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Sildenafil Online
Medically reviewed by Dr. Emmanuel Noel Cruz Tancinco, MDLast reviewed October 13, 2026Sildenafil is a prescription medication used to treat erectile dysfunction (ED). Our compounded sildenafil is a tablet taken as needed before intimacy. Explore clinician-guided sildenafil with transparent pricing, online provider review, and licensed pharmacy fulfillment.
- Sildenafil improves blood flow to help you get and keep an erection.
- A tablet taken as needed — about 30–60 minutes before intimacy.
- Free shipping in discreet packaging.
Plans as low as
$59/mo
Provider review included in your plan · Prescribed only when appropriate
- Free shipping
- Licensed clinicians
- Cancel anytime
Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. A licensed provider determines whether a compounded medication is appropriate based on an individual patient’s medical needs.
What is sildenafil?
Sildenafil is a prescription medication used to treat erectile dysfunction. Our compounded sildenafil is a tablet taken as needed before intimacy.
What are the potential benefits of sildenafil?
Sildenafil is a well-established ED medication. It improves blood flow to the penis, which may help you get and keep an erection when sexually aroused. Results vary, and a licensed provider can help set realistic expectations.
Does sildenafil work on its own?
No. Sildenafil requires sexual stimulation to work — it does not cause an automatic erection. It typically takes effect within 30–60 minutes.
Sildenafil at a glance
- Treatment
- Sexual Health
- Form
- Oral
- Prescription
- Required, after clinician review
- Price
- From $59/mo
- Shipping
- Free and discreet
- Availability
- Online in 25 states
ED Treatment, With Clinician Guidance
The sildenafil program is designed to support erectile dysfunction with clinician guidance.
The basics
What Is Sildenafil?
Sildenafil is one of the most widely used treatments for erectile dysfunction (ED). Our compounded sildenafil is a tablet taken as needed before intimacy. This compounded tablet formulation is not an FDA-approved product.
What are the potential benefits of sildenafil?
Firmer erections
Helps you get and keep an erection firm enough for sex when you’re aroused.
Improves blood flow
Relaxes blood vessels in the penis so more blood can flow in during arousal.
Works in 30–60 minutes
Starts working about 30–60 minutes after you take it.
Lasts for hours
The effect lasts about four to six hours, so there’s no need to rush.
Proven treatment
A well-established, effective treatment for erectile dysfunction.
Benefit These statements describe general treatment research and are not claims of specific outcomes. Evidence for evidence on sildenafil for erectile dysfunction is well established, though individual results vary.
30–60 minutes before
Step by step
How to take sildenafil
General tips. Always follow the directions from your provider and the pharmacy label.
Step by step
How to take sildenafil
General tips. Always follow the directions from your provider and the pharmacy label.
30–60 minutes before
Take one tablet about 30–60 minutes before sexual activity.
No more than once a day
Don’t take more than one dose in 24 hours.
A lighter meal helps
A heavy, high-fat meal can delay how quickly it starts working.
Go easy on alcohol
Heavy drinking can make erections harder and add to side effects like dizziness.
Never with nitrates
Don’t take it with nitrate medications, “poppers,” or riociguat. The combination can cause a dangerous drop in blood pressure.
Long-lasting erection?
Seek emergency care for an erection that lasts more than 4 hours.
Common side effects
Headache, flushing, or a stuffy nose are common and usually pass. Tell your care team if they don’t.
Begin your journey with DripVitals
Every wellness journey is different, and so are our customized sildenafil routines.
- STEP #1
Select your treatment
Choose a plan that fits your needs and complete a medical intake form for review by providers.
- STEP #2
Provider evaluation
A licensed provider reviews your ED to determine if sildenafil is right for you — all online.
- STEP #3
Your medication, delivered
If approved, your sildenafil ships in 3–5 days with discreet packaging, so you can start your journey.
