ED Medication Online (Tadalafil or Sildenafil) , Clinician Reviewed
Get support for stronger, more reliable erections with prescription ED medications, **reviewed by a licensed clinician**, fulfilled by a pharmacy, and delivered discreetly.
Get support for stronger, more reliable erections with prescription ED medications, **reviewed by a licensed clinician**, fulfilled by a pharmacy, and delivered discreetly.
Prescription required. Treatment is provided only if a licensed clinician determines it is appropriate based on your medical history, medications, and symptoms.
Clinician review + safety screening
Discreet pharmacy delivery
Transparent 6-week options (no subscription required)
Available in eligible states.
Choose your ED medication plan
- Form
- Oral
- Dosage
- Tadalafil 5mg/Sildenafil 25mg Troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 5mg before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 10mg before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 12mg/Sildenafil 55mg (Berry) Rapid Dissolve Tablet before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 20mg before sexual activity
- Form
- Oral
- Dosage
- Sildenafil 20mg before sexual activity
- Form
- Oral
- Dosage
- Sildenafil 100mg before sexual activity
What is erectile dysfunction medication and how does it work?
Most ED medications are **PDE5 inhibitors** (like tadalafil or sildenafil). They support erections by helping increase blood flow to penile tissue during arousal.
What they do:
Support blood flow so erections are easier to achieve and maintain (when aroused)
What they don’t do:
They don’t instantly “create desire” on their own
They’re not a testosterone replacement
They’re not a cure for underlying causes (stress, sleep, blood pressure, metabolic issues)
Who ED medication may be best for
ED medications may be a fit if you:
- Have trouble achieving or maintaining erections
- Want a reliable on-demand option for intimacy
- Prefer discreet care and clinician screening online
- Want an option that fits your lifestyle and schedule
Who may NOT be a candidate
Your clinician may recommend avoiding ED medication if you:
- Use nitrate medications (for chest pain/angina)
- Use certain blood pressure/heart medications that can interact
- Have a condition where sexual activity is not advised
- Have uncontrolled heart disease or severe low blood pressure (clinician will screen)
- Have certain eye conditions or past serious reactions (clinician will review)
What you get with StemVera
Included:
- Secure online intake + symptom review
- Medication safety screening (health history + current meds)
- Clinician review + prescription if appropriate
- Pharmacy fulfillment + discreet delivery
- Ongoing support via secure communication
- Want a libido-focused option? Explore PT-141
How to start ED medication online
- 1
Complete your intake
Share symptoms, goals, medications, and health history.
- 2
Clinician review
A licensed clinician confirms eligibility and selects the safest option.
- 3
Discreet delivery
Your prescription ships discreetly with tracking where available.
- 4
Follow your prescribed instructions
Use only as directed. Message your care team if anything feels off.
Possible side effects
Common
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Mild dizziness
- Back or muscle aches (more common with some options)
Stop and seek urgent medical care
- Chest pain, severe shortness of breath, fainting
- Vision changes or sudden vision loss
- Sudden hearing changes
- Erection lasting longer than 4 hours (priapism)
- Signs of allergic reaction (hives, swelling, difficulty breathing)
Important safety notes
- Do not combine ED meds with nitrates
- Tell your clinician about all medications and supplements
- Alcohol can worsen ED and increase side effect risk for some people
- Use only as prescribed and do not exceed your directed frequency
Explore related sexual health options
Tadalafil + Oxytocin Troche
A combined option designed for intimacy support (clinician-guided).
PT-141 (Bremelanotide) Injection
A libido-focused option for select patients (clinician-guided).
Oxytocin Nasal Spray
Intimacy support option for eligible patients.
Sexual Health Hub
View all sexual health treatments.
Start your visit
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