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Frequently Asked Questions

For emergency, please call 911.

We currently offer Sildenafil in 30 mg and 45 mg and Tadalafil in 6 mg and 9 mg dosages. We are working hard to offer additional options in the future.

BLUECHEW affiliated providers are a complement to, not a replacement of your primary care provider. It is important to keep all of your providers involved in your care and up to date on your health and all medications.

Sildenafil and Tadalafil are not included in standard drug screening tests. Both Sildenafil and Tadalafil can be taken as medication when legally prescribed.

Get Emergency Medical help for any Allergic reaction, like 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. Mentioned below are adverse effects that are related to Tadalafil and/or Sildenafil. Please note that if you are experiencing or have experienced ANY of the concerning symptoms listed below you must DISCONTINUE use of the medication treatment immediately and seek emergency medical attention as soon as possible. Although it can be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your Primary Care Provider or seek medical help right away if you are or have experienced any of the following signs or symptoms that may be related to an adverse effect: • Chest pain, chest 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 in 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 Call your Primary Care Provider or seek Emergency Medical help right away if you have a painful erection (hard penis) or an erection that lasts for 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. If you have any other symptoms or concerns, please let us know!

Once your profile has been verified, please allow the provider 1-2 business days to review your chart. If it has been longer than the 2 business days, please reach out to the medical team at

Yes. Every medication is prescribed by a BLUECHEW affiliated provider who is licensed to treat in your state and complies with all telemedicine state laws

Taking both medications at the same time can cause potentially life-threatening side effects. For this reason, our patients will not be prescribed both medications at one time. Everyone responds to medications differently. If one medication is ineffective, you can request that the medical team at BLUECHEW change your prescription for your following month’s order.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. If any of these side effects or any other side effects bother you or do not go away, please discontinue use of the medication, call your doctor, and/or seek emergency medical assistance. The following are the common side effects of Tadalafil and Sildenafil. There are other possible side effects, this is not a complete list.

Tadalafil side effects:

• Flushing. • Headache. • Back pain. • Muscle pain. • Upset stomach. • Nose or throat irritation. • Stuffy nose. • Runny nose.

Sildenafil side effects:

• Flushing. • Headache. • Heartburn. • Upset stomach. • Runny nose. • Muscle pain. • Back pain. 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 Doctor if you have any concerns about a BLUECHEW prescription medicine and the effect it could have on your past/current health or medical conditions.

Everyone responds differently to medication, and therefore each patient will have a unique experience. Studies show that patients taking erectile dysfunction medications such as Sildenafil or Tadalafil 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 two different erectile dysfunction medications for our patient to choose from, so if one does not seem to work well, please ask our BLUECHEW affiliated medical team to prescribe the alternative.

Commercially available Sildenafil is prescribed for use as needed. It generally takes about an hour before becoming effective (in the usually prescribed pill form), so a little extra patience (and planning) must be taken into consideration. BlueChew offers compounded chewable tablets of Sildenafil and Tadalafil. Some patients report chewables start to work faster in their system compared to commercially available tablets. Sildenafil wears off after four to six hours. For men that want to be able to have sex at any time, Tadalafil might be the better choice. It is advised to be taken daily. Since it stays in your system for 24-36 hours, it gives you more opportunities for spontaneous intercourse whenever you and your partner are in the mood.

BLUECHEW services are not covered under insurance, but is available at 50%-80% off retail cost of traditional sildenafil and tadalafil, making them more affordable and accessible to consumers. Typically our patients pay less for their BLUECHEW treatment than they would when going to their primary care physician and using their insurance.

You can purchase our products using your HSA card (we accept VISA, Mastercard, American Express and Discover). However, 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 and/or is not covered.

Drinking alcohol while taking erectile dysfunction medications can increase the risk of experiencing a medication side effect. Alcohol consumption and intoxication 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 1-2 12 oz beers, 1-2 1 oz shots of liquor, or 1-2 6 oz glasses of wine per day.

Tadalafil may be taken without regards to food. Sildenafil absorption within the body can be affected by meals, especially large meals, or those that contain a lot of fat. If sildenafil is taken after a meal, particularly those which are rich in fats, then it may take longer for the medicine to work.