Interactions with Food and Other Medications

It isn’t perfect, but it’s a big step in a safer direction.

Liver Dose Adjustments

We’re dedicated to performing hands-on testing whenever possible, allowing us to convey aspects of the customer experience such as ordering, shipping logistics, product quality, efficacy, taste, and more. In addition to our hands-on experience, our testing team has been studying the men’s sexual wellness space for nearly two decades, having read through more than 1,000 scholarly articles related to erectile health and various treatments for erectile issues. We also worked with Dr. Ilija Kelepurovski, urologist and member of our Medical Review Board, to verify the medical accuracy of this content. While we often list our evaluation criteria starting with what we feel would be the most important consideration, we’re going to lead this section off by talking about available medications and doses.

What to do in the event of an overdose

This is despite the fact that we think cost is a more important determining factor between the two companies, and we’re doing so because understanding the different doses each company offers for the same medications will help contextualize those cost differences. Dr. Kelepurovski says: "In selecting between platforms like Hims and BlueChew, patients should think beyond cost and convenience. Patients may also want to consider dose flexibility and personal safety concerns. Starting with lower doses may be beneficial to decrease the chance of side effects when starting treatment." Both BlueChew and Hims offer chewable forms of the popular PDE5 inhibitors sildenafil, tadalafil, and vardenafil.2 Hims also offers tablet forms of sildenafil, tadalafil, and Stendra (branded avanafil). Here’s a brief summary of the comparison from urologist Dr.

Brand Name	Manufacturer	Price Range (per pack)	Formulation Notes
Sildenafil ChewPro	PharmaHealth Ltd.	$20 - $35	Pack of 10 chewable tablets
ChewSildenafil	MedCorp Inc.	$15 - $25	Sugar-free variant
EasySild	PharmaPlus	$25 - $40	Flavored, strawberry
QuickErections	HealthyPharma	$18 - $30	Fast onset, 15-minute effect

Kelepurovski: “If you’re looking for a comprehensive telehealth platform, especially one that goes beyond ED to address

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	50mg	270 + 8 Pills	198.48€ 189.03€	Buy
Viagra Generic	50mg	10 Pills	26.87€ 25.59€	Buy
Kamagra Soft Tabs	100mg	32 Pills	120.11€ 114.39€	Buy
Viagra Generic	100mg	360 + 10 Pills	330.21€ 314.49€	Buy
Viagra Generic	25mg	90 + 6 Pills	105.03€ 100.03€	Buy
Kamagra Soft Tabs	100mg	12 Pills	57.55€ 54.81€	Buy
Viagra Generic	150mg	30 + 2 Pills	72.32€ 68.88€	Buy
Viagra Generic	150mg	120 + 8 Pills	177.58€ 169.12€	Buy
Kamagra Polo	100mg	120 + 6 Pills	327.15€ 311.57€	Buy
Kamagra Oral Jelly	100mg	110 + 9 Sachets	334.87€ 318.92€	Buy

skin, hair, or mental health concerns, Hims may be a useful starting point.” He adds, “As usual, it

Storage Condition	Details	Notes
Temperature	20-25°C (68-77°F)	Avoid heat and humidity
Keep away from light	Store in a cool, dry place	Protect from direct sunlight
Keep out of reach of children	Ensures safety	Prevent accidental ingestion
Shelf life	2 years from manufacturing date	Check expiry date before use

is always advisable to visit a doctor who will assess your entire medical history before making any

What is sildenafil?

BlueChew’s recently released daily tadalafil multivitamins also come in tins, but you don’t need sildenafil cenforce to carry those around with you if you’re taking them once per day. The three main medications that either company offers in chewable form are well-researched and regarded as relatively safe.4 Their side effects have been thoroughly documented and exclude a few types of men from taking them, including those with cardiovascular conditions. That’s because PDE5 inhibitors effectively relax the muscles that control the diameter of blood vessels, resulting in wider pathways through which blood can flow. This can lower blood pressure, which may be dangerous for some patients.5 Men with low blood pressure or those on medications that already lower their blood pressure can be at risk for various complications when taking PDE5 inhibitors, especially at higher doses. Hims has some of these medications in tablet form that come in relatively low doses. treatment decision.” BlueChew and Hims are male-oriented telehealth companies offering prescription medications to help fight erectile dysfunction (ED).

How long do BlueChew’s medications take to work?