Sildenafil Safety, Side Effects, and Eligibility
Like any medication, sildenafil carries potential risks, and they are not appropriate for everyone. Reviewing the following with a licensed provider is an essential part of treatment.
Potential side effects
Common side effects include headache, facial flushing, nasal congestion, indigestion, and temporary changes in vision (such as a blue tinge or light sensitivity). Seek immediate medical attention for an erection lasting more than 4 hours (priapism), sudden vision or hearing loss, chest pain, or signs of an allergic reaction. Sildenafil can lower blood pressure, which may cause dizziness.
Who Should Not Use Sildenafil?
Do not use sildenafil if you take nitrate medications (such as nitroglycerin), use recreational nitrites known as “poppers,” or take riociguat or another guanylate cyclase stimulator. These combinations can cause a dangerous drop in blood pressure. Tell your provider if you have heart disease, low or uncontrolled blood pressure, a history of stroke or heart attack, severe liver or kidney problems, a bleeding disorder, or an eye condition such as retinitis pigmentosa. Also mention alpha-blockers or other blood-pressure medications. A provider will review your history to decide whether sildenafil is appropriate. Tell your provider if you have chest pain, heart disease, heart rhythm problems, low or uncontrolled blood pressure, a recent heart attack or stroke, severe liver or kidney disease, or if a clinician has advised you to avoid sexual activity. Your provider reviews your history and will decline treatment when it is not safe or appropriate. Not everyone who applies will qualify.
Drug-interaction review
Share a complete list of your prescriptions, over-the-counter products, vitamins, and supplements during your consultation so your provider can check for potential interactions. Never start, stop, or change a medication without talking to a licensed provider.
When to contact a medical provider, and why results vary
Contact your provider if you experience side effects, have questions about dosing, or notice anything unexpected. Individual results vary based on your health, the plan prescribed, and many factors outside any single treatment, and no specific outcome is guaranteed.
Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. A licensed provider determines whether a compounded medication is appropriate based on an individual patient’s medical needs.
Comparison
Sildenafil vs. Tadalafil
Both are PDE5 inhibitors for erectile dysfunction. Sildenafil typically works for about 4–6 hours and is taken as needed before intimacy. Tadalafil lasts much longer — up to 36 hours — and can be taken as needed or in a low daily dose. The best choice depends on your preferences and health history, which a licensed provider can review with you.
Why Choose a Clinician-Guided sildenafil?
- Structured dosing and check-ins with your care team
- Includes support for nutrition, sleep, and movement goals
- 24/7 access to messaging with your care team
- Monthly check-ins and as-needed dosage adjustments when clinically appropriate
- Plans designed to stay affordable across commitment lengths
Program
Sildenafil Cost & What’s Included
A DripVitals sildenafil program is a clinician-guided subscription that bundles your care and medication. Depending on what your provider prescribes, it typically includes:
- Online medical consultation and licensed-provider review
- Your prescribed medication from a licensed pharmacy
- Medication with clear usage instructions
Free, discreet shipping- Ongoing messaging access to your care team
Follow-up check-ins with dose adjustments when clinically appropriate
A subscription you can cancel at any time- Ready when you areStart your evaluation
Simple, transparent pricing
One plan. It includes your provider consultation, medication if prescribed, usage instructions, and free discreet shipping. Cancel anytime.
$59/month billed monthly. A licensed provider determines whether treatment is appropriate based on your individual medical needs. Individual results vary.
Medically Reviewed
Dr. Emmanuel Noel Cruz Tancinco, MD
Attending Physician · ABAARM · FAAMM · DABOM
Board-certified in obesity medicine and internal medicine, with practice focused on hormone optimization, metabolic medicine, and longevity-focused care — licensed in all 25 states we serve.
