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Share on PinterestThese tablets contain sildenafil, tadalafil, or vardenafil, and the Food and Drug Administration (FDA) has approved each of these drugs to treat ED. However, the FDA has not specifically approved the BlueChew products, and there is limited scientific evidence proving that BlueChew products are effective. This article provides further information about what BlueChew offers. It also discusses alternative options and when to see a doctor about ED. Please note that the writer of this article has not tried these products. All information presented is purely research-based and was correct at the time of publication. Medical News Today follows a strict product selection and vetting process. Learn more here. BlueChew pros and cons Below are some advantages and disadvantages of using BlueChew products: ProsThe company provides access to prescription medication online.The service may be convenient and private.These chewables have the same active ingredients as Viagra, Cialis, and Levitra (sildenafil, tadalafil, and vardenafil).Chewables may suit people who cannot swallow pills.A person does not need water to take medication in chewable form.The prices may be competitive. ConsHealth insurance companies do not cover the cost.The products are not available in North Dakota, South Carolina, United States territories, or outside of the United States.The active ingredients do not work for all people.People taking nitrate medications should not use BlueChew’s products.Sildenafil, tadalafil, and vardenafil can cause side effects. What is BlueChew BlueChew sells chewable ED medication. This may benefit people with ED who cannot swallow pills whole. According to 2018 research, 10–40% of adults find it difficult to swallow pills. The service may also suit people who cannot visit a doctor in person or wish to avoid doing so. The company says its medically trained team assesses customers’ needs and creates personalized plans. BlueChew offers tablets containing one of three active ingredients — sildenafil, tadalafil, or vardenafil. Sildenafil is the active ingredient in the brand-name drug Viagra, and research suggests that it can take effect in 30 minutes and last up to 18 hours. Tadalafil is the active ingredient in Cialis, and it typically lasts for up to 36 hours. Vardenafil is the active ingredient in Levitra. A person should take it 60 minutes before sex, and it will only work with sexual stimulation. The FDA has approved sildenafil, tadalafil, and vardenafil as ED treatments, but BlueChew’s products do not currently have FDA approval. Learn more about the differences between sildenafil, tadalafil, and other ED medications. Is BlueChew safe BlueChew products use FDA-approved active ingredients and are generally safe to take. However, these ingredients can cause side effects and may not be safe for everyone. These medications are called PDE-5 inhibitors, and they lower blood pressure. People should not take PDE-5 inhibitors if they have had:a strokea heart attackresting low or high blood pressure Additionally, people taking nitrate medication should not use BlueChew products, as they can counteract nitrate medication and may cause life threatening low blood pressure. Vardenafil is not safe for people who undergo kidney dialysis. A person should speak with a doctor before trying BlueChew products. Who is BlueChew for BlueChew may best suit people experiencing difficulties achieving or maintaining an erection. Individuals may also prefer this chewable tablet if they dislike swallowing regular tablets, capsules, or softgels. How BlueChew works Telemedicine makes it possible for an online subscription retailer such as BlueChew to sell prescription medication. Anyone interested in using BlueChew’s products must first complete a medical profile on the company’s website. They then have a digital consultation with a state-licensed healthcare professional. The healthcare professional reviews the person’s profile and prescribes the appropriate BlueChew product within 2 business days. The company partners with pharmacies where the chewable medications are prepared and shipped to customers. Health insurance does not cover BlueChew products. The company claims that its customers pay less than they would if they purchased a similar product through a doctor. Orders and shipping BlueChew offers a subscription service that a person pays for monthly. Before a person can subscribe, they must complete a medical profile and have a digital consultation with an affiliated, state-qualified medical professional. If appropriate, the medical professional prescribes a BlueChew product, and a local affiliated pharmacy prepares and ships the order. A customer receives an email with tracking information when their order ships. BlueChew offers overnight shipping Monday through Thursday for orders placed before noon Central Standard Time. BlueChew delivers to most addresses within the U.S., but it does not deliver to North Dakota, South Carolina, or U.S. territories. It also does not ship internationally. BlueChew says it uses discreet packaging. Returns and refunds A person cannot return or obtain a refund for their prescribed medication. However, anyone who has received an incorrect or possibly defective order should contact customer support. If a BlueChew product is not effective, a person should inform the company, and the medical team will consider other appropriate treatment options. Privacy The company’s website states that BlueChew keeps personal data, medical records, and financial transactions completely private. It does share limited information about site visitors to advertisers. However, people can opt out of this.LEARN MORE How much does BlueChew cost The price of a BlueChew subscription depends on the medication and dosage prescribed and the plan a person chooses. The per-pill cost decreases as the order size increases.Plan nameSildenafil chewables Sildenafil dosageTadalafil chewablesTadalafil dosageVardenafil chewablesVardenafil dosagePriceActive630 milligrams (mg)46 mg48 mg$20Busy1030 mg76 mg88 mg$30–35Popular1730 mg146 mg158 mg$50–65Pro3430 mg286 mg308 mg$90–120Active645 mg49 mg——$30Busy1045 mg79 mg——$40Popular1745 mg149 mg——$65Pro3445 mg289 mg——$120 Side effects BlueChew states that customers generally experience very few side effects. The most commonly reported side effects of these products include:flushingheadachesback painmuscle paina stuffy and runny nose In addition, tadalafil may cause irritation in the nose and throat, and sildenafil may lead to heartburn. As BlueChew states, if any of the above side effects become troublesome or do not pass, discontinue the medication and contact a doctor. The side effects that BlueChew lists are similar to those that people may experience when taking Viagra, Cialis, or Levitra. The