Roman for ED Review 2022 Everything You Need to Know
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ncbi.nlm.nih.gov/pmc/articles/PMC5411983/Burnett AL, et al. (2018). Erectile dysfunction: AUA guideline.
auanet.org/guidelines/erectile-dysfunction-(ed)-guidelineEvans JD, et al. (2015). A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: A focus on avanafil.
ncbi.nlm.nih.gov/pmc/articles/PMC4542406/McMurray JG, et al. (2007). Long-term safety and effectiveness of sildenafil citrate in men with erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC2387281/Yafi FA, et al. (2016). Erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC5027992/Yi Z-M, et al. (2019). Efficacy and safety of sertraline for the treatment of premature ejaculation: Systematic review and meta-analysis.
ncbi.nlm.nih.gov/pmc/articles/PMC6571276/Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Oct 19, 2022 By Tim Jewell Edited By Candice Abellon Copy Edited By Delores Smith-Johnson Oct 11, 2022 By Tim Jewell Edited By Candice Abellon Copy Edited By Copy Editors VIEW ALL HISTORY Share this articleMedically reviewed by Jennie Olopaade, PharmD, RPH — By Tim Jewell — Updated on October 18, 2022
Everything You Need to Know About Roman for ED Meds
Medically reviewed by Jennie Olopaade, PharmD, RPH — By Tim Jewell — Updated on October 18, 2022Share on PinterestWe include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process. If you’re interested in men’s health services but don’t want to make a trip to the doctor in person, you may have come across Roman or Get Roman. In this article, we’re taking a close look at the brand: their services, what’s behind the hype of their popular ED treatments, other products you can try, and whether they’re worth checking out.What is Roman
Roman is a men’s health service that specializes in treatments for erectile dysfunction (ED) and other men’s health conditions. It’s a sub-brand of a company called Ro. Ro was started in 2017 with the intention of providing what’s called an “end-to-end” consumer healthcare service. Ro seeks to help with all parts of your medical journey, including scheduling appointments, filling out prescriptions — and more. Roman focuses specifically on providing services for men’s health. They’re most known for their ED medications that have the same active ingredient as brand names like Viagra and Cialis. But Roman also provides:online and in-person appointment services through an online dashboardprescription fills and refills with licensed pharmaciestreatments for viral infectionshair and skin treatments for hair loss, eczema, cold sores, and moregeneric forms of common treatments for allergies, heart health, and smoking cessationnutritional supplements for stress relief, weight management and more GET STARTED WITH RomanPros
Appointments and treatments may be cheaper than your regular prescription service, depending on whether you have health insurance, which insurance plan you have, and what your insurance plan covers.There are no in-person appointments for care and prescriptions; though this can also be seen as a drawback depending on needs.Monthly subscriptions are available to help you remember to refill your medication.Cons
If your health insurance covers these treatments, Roman can be more expensive than getting medication through your insurance.You may be able to find better prices on generic sildenafil and tadalafil by using programs like GoodRx.You may not always receive your shipments on time due to medication availability or supply chain issues.Roman is a private, for-profit company that acts as a mediator between you and healthcare professionals. Services, product offerings, and access to care can change based on the company’s business practices, which could potentially make long term reliability challenging.Their service is not available in all states.What are Roman ED treatments
Roman’s generic ED treatments are their most popular offering. They provide generic and brand-name sildenafil, the active ingredient in Viagra, as well as generic tadalafil (Cialis). Here’s a brief overview of the ED medications Roman provides:Viagra
This brand-name medication uses the active ingredient sildenafil to help you get an erection. This medication typically begins working after about 30 minutes and lasts for about 4 to 6 hours. It’s available in a 25-, 50-, and 100-milligram (mg) oral tablet.Sildenafil
This is the generic form of Viagra and the active ingredient in the medications Revatio and Viagra. While Viagra is approved by the Food and Drug Administration (FDA) for ED, Revatio is only FDA-approved for treating pulmonary arterial hypertension (PAH). Roman offers sildenafil as 20-, 40-, 60-, 80-, and 100-mg oral tablets.Tadalafil
This is the generic form of Cialis, which is also for ED. It lasts anywhere from 24 to 36 hours after you take it. It’s prescribed as a 2.5-, 5-, 10-, and 20-mg chewable tablet. The 2.5- and 5-mg doses of tadalafil are also FDA approved for treating benign prostatic hyperplasia (BPH) and urinary symptoms.Sertraline
