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The safest places to buy ED pills online are reputable telehealth companies. The Food and Drug Administration (FDA) warns against buying ED pills from websites that do not require a prescription.

According to a 2021 study, the number of ED products available online and in retail stores is increasing. However, people should be vigilant and avoid unregulated ED remedies, including those manufacturers claim to be “natural supplements.”

This article looks at some drugs that help with ED, the risks associated with buying them online, and where to get ED pills safely. It will also discuss alternative ways of treating ED.

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Below, we compare all of the telehealth services in this article.

RomanHimsLemonaidOptum StoreRexMD
Consultation costfreefree$25free, then $15free
Prescription medicationavailableavailableavailableavailableavailable
Nonprescription or
alternative medication
Subscription requiredyesyesyesnoyes
Accepts insurancenonononono
Free shippingyesyesyesorders over $35yes
Medication price starts from$4$3$2$6$6

The best place from which to obtain ED pills is a licensed pharmacy. A pharmacist can answer a person’s questions about ED pills and provide them with information on the possible side effects.

People who would prefer to fill their prescriptions online should choose a reputable online pharmacy in the United States with a pharmacist on hand to help with any problems or questions.

Reputable online pharmacies have a seal of approval from the National Association of Boards of Pharmacy. This proves that the pharmacy is legal and does not sell counterfeit drugs.

People should not obtain ED pills from websites without contact details, that offer much lower prices than pharmacies, and that do not ask for a prescription.

Medical News Today’s methodology

Medical News Today chooses online pharmacies for ED medication that fit the following criteria:

  • Healthcare professionals: Each online pharmacy or telehealth company uses licensed healthcare professionals, including doctors, that advise individuals and prescribe ED medication.
  • Prescriptions: Each online pharmacy or telehealth company offers an ED medication prescription after an appointment with a doctor.
  • Contact details: Each online pharmacy or telehealth company provides legitimate contact details.
  • Privacy: Each online pharmacy or telehealth company has a privacy policy on its website describing how it protects people’s credit card and personal information.

Medical News Today follows a strict product selection and vetting process. Learn more here.

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People should not buy ED pills online unless they have a prescription from a doctor and are purchasing them from a reputable online pharmacy or telehealth company. The FDA does not regulate online ED products — unless it is an approved medication like sildenafil (Viagra) — to ensure they are safe.

The FDA states that it has found many products claiming to enhance sexual performance that contain undisclosed ingredients. Some of these ingredients are found in prescription medications, such as Viagra and Cialis, and may interact with medications or supplements.

This means that online ED products could contain harmful substances or high amounts of drugs that consumers are unaware of.

The FDA keeps a database of tainted drugs, which is available to view online. A non-exhaustive list of products that contain undisclosed PDE-5 inhibitors includes:

  • Actra-Rx
  • Hero
  • Libidus
  • Naustra
  • NaturalUp
  • Neophase
  • Vigor-25
  • Xiadafil VIP

Phosphodiesterase-5 (PDE-5) inhibitors are medications individuals can use to help treat ED. These drugs prolong erections by blocking the action of phosphodiesterase enzyme, which triggers the end of an erection. However, a person must have a sexual drive, or libido, for PDE-5 inhibitors to work.

The FDA has approved the use of four PDE-5 inhibitors for ED:

Drug nameDose
avanafil (Stendra)50 milligrams (mg), 100 mg, 200 mg
sildenafil (Viagra)25 mg, 50 mg, 100 mg
tadalafil (Cialis)2.5 mg, 5 mg, 10 mg, 20 mg
vardenafil (Levitra)2.5 mg, 5 mg, 10 mg, 20 mg

Depending on the efficacy and side effects a person may experience while taking any of these drugs, doctors may recommend a different dosage.

Additionally, doctors may recommend alternative treatments for ED if they determine PDE-5s are not suitable.

For example, alprostadil (Muse), a prostaglandin E1 vasodilator, is a suppository that a person can insert into the urethra of the penis. The same medication is also available in an injectable form called Caverject.

Compare the most common medications: Viagra, Cialis, Levitra, and Stendra.

Getting ED pills without consulting a doctor or pharmacist first is not safe. ED pills that do not require a prescription may not come from a trustworthy company.

Also, PDE-5 inhibitors can cause serious interactions with other medications. For instance, people who take sildenafil alongside medications that contain nitrates may experience severely low blood pressure.

Drug interactions and preexisting conditions are some of the factors a doctor can take into account before prescribing an ED medication to ensure that it will be safe and effective.

Therefore, it is vital to consult a doctor before purchasing ED pills.

A 2023 overview suggests some other treatments for ED, such as:

Some individuals may be candidates for the combination treatment of PDE-5 inhibitors and testosterone.

Some procedures may improve sexual performance, including:

Learn more about natural treatments for ED.

People who think that they have ED can speak with a doctor. A doctor will be able to determine which treatment options are best.

For example, for those with ED and metabolic syndrome, a doctor may suggest a weight loss program that could improve their sexual performance. A doctor can also suggest whether a medication or a procedure is more appropriate.

Anyone taking ED pills should consult a doctor immediately if they are experiencing any side effects, such as:

Additionally, taking high doses of PDE-5 inhibitors can cause:

Priapism is a medical emergency that requires prompt treatment.

Below are some frequently asked questions about buying ED pills online:

Getting ED medication without first getting a prescription from a doctor is unsafe. Nonprescription ED medication may have undisclosed and dangerous ingredients.

People should avoid online pharmacies or sellers that claim they can offer ED medications without a valid prescription.

Viagra (sildenafil) is the most popular ED pill. It is FDA-approved, backed up by research, and effective for ED. However, it can cause side effects, and a person should discuss which ED medication best suits their health and needs.

Prescription ED medications such as Viagra, sildenafil, Cialis, tadalafil, Levitra, and Stendra are available online.

People should not buy any ED pills from a company that does not require a prescription. ED supplements or pills available without a prescription can include unlisted ingredients, such as sildenafil or other PDE5 inhibitors.

Additionally, a person should never purchase ED pills or supplements without contacting a doctor to ensure the medication is safe. Certain medications may interact with ED pills and cause serious side effects, such as severely low blood pressure.

A person needs to contact a doctor to ensure that ED pills are safe.

Additionally, people should only purchase ED medication from a licensed pharmacy. Licensed pharmacies provide ED pills that the FDA has evaluated for safety and effectiveness.

Yes, ED pills, such as sildenafil, tadalafil, and vardenafil, can help manage premature ejaculation symptoms in people with erectile dysfunction.

However, ED pills are not suitable for people who have premature ejaculation but do not experience erectile dysfunction.

No, Viagra is only available as a prescription.

Over-the-counter ED pills do exist. The manufacturers of these pills claim the herbal ingredients help ease symptoms of ED. However, there is not enough scientific evidence that these claims are true. The FDA does not regulate these pills.

Additionally, the FDA warns that over-the-counter ED pills contain undeclared sildenafil, the active ingredient in Viagra. These pills may cause unintentional interactions with dietary supplements or medication, and people should avoid them.

Purchasing ED pills online can be unsafe, as these products are not subject to FDA regulations. They may contain harmful ingredients or high amounts of unlisted drugs. The FDA has already banned numerous ED products.

The safest way to obtain ED pills is to consult a doctor. If the medication is appropriate, the doctor will provide a prescription. A person can fill the prescription online or offline at a reputable pharmacy.