Let’s compare the chewable offerings here, as they’re the ones shared by both companies. As you can see, Hims offers a few more quantity options you can use to customize your shipment size depending on your level of sexual activity. Hims also uses slightly higher base doses of chewable tadalafil and vardenafil, though the fact that they don’t also match BlueChew’s lower doses may cause a problem for some men. If you want the lowest possible starting doses to limit side effect risk, you’ll need to opt for tablets over chews, and Hims is the only one of these two companies to offer them.3 What’s more, Hims’ tablet prices for tadalafil are excellent, making it a safe and economical choice for men new to treatment. What you pay for your ED medication will largely come down to whether you want to take a daily medication to be ready for sex at the drop of a hat (tadalafil) or an as-needed medication that might take up to an hour to start working (sildenafil or vardenafil).

Usual Geriatric Dose for:

That said, if you acquire a prescription for daily tadalafil from Hims and only use it as needed, you’ll get the best possible price from either company. This is true of tadalafil in both tablet and chewable form from Hims, though it can be less expensive in tablet form. That’s because Hims offers an annual billing and shipping period for its tadalafil tablets, but not for its tadalafil chews, where semiannual is as extended a period as you can get. For monthly, quarterly, and semiannual billing, Hims tadalafil daily chews and tablets cost the same. BlueChew also recently added a daily tadalafil chew to its platform, which you can get in quarterly installments for a slightly higher price per dose than Hims but with a handful of added vitamins. Both allow you to get a prescription online and have medication shipped directly to your home.

Final Thoughts

Meanwhile, between the two companies’ chewable offerings, Hims’ lowest dose is higher than BlueChew’s lowest dose. That creates a slightly higher side effect risk for first-time PDE5 inhibitor users. Men who’ve established a relative dose for their PDE5 regimen and want to try switching to a chewable form of the medication should examine either company’s dosages and stick with what’s been working for them. As an additional safety note, we were concerned about the Hims tin being too easily accessed by a child or even an unsuspecting adult. But we were pleased to find a kind of child lock built into the tin that requires you to squeeze one section of it to slide it open. Previously, BlueChew was the only one of the two companies to offer its ED medications as chewables, increasing their portability and convenience since you wouldn’t need a glass of water to take them.

How to get BlueChew:

Let’s quickly compare the lowest possible cost per dose of the three generic medications offered by both BlueChew and Hims: BlueChew’s pricing for sildenafil is undeniably superior, but for tadalafil or vardenafil, Hims has the clear edge. Those prices are only attainable with semiannual or annual billing, which means you must be able to pay more up front to save buy sildenafil citrate online canada in the long run. Most of BlueChew’s billing and shipments are only set up as monthly installments, which means you don't have to come up with as much money up front, but it also means that your potential for savings is more limited. Its daily tadalafil multivitamin presents the best opportunity for savings, with the lowest up-front cost, as it gets you a 9mg tadalafil dose for $2.00 with quarterly shipping. The best-case scenario here is that you have the capital to invest in annual or semiannual billing through Hims or a quarterly tadalafil shipment from BlueChew, and that you actually only plan to take the tadalafil as needed.

Monthly subscription rates

That gives you a large shipment of meds that could last you a while (you can pause your subscription after receiving the medication, and resume only when you need more). Insider Tip: If you plan to take advantage of longer shipping and billing intervals and use your medication on an as-needed basis, make sure you know what the expiration date of that medication is. You wouldn’t want it to lose efficacy before you have a chance to take it. Custom-compounded meds may have varying shelf lives; inquire with your prescriber as to how long your medication should last. If you’re not sure you want to commit to a month’s worth of medication to start, especially as you figure out what dose works best for you, you can also try sildenafil tablet manforce 50 mg BlueChew for free — a $25 value offered to our readers who visit BlueChew from links on our site — then evaluate your needs for quantity and dose adjustments from there. Hims has caught up in that effort and now offers its own line of chewable ED meds, though there are important differences between it and BlueChew’s.

Usual Adult Dose for Pulmonary Hypertension

When we look at convenience, we consider both the convenience of attaining the medications in question and the convenience of taking them. Both Hims and BlueChew have very similar intake procedures, with online questionnaires followed by messaging with a doctor to finalize a prescription. All of it can be done entirely from home. Both BlueChew and Hims have easy-to-take chews that taste just fine, but the fact that Hims offers both chewable medications and traditional tablets might be a convenience factor for some men if they prefer to take pills, especially since those tablets open up a wider range of available doses than chews from either company. It’s worth noting that Hims chews come in little tins, with all of the chews together.