Roman also provides generic forms of treatments that may help with premature ejaculation. This generic form of the antidepressant Zoloft has been shown to be effective in treating premature ejaculation in daily 50-mg doses, which may increase based on response. This medication requires a prescription.Premature ejaculation wipes
Roman Swipes are individually packaged premoistened wipes with a 4 percent benzocaine solution. This solution reduces sensation in the penis, helping you last longer before you ejaculate. Roman medications are usually delivered as part of a monthly subscription plan. You decide how often and how much of each treatment you want each month and pay the monthly subscription fee for your delivery. Roman also helps get you in touch with licensed physicians so you can have an online or in-person appointment to get a legitimate prescription for these ED treatments. Just be sure to talk with your doctor before using these medications. There can be side effects, especially if using multiple treatments together. It’s important to know how your body may react to the ingredients.How does Roman work
Roman claims to make prescription products easier to access through their subscription-based, telehealth model. What this means is that when you want a prescription for ED medications, hair loss products, or other medication, you go through Roman’s website and answer a few questions. You’ll also need to submit a picture of your photo ID and a clear photo of your face. A licensed healthcare professional then reviews your information and, if you are a good candidate for telemedicine, they will fill out the prescription for you. Certain U.S. states require the additional step of a video chat with one of Roman’s healthcare professionals. These professionals are doctors with independently owned practices. You may need to submit some additional information, too. If you’re getting a prescription for ED medication, you’ll need to provide an accurate blood pressure reading from within the last 6 months. And if you’re signing up for hair loss medication, you’ll need to provide photos of your hairline from different angles.How do these medications work
Here’s how the active ingredients work in each of the generic ED medications that Roman sells.Sildenafil and tadalafil
Both of these medications are PDE5 inhibitors. They help block the phosphodiesterase type 5 (PDE5) enzyme and help your body produce more nitric oxide, which relaxes muscles. Normally, you get an erection when your penis nerves are stimulated. This causes muscles to relax around two chambers in your penis called the corpus cavernosum. Blood flows in and causes an erection. When you have ED, penis nerves don’t respond as they typically should to your brain signals, which tell your muscles to relax and blood to flow. Sildenafil and tadalafil relax the blood vessels in your penis and make it easier for blood to flow into your corpus cavernosa and other areas in your penis that support the process of an erection.Benzocaine
When you feel a sensation in any nerve, it means that sodium is activating your nerve endings and communicating signals called “action potential” to your central nervous system (CNS). Benzocaine used in these wipes stops the production of sodium and reduces the ability of your nerve endings to communicate with the CNS. This means that you feel less (or nothing at all) until the numbing effect wears off.How much does Roman for ED cost
Here’s a breakdown of how much Roman charges for each ED treatment, before any potential coverage from your health insurance plan:Generic Viagra
$4 for a single 25-mg oral tablet$6 for a single 50-mg oral tablet$10 for a single 100-mg oral tabletBranded Viagra
$90 for a single 25-, 50-, or 100-mg oral tabletGeneric Cialis
$11 for a single 5-mg oral tablet$44 for a single 10- or 20-mg oral tabletDaily Generic Cialis
$11 for a single 2.5- or 5-mg oral tabletBranded Cialis
$20 for a single 5-mg oral tablet$80 for a single 10- or 20-mg oral tablet For a full list of medications and prices from Roman, see their website.GO TO RomanOther treatments by Roman
In addition to prescription oral tablets for ED, Roman also offers treatments to treat premature ejaculation and products to treat hair loss.Roman Swipes ED Wipes
These wipes are meant to control sensation during penetrative intercourse. The idea is that this can help delay ejaculation and make erections last longer. The wipes cost $22 per month for a 3-month supply of 72 wipes. They’re $27 for a 1-month purchase.PE medication
Roman offers the oral tablet sertraline (Zoloft) at $2 per dose. Sertraline is an SSRI medication typically used to treat depression. One of the side effects of sertraline is delayed orgasm, so doctors sometimes prescribe it for this use.Finasteride
Finasteride is the generic form of the drug Propecia. This drug decreases the levels of the hormone DHT in your body. For some people, this helps slow or stop the natural thinning of hair. Finasteride is only recommended for men. Roman sells finasteride in a subscription that costs $20 per month.Minoxidil
Minoxidil is the generic form of the drug Rogaine. It’s believed to work by prolonging the growth phase of hair and enlarging the hair follicles at the same time, but this mechanism is poorly understood. Minoxidil is typically a topical gel, foam, or ointment you apply to the crown of your head. Roman sells minoxidil in a prescription that costs $20 per month. You can also get it in a package bundled with finasteride and pay a discounted $35 per month.Roman privacy practices