- Hormone Optimization
- Obesity & Metabolic Medicine
- Longevity-Focused Care
- Functional Medicine
Education & certifications
- American Board of Anti-Aging and Regenerative Medicine (ABAARM)
- Anti-Aging Metabolic Medicine, American Academy of Anti-Aging Medicine
- American Board of Obesity Medicine (DABOM)
- American Board of Internal Medicine
- The Institute for Functional Medicine
- Bioidentical Hormone Replacement Therapy certified
- Peptide Certification / Member, International Peptide Society
- Integrative Gastroenterology, Endocrinology, Cardiology & Neurology Certification, The George Washington University School of Medicine and Health Sciences
- Member, The American Academy of Anti-Aging Medicine (A4M)
- Member, American College of Physicians
This page was reviewed for medical accuracy. Treatment decisions are made by a licensed provider after reviewing each patient’s medical history. Last medically reviewed October 13, 2026.
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Sildenafil: Frequently Asked Questions
Clear, medically reviewed answers about sildenafil — what they are, safety, administration, and how the program works.
Is sildenafil FDA-approved?
Our compounded sildenafil tablet formulation is not an FDA-approved product; compounded preparations are not reviewed by FDA before marketing. A provider determines what is appropriate.
What are the potential side effects?
Common side effects can include headache, facial flushing, stuffy nose, upset stomach, dizziness, and temporary vision changes such as a blue tint or light sensitivity. Get emergency help for chest pain, fainting, an erection lasting more than 4 hours, or sudden loss of vision or hearing. Tell your provider about any side effects that bother you.
Who should not use sildenafil?
Sildenafil is not appropriate for everyone. Do not use it if you take nitrate medications (such as nitroglycerin), use “poppers,” or take riociguat, or if you have been told sexual activity isn’t safe for your heart. Tell your provider about any heart, blood-pressure, liver, kidney, or eye conditions, including any past sudden vision loss. A licensed provider reviews this information and will decline treatment if it isn’t safe or appropriate for you. Not everyone who applies will qualify.
Can sildenafil be taken with other medications?
Not always. Most importantly, sildenafil must not be combined with nitrate medications, “poppers,” or riociguat (used for certain lung blood-pressure conditions), and it needs caution with alpha-blockers and other blood-pressure medicines. Tell your provider about everything you take.
How is sildenafil taken?
The tablet is swallowed, typically 30–60 minutes before intimacy, as directed by your provider. Do not take more than one dose in 24 hours. Sexual stimulation is still needed for it to work.
How long does sildenafil last?
Sildenafil typically works for about 4–6 hours, though this varies. It takes effect within 30–60 minutes of taking it.
Does sildenafil increase desire?
No. Sildenafil helps with the physical ability to get an erection when aroused; it does not increase libido or sexual desire on its own.
What is included in the DripVitals program?
A DripVitals sildenafil program typically includes your online medical consultation and provider review, your prescribed medication from a licensed pharmacy, medication and usage instructions where applicable, free discreet shipping, ongoing messaging access to your care team, and follow-up check-ins with dose adjustments when clinically appropriate. Plans are offered as a subscription you can cancel at any time. Exact inclusions and pricing depend on the plan and what your provider prescribes.
Is a consultation required?
Yes. Sildenafil requires a prescription, so a licensed provider must review your health information before any treatment is dispensed. The consultation is completed online through a secure intake form, and your provider may follow up with questions. If treatment isn’t appropriate for you, the provider will not issue a prescription.
How much does sildenafil cost?
DripVitals sildenafil pricing is simple: $59/month, billed monthly, including the consultation, medication if prescribed, and free discreet shipping. Your dashboard shows exactly what you’ll pay and when, with no hidden fees, and you can cancel your subscription at any time.
Still have questions?
Disclaimer
Only available if prescribed after an online consultation with a healthcare provider. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. Physicians may prescribe compounded medications as needed to meet patient requirements. The FDA does not review or approve any compounded medications for safety or effectiveness. The statements on this page have not been evaluated by the FDA. Results may vary. If you notice any side effects while using this treatment, contact your healthcare provider immediately.
Start your online evaluation
Sildenafil from $59/mo. A licensed clinician reviews your answers.