1. Select your medication and plan

BlueChew provides its medications in individually wrapped packets. This is a small difference on the surface, but if you’re taking your chews out into the world with you, when traveling or in other circumstances where discretion is important, one or two slim packets will be easier to carry around than a slightly thicker tin. Here’s a quick comparison of the packet and the tin for thickness: Those BlueChew packets are no thicker than a single chewable dose, and they’re about the size of a sugar packet. Hims’ tin is about 0.75in thick, more than 3in long, and just over 2in wide. It’s not unfeasible that you could slip this into your pocket, but it’s definitely less convenient than the BlueChew alternative. Hims also offers traditional pill-form ED medications, while BlueChew does not.

Drug Class	Interaction Type	Effect on Sildenafil	Notes
Nitrates	Dangerous	Severe hypotension	Contraindicated due to risk of life-threatening hypotension
Alpha-blockers	Caution	Enhanced effect	May cause hypotension; monitor blood pressure
CYP3A4 inhibitors	Increased levels	Elevated testosterone	Risk of side effects; dose adjustment may be needed
Protease inhibitors	Significant increase	Elevated plasma levels	Use caution; consider dose reduction

And Hims has a much wider range of other telehealth offerings, including mental health care, premature ejaculation treatment, and more, which we will briefly address after our main comparison of ED medication product offerings.

• Sildenafil chewables come in flavored options for better taste.
• Use only as prescribed; overdosing can be dangerous.
• The medication increases blood flow to the penile tissue.
• Do not take with nitrate medications due to risk of hypotension.
• It is not a cure but improves erectile function temporarily.
• Onset of effects typically occurs within 30-60 minutes.
• Duration of effect lasts approximately 4-6 hours.
• Avoid fatty meals before taking as it may delay absorption.
• Consult a healthcare professional before starting sildenafil.
• Report any vision changes or hearing loss promptly.
• Not recommended for use by women or children.
• Some medications can interact with sildenafil, check with your doctor.

Between the two companies, Hims has slightly better ratings than BlueChew on Trustpilot and the Better Business Bureau (BBB) website.

• Generic sildenafil offers a cost-effective alternative.
• Safe use requires understanding potential drug interactions.
• Chewable tablets are more convenient for some users.
• Avoid grapefruit or grapefruit juice while using sildenafil.
• Sexual activity carries risks for individuals with heart conditions.
• Sildenafil can cause vision disturbances like blue tint.
• Take care to adhere to prescribed dosing schedules.
• Be aware of the possibility of priapism, a prolonged erection.
• Use with caution if you are prone to low blood pressure.
• Always read the patient information leaflet carefully.
• Notify your doctor if pregnant or breastfeeding.
• Remember to stay hydrated while on medication.

However, BlueChew’s ratings come from a somewhat smaller number of reviews (under 2,000 across both sites compared to more than 14,000 for Hims).

• Chewable sildenafil can be taken with or without water.
• When to take: about 30 minutes before sexual activity.
• Do not crush or swallow the tablet whole, chew thoroughly.
• Alcohol can decrease the effectiveness of the medication.
• Be aware of side effects like nasal congestion or back pain.
• It is important to follow dosage instructions carefully.
• The medication is prescribed for adult men only.
• Inform your doctor if you have kidney or liver problems.
• Do not share your medication with others.
• Use as part of a broader treatment plan for erectile dysfunction.
• Sildenafil does not cause spontaneous erections without stimulation.
• Regular check-ups are advised when using sildenafil long-term.

Much of this quantitative difference stems from the wide array of offerings Hims has and the fact that its BBB page is a combined page shared between Hims and its sister site, Hers.

• Chewable sildenafil tablets are portable and easy to carry.
• They are designed specifically for men with ED.
• Always check expiration date before use.
• Inform your doctor about any other medical treatments.
• Using the medication responsibly prevents misuse.
• Report any side effects like chest pain or dizziness.
• Avoid combining with other ED products unless instructed.
• Follow proper storage instructions to maintain efficacy.
• The drug is a prescription medication, not over-the-counter.
• Be aware of the potential for allergic reactions.
• Use as directed to avoid complications.
• Stay informed about the medication’s effects and risks.