You don’t have to feel embarrassed if you have ED, premature ejaculation, or hair loss. But if you do feel uncomfortable, Roman ships all of their products in unmarked boxes so you can’t tell what’s inside. What’s more, the actual product packaging isn’t marked with the health condition it addresses. Roman says on their website that any customer’s information is highly secure, so you can buy without worry. However, their privacy policy does note that any data Roman collects from customers may be shared with third-party advertisers.Roman customer service
Roman is rated on the Better Business Bureau website and on Trustpilot. Some customers have complained about being charged for automatic renewal without permission or experiencing slow shipping speeds. Roman has responded to numerous customer reviews in great detail. Roman does not allow returns of their prescription medication due to regulatory issues. They offer a customer service contact email for any issues with incorrect or misplaced orders.Roman customer reviews
Roman displays customer reviews on their website. Only positive reviews are displayed, including photos, on their website. Customers praise treatment plans, fast shipping, and great response times from customer service. These reviews do seem to contradict some reviews from other sites. Third-party review site Trustpilot only displays two Roman reviews at the moment, and it gives Roman an average of 2.9 stars out of 5. One of the Trustpilot reviews relates to pricing — saying that competitors offer the same medications and dosages for significantly less. The other review doesn’t relate to the company’s products or pricing but instead points to one reviewer’s negative experience interviewing with the brand’s marketing department. Right now, Roman’s rating on the BBB website lands at 2.33/5 stars from a total of 10 customer reviews. Positive reviews point to feeling at ease when talking about concerns with the medical team. Negative reviews point to several issues:late response times from customer service representativesunauthorized charges for canceled subscriptionsnot receiving subscriptions after being charged for themconcerns about privacy relating to personal informationlack of choices when picking a doctor for telemedicine appointmentsAre there any safety concerns
Both sildenafil and tadalafil have been approved by the FDA for prescription use under the supervision of a doctor. However, be sure to talk with your doctor about possible risks, interactions, or side effects of using any Roman medications, especially when using PDE5 inhibitors in high doses. Keep in close communication with your doctor in case you notice any new symptoms.PDE5 side effects
Some side effects are possible with sildenafil and tadalafil, including:rashflushingrednessmuscle achessore throatback painheadacherunny noseindigestionerection that lasts longer than 4 hours (priapism)blurry visionSertraline side effects
Some side effects of sertraline can include:nausealoss of appetitediarrheaupset stomachsleepinessinsomniaexcessive sweat (hyperhidrosis)shakinessfatigueagitationBenzocaine side effects
Benzocaine is a common over-the-counter numbing agent that’s used in many other products besides ED wipes. Some possible side effects of benzocaine include:flaky skintenderness where you wipeditchinessburning sensation stingingredness or warmthShould you try Roman
Not sure whether to go with Roman? Talk with a doctor who knows your medical history before you start any new medications. You may want to have several online appointments with Roman physicians to get a couple of opinions on whether these medications are right for you. Here are some questions you can ask during your appointment:Questions for ED care
Does my ED have a physical cause? How can I know?Are there any other possible causes?How can I test whether I have ED?Will my ED only last for a while or could it be longer term?How can I know what treatment is best?Are there alternatives to these medications?What are nonprescription treatments for ED?Should I be managing other health conditions along with my ED?What shouldn’t I do while I’m taking these medications?Do I need to see a urologist or another type of specialist?Are there any educational materials I can look at online? Read more about how Roman stacks up with competitors.How to order Roman
If you meet the criteria for Roman telemedicine and your prescription is approved, you are ready to order. You select whether you’d like a quarterly or monthly subscription for your medications, or if you want a one-time purchase. You then enter your payment information. Within 2 days, the products are mailed to your home in an unmarked box and in discreet packaging. You can cancel the subscription whenever you’d like. Roman does not currently accept health insurance as a form of payment.TRY RomanAdditional treatments for ED