companies that manufacture these branded drugs also list an upset stomach and indigestion as possible side effects. Customer reviews and brand reputation BlueChew has a Trustpilot rating of 3.6 stars out of 5, with just four reviews. Two reviews are positive about the effectiveness of the product. The remaining two reviews are critical of the product, stating it did not work and produced worrying side effects. The company has a customer review rating of 2.33 stars out of 5 and an A+ rating from the Better Business Bureau (BBB). The company is also BBB accredited. It has closed three complaints in the past year, most of which concerned issues with delivery. Customer reviews on the company’s website are generally positive. Some report improvements in erections and sexual confidence. Others report prompt product delivery. However, other reviews note that the medications were ineffective. Some reviewers report that the taste of the chewables was initially off-putting but that they quickly grew accustomed to it.LEARN MORE BlueChew vs competitors The table below compares BlueChew with its competitors.Brand Medications and usesCostDosageTelehealth optionBlueChewsildenafil, tadalafil, and vardenafil for EDfrom $20 for 6 sildenafil pills, 4 tadalafil pills, or 4 vardenafil pills$120 for 34 sildenafil pills or 28 tadalafil pills30–45 mg for sildenafil6–9 mg for tadalafil8 mg for vardenafilyesRomannutritional supplements and medications for:EDhair losspremature ejaculationherpesallergies$2–10 per sildenafil pill$11–44 per tadalafil pill20, 40, 60, 80, and 100 mg for sildenafil2.5. 5, 10, and 20 mg for tadalafilyesHimsmedications for EDpremature ejaculationhair lossmental healthallergiesother primary carefrom $3 per dose of sildenafilfrom $136 per dose of Viagra$99 per month for tadalafilfrom $958 per month for Cialisfrom $53 per dose for Stendra25, 50, and 100 mg for sildenafil2.5, 5, 10, and 20 mg for tadalafil50, 100, and 200 mg for StendrayesViagrabrand name version of sildenafil for EDfrom $0.37–1,149 dependent on pharmacy25, 50, and 100 mgdepends on providerCialisbrand name version of tadalafil for EDfrom $2.34–1,444 dependent on pharmacy2.5, 5, 10, and 20 mgdepends on provider Pharmacy prices for Viagra and Cialis can change regularly. The prices listed in this article are correct at the time of publishing. Alternative options The following are some other treatment options for ED. Vacuum devices A doctor may prescribe a vacuum device, which is a tube that fits over the penis. Some are available over the counter. This device draws blood flow to the penis, helping it become erect. Learn more about vacuum devices here. Other advice The following self-care strategies can help reduce symptoms of ED:quitting smoking, if this applieslimiting alcohol consumption, for people who drinkengaging in more physical activityrefraining 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. About ED ED involves difficulty getting or maintaining an erection firm enough for satisfying sexual activity. There are various causes, and ED 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 National Institute of Diabetes and Digestive and Kidney Diseases lists the following symptoms:occasionally having an erection when desired, but not every time having an erection but not maintaining it for long enough to have sexbeing unable to have an erection A person with ED may have a higher risk of other health conditions. For example, a 2019 systematic review found that people with ED have a significantly higher risk of coronary heart disease, cardiovascular disease, stroke, and all-cause mortality. When to contact a doctor ED is a common problem, especially for older people. Factors such as stress, anxiety, tiredness, or excessive alcohol consumption can cause or contribute to it. Anyone who experiences persistent difficulty achieving or maintaining an erection should consult a doctor for advice. In some cases, ED could signal an underlying medical condition, such as diabetes, heart disease, or high blood pressure. Frequently asked questions about BlueChew Below are answers to some common questions about BlueChew. Does BlueChew work The active ingredients in BlueChew products are sildenafil, tadalafil, and vardenafil. Research has shown that these medications are effective treatments for ED in most people. However, they might not work for everyone. BlueChew subscribers may find that one drug is more effective than another. Why is BlueChew not FDA approved The active ingredients in BlueChew’s products — sildenafil, tadalafil, and vardenafil — are used in FDA-approved medications, such as Viagra, Cialis, and Levitra. However, BlueChew’s chewable form of these medications has not received FDA approval. Is BlueChew safe Sildenafil came onto the market in 1998 and tadalafil in 2003. Studies show that both medications are generally safe. The most common side effects are:headachesnasal congestionindigestioncold-like symptoms However, both can cause serious side effects and interact with other medications. Individuals should speak with a doctor before using any medication for ED. Does BlueChew make the penis bigger BlueChew’s products can help people with penises have and maintain erections. However, they do not increase penis size. How long does BlueChew take to work BlueChew products can work within 60 minutes. The company states that certain products, such as those containing tadalafil, should be taken daily instead of as-needed. This keeps the medication in a person’s system for longer. Does BlueChew make erections last longer The effects of BlueChew products can last for 4–6 hours, and they may make a person’s erection last longer. When should I take BlueChew BlueChew recommends taking its products 60 minutes before sexual intercourse. Its tadalafil product can be taken daily. Summary BlueChew sells chewable tablets that contain either sildenafil, tadalafil, or vardenafil. All are treatments for ED. The products are available to purchase online without an in-person visit to a doctor. However, the company conducts online consultations before its medical team prescribes the products. A person should speak with a doctor about ED symptoms before trying medication. They should also report any persistent side effects of drug-based treatments. Last medically reviewed on October 5, 2022Men's HealthErectile Dysfunction / Premature EjaculationMedically reviewed by Jennie Olopaade, PharmD, RPH — By Suzy Davenport and Danielle Dresden — Updated on October 5, 2022 Latest newsWhat sets 'SuperAgers' apart? Their unusually large neuronsOmega-3 may provide a brain boost for people in midlifeSeasonal affective disorder (SAD): How to beat it this fall and winterCDC: Monkeypox in the US 'unlikely to be eliminated in the near future'Why are more women prone to Alzheimer's? 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