BlueChew is an online subscription retailer that offers treatment for erectile dysfunction (ED) in the form of chewable tablets.

These tablets contain sildenafil or tadalafil, both of which the Food and Drug Administration (FDA) has approved to treat ED. However, the FDA has not approved the BlueChew products.

This article provides further information about BlueChew and its products. It also discusses alternative treatment options and when to see a doctor about ED.

According to the World Health Organization (WHO), sexual health is key to a person’s general health and well-being. The organization notes that sexual health encompasses respect for sexual partners, a positive approach to sexual relationships, and an awareness of the negative effects of coercion and discrimination.

The WHO also states that certain factors can affect a person’s sexual well-being, including:

  • the amount of access they have to information about sexual wellness
  • knowledge of the risks and consequences of engaging in sexual activity without using a form of barrier protection
  • ease of access to sexual healthcare

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) defines ED as a condition in which a person cannot get or maintain an erection firm enough to partake in sexual activity.

ED has various causes and can affect anyone with a penis who has reached sexual maturity. It is more common in older adults, but aging is not a direct cause of ED.

The NIDDK lists the following as symptoms of ED:

  • occasionally being able to achieve an erection, but not every time the person would like to have sex
  • being able to achieve an erection but not maintain it for long enough to have sex
  • being unable to achieve an erection at all

A person might also be at risk of other health conditions when experiencing ED. For example, a 2019 systematic review found that people with ED are at significantly higher risk of coronary heart disease, cardiovascular disease, stroke, and all-cause mortality.

BlueChew treats people with ED who cannot tolerate commercial pills, do not want to visit a doctor in person, and would like to increase their chance of stronger erections.

The company provides custom treatments for longer and more frequent erections. It says that it has a medically trained team that undertakes assessments and creates personalized plans.

The BlueChew tablets are chewable, so they are suitable for those who struggle to swallow pills whole. According to research, 10–40% of adults can find it difficult to swallow pills.

BlueChew offers tablets containing one of two active ingredients — sildenafil or tadalafil.

Sildenafil is the active ingredient in the brand name drug Viagra, and research suggests that it lasts for 4–6 hours. Tadalafil is the active ingredient in Cialis, and it typically lasts for 24–36 hours.

Learn more about the difference between sildenafil, tadalafil, and other ED medications here.

The FDA has approved sildenafil and tadalafil, but BlueChew’s products do not currently have FDA approval.


BlueChew offers a subscription service that a person pays for monthly. The company delivers to most addresses within the United States, but it does not deliver to North Dakota, South Carolina, and the U.S. territories and does not ship internationally.

Before a person can subscribe to the service, they must complete a medical profile and undertake a digital consultation with an affiliated, state-qualified medical professional. After this, and if appropriate, the BlueChew medical team will prescribe the medication for a person to collect at their local compounding pharmacy.

Medical insurance does not cover BlueChew products, but the company claims that its customers pay less than they would if they purchased a similar product through a doctor.

Returns and refunds

As BlueChew provides prescription treatments, a person cannot obtain a refund or return, but they can contact customer support if they believe that they have received an incorrect or defective item.

If a BlueChew plan is not effective for an individual, they should let the company know, and the medical team will consider other appropriate treatment options.

BlueChew states that people generally experience very few side effects. However, the most commonly reported side effects for their products include:

In addition, the tadalafil tablets may cause irritation in the nose and throat, and the sildenafil tablets may lead to heartburn.

BlueChew states that if any of the above side effects become troublesome or do not pass, a person should discontinue the medication and contact a doctor.

The side effects that BlueChew lists are similar to those that people may experience when taking Viagra or Cialis. However, the companies that manufacture these branded drugs also list an upset stomach, which could lead to indigestion, as a possible side effect.

Alternative products are available that may help a person with ED.

Eddie by Giddy

Eddie by Giddy is an FDA-approved wearable medical device that is available to purchase over the counter.

A person wears the device around the base of the penis. It is available in four different sizes, so a person should be able to use the product regardless of the circumference, or girth, of their penis. The devices are customizable and come with tension bands that provide different levels of comfort.

Eddie by Giddy says that the anatomical design of the device means that it provides pressure in the right places to create, assist, and enhance a person’s erection and sexual experience.

Vacuum devices

In some cases, a doctor may prescribe a vacuum device, which is a tube and pump that a person can place over their penis. This device creates blood flow to the penis, allowing it to become erect.

Research has confirmed the effectiveness of vacuum devices for ED in people who have undergone a procedure to remove the prostate gland, known as a radical prostatectomy.

Learn more about vacuum devices here.

Other advice

The NIDDK states that people may find certain lifestyle adjustments helpful in improving ED. These include:

  • stopping tobacco smoking, if a smoker
  • limiting alcohol consumption
  • engaging in more physical activity
  • refraining from using illegal drugs

In some cases, a doctor may discuss surgical options, such as a penile implant or artery repair that could increase blood flow to the area.

ED is a common problem, especially for those over the age of 40 years. Factors such as stress, anxiety, tiredness, or excessive alcohol consumption can cause or contribute to ED.

If a person experiences persistent difficulty with achieving or maintaining an erection, they should contact their doctor for advice. In some cases, ED could signal an underlying medical condition, such as diabetes, heart disease, or high blood pressure.

BlueChew sells chewable tablets that can help people with ED get and maintain an erection.

BlueChew products are available to purchase online without an in-person visit to a doctor. However, the company conducts online medical consultations before supplying its products via prescription to customers.

A person should always consult their doctor if they have health concerns or experience persistent side effects from new medications.