Managing stress, sleep, relationships, and other health conditions can help you find even more success in reducing symptoms of ED. Addressing your health overall can help ED. Here are some lifestyle changes you can make that help with ED symptoms: aerobic exercisescounselingmeditationyoga Here are some dietary changes you can make:Eat fruits, vegetables, and whole grains.Reduce how much processed sugar, whole-fat dairy, and red meat you eat.Drink alcohol in moderate amounts or consider not drinking any alcohol. It’s important to discuss with a doctor or pharmacist any medications and supplements you’re taking or are interested in taking. This will ensure that they’re safe and won’t work against each other or your health goals.Other ED treatments
There are other ED treatment options that you may want to discuss with a doctor. These options include: Penile injections: Also called intracavernosal injections (ICI), these injections deliver medications directly into the penis. These are not the same as platelet-rich plasma injections, which are considered an experimental treatment for ED. Surgery for a penile implant or a prosthesis: These procedures are another option for treating ED. Vacuum erectile device: This is another option for treating ED and can be used along with oral PDE5 inhibitors.When to talk with a doctor
Some doctors suggest you visit a urologist if your ED medication isn’t helping you get and keep an erection 50% of the time or more. If you have a chronic health condition or your doctor suspects an underlying condition might be involved with your ED, you might need further tests or a consultation with a specialist to find the right treatment. Many emotional and psychological factors can also cause ED, so your doctor may also refer you to a mental health professional.Frequently asked questions
How long do the effects from Roman s ED treatments last
The effects of Viagra can last up to 4 to 6 hours, while Cialis can last 24 to 36 hours after taking a dose. Erections should not last more than 4 hours, though. Erections lasting longer than 4 hours are considered a serious side effect that requires emergency treatment.How often can you take Roman ED treatments
Generally, medical professionals recommend taking an ED treatment like Cialis on a daily basis, or Viagra up to once per day, when needed. Talk with your doctor for a recommendation.Should you take ED medication if you re under 35
Younger people can experience ED. In that case, a doctor may prescribe ED medication. If you’re not experiencing symptoms of ED and you haven’t been given a prescription, you shouldn’t take ED medication.Are Roman ED treatments safe
Sildenafil and tadalafil are FDA-approved for prescription use under doctor supervision. However, that doesn’t mean they come without risks or side effects. Pay attention to any new symptoms, and talk with your doctor about possible risks, interactions, or side effects of using Roman medications. This is especially important if you use PDE5 inhibitors in high doses.How long does it take for Roman ED to work
This brand-name medication uses the active ingredient sildenafil to help you get an erection. This medication typically begins working after about 30 minutes and lasts for about 4 to 6 hours.Takeaway
Roman is one of several alternatives to traditional healthcare systems and prescription channels to get men’s health treatments for ED and other health issues. If you’re having trouble affording a healthcare plan that covers ED treatments, Roman can help fill the gap by giving you access to safe, reliable treatments. If you feel self-conscious about ED, Roman provides physician consultations and discreet packaging so you can effectively manage this common condition. Get started with Roman Interested in trying Roman? We can help! Start your free online visit to find the treatment plan that is right for you.Start now Last medically reviewed on October 9, 2022How we vetted this article
SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Brock G, et al. (2016). Efficacy of continuous dosing of tadalafil once daily vs tadalafil on demand in clinical subgroups of men with erectile dysfunction: A descriptive comparison using the integrated tadalafil databases.ncbi.nlm.nih.gov/pmc/articles/PMC5411983/Burnett AL, et al. (2018). Erectile dysfunction: AUA guideline.
auanet.org/guidelines/erectile-dysfunction-(ed)-guidelineEvans JD, et al. (2015). A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: A focus on avanafil.
ncbi.nlm.nih.gov/pmc/articles/PMC4542406/McMurray JG, et al. (2007). Long-term safety and effectiveness of sildenafil citrate in men with erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC2387281/Yafi FA, et al. (2016). Erectile dysfunction.
ncbi.nlm.nih.gov/pmc/articles/PMC5027992/Yi Z-M, et al. (2019). Efficacy and safety of sertraline for the treatment of premature ejaculation: Systematic review and meta-analysis.
ncbi.nlm.nih.gov/pmc/articles/PMC6571276/Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Current Version Oct 19, 2022 By Tim Jewell Edited By Candice Abellon Copy Edited By Delores Smith-Johnson Oct 11, 2022 By Tim Jewell Edited By Candice Abellon Copy Edited By Copy Editors VIEW ALL HISTORY Share this articleMedically reviewed by Jennie Olopaade, PharmD, RPH — By Tim Jewell — Updated on October 18, 2022