rich in fats, it may take longer for the medicine to work.

Vardenafil's effectiveness may be affected by meals high in fat. High-fat meals should be avoided while taking Vardenafil.

Tadalafil may be taken without regard to food.