How Chewable Tablets Improve Medication Compliance

Here’s a quick look at the characteristics of sildenafil, tadalafil, and vardenafil, as an example:8

How to Use BlueChew Pills Wisely?

That’s because PDE5 inhibitors effectively relax the muscles that control the diameter of blood vessels, resulting in wider pathways through which blood can flow. This can lower blood pressure, which may be dangerous for some patients.5 Men with low blood pressure or those on medications that already lower their blood pressure can be at risk for various complications when taking PDE5 inhibitors, especially at higher doses. Hims has some of these medications in tablet form that come in relatively low doses. Meanwhile, between the two companies’ chewable offerings, Hims’ lowest dose is higher than BlueChew’s lowest dose. That creates a slightly higher side effect risk for first-time PDE5 inhibitor users.

Sildenafil Oral Film for ED

Men who’ve established a relative dose for their PDE5 regimen and want to try switching to a chewable form of the medication should examine either company’s dosages and stick with what’s been working for them. As an additional safety note, we were concerned about the Hims tin being too easily accessed by a child or even an unsuspecting adult. But we were pleased to find a kind of child lock built into the tin that requires you to squeeze one section of it to slide it open. It isn’t perfect, but it’s a big step in a safer direction. Here’s a brief summary of the comparison from urologist Dr.

Professional resources

Kelepurovski: “If you’re looking for a comprehensive telehealth platform, especially one that goes beyond ED to address skin, hair, or mental health concerns, Hims may be a useful starting point.” He adds, “As usual, it is always advisable to visit a doctor who will assess your entire medical history before making any treatment decision.” BlueChew and Hims are male-oriented telehealth companies offering prescription medications to help fight erectile dysfunction (ED). Both allow you to get a prescription online and have medication shipped directly to your home. Previously, BlueChew was the only one of the two companies to offer its ED medications as chewables, increasing their portability and convenience since you wouldn’t need a glass of water to take them. Hims has caught up in that effort and now offers its own line of chewable ED meds, though there are important differences between it and BlueChew’s. Hims also offers traditional pill-form ED medications, while BlueChew does not. 9 10 Which medication you ultimately choose will come down to a conversation with your doctor,

Drug Class	Interaction Type	Effect on Sildenafil	Notes
Nitrates	Dangerous	Severe hypotension	Contraindicated due to risk of life-threatening hypotension
Alpha-blockers	Caution	Enhanced effect	May cause hypotension; monitor blood pressure
CYP3A4 inhibitors	Increased levels	Elevated testosterone	Risk of side effects; dose adjustment may be needed
Protease inhibitors	Significant increase	Elevated plasma levels	Use caution; consider dose reduction

including a consideration for whether you want to take a daily pill and be ready

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	200mg	20 Pills	61.69€ 58.75€	Buy
Kamagra Soft Tabs	100mg	32 Pills	120.11€ 114.39€	Buy
Viagra Generic	25mg	360 + 10 Pills	213.68€ 203.50€	Buy
Viagra Generic	50mg	30 + 4 Pills	54.26€ 51.68€	Buy
Viagra Generic	100mg	120 + 6 Pills	149.50€ 142.38€	Buy
Kamagra Oral Jelly	100mg	110 + 9 Sachets	334.87€ 318.92€	Buy
Viagra Generic	50mg	270 + 8 Pills	198.48€ 189.03€	Buy
Viagra Generic	100mg	10 Pills	28.91€ 27.53€	Buy
Viagra Generic	100mg	180 + 8 Pills	199.37€ 189.88€	Buy
Kamagra Soft Tabs	100mg	120 + 6 Pills	311.78€ 296.93€	Buy

for sex at any time or only consume the medication as needed shortly before anticipated intercourse.

• Sildenafil chewables are designed for rapid action.
• Avoid taking other ED medications concurrently.
• The tablet should be thoroughly chewed before swallowing.
• Use only under medical supervision for safety.
• The effects are influenced by individual health status.
• Avoid high-fat diets around the time of dosing.
• Be mindful of the timing of administration relative to sexual activity.
• Do not use if you have a known allergy to sildenafil.
• Follow dosing instructions provided by your healthcare provider.
• Report any persistent or severe side effects immediately.
• Sildenafil does not protect against sexually transmitted infections.
• Maintain regular health check-ups while using ED medication.

For most men, the ED medications offered by BlueChew and Hims should be safe.

How to get BlueChew:

And Hims has a much wider range of other telehealth offerings, including mental health care, premature ejaculation treatment, and more, which we will briefly address sildenafil 50mg tablet after our main comparison of ED medication product offerings. Between the two companies, Hims has slightly better ratings than BlueChew on Trustpilot and the Better Business Bureau (BBB) website. However, BlueChew’s ratings come from a somewhat smaller number of reviews (under 2,000 across both sites compared to more than 14,000 for Hims). Much of this quantitative difference stems from the wide array of offerings Hims has and the fact that its BBB page is a combined page shared between Hims and its sister site, Hers. Currently, Hims holds a rating of 3.8 out of 5 stars on BBB and 3 out of 5 stars on Trustpilot.

100% Online, 100% Convenient

BlueChew’s ratings are currently 1.19 and 3.9 on those sites, respectively. It’s worth noting that Hims has nearly 10,000 reviews, while BlueChew has only 27 via BBB and a little under 2,000 via Trustpilot. For Hims, most complaints revolve around confusing billing practices, unclear subscription parameters, and some treatments proving unsuccessful for users. For BlueChew, complaints seem to focus on occasional issues with efficacy and subscription cancellation. Our testing experiences with these companies have been very similar.

1. Select your medication and plan

We’ve had quick, easy consultations with Hims and BlueChew-affiliated physicians, and our subscriptions were always easy to manage and cancel. BlueChew and Hims are both outstanding choices for men seeking prescription treatment for ED, especially those who don’t want to risk the potential embarrassment of seeking such medications in person. Both companies offer legitimate prescriptions provided with discretion. Hims is also a good choice for men seeking treatment for other men’s health concerns, ranging from premature ejaculation and hair loss to skin care and herpes management. Because BlueChew and Hims both offer vardenafil and chewable versions of three prominent PDE5 inhibitors, they also make sense as options for men who’ve tried traditional Viagra or Cialis in the past with mixed results. That said, there are known side effects and contraindications associated with PDE5 inhibitors.

Dose Adjustments

For men who’ve had issues with the effectiveness of either medication in tablet form, chewable formulations may offer improved absorption, though data on oral mucosal absorption of PDE5 inhibitors is limited. Of course, many people have trouble swallowing pills, which also makes chewable medication an appealing option. And if you’ve tried sildenafil or tadalafil in the past without success or with certain side effects, vardenafil may prove to be a viable alternative. Because BlueChew and Hims offer prescription medications for ED, men looking to address their ED without medications won’t find much help from either company. And men who’ve tried sildenafil, tadalafil, vardenafil, and avanafil at high doses with no effect may need alternative treatment.

Erectile dysfunction

PDE5 inhibitors have some specific risks and contraindications, as well. Certain cardiovascular issues and medications to control blood pressure are generally contraindicated and may compel prescribing physicians to decline the treatment due to safety.5 BlueChew and Hims both treat ED with prescription medications known as PDE5 inhibitors. Before diving into how these medications work, let's briefly review the physiology of an erection. Your body typically creates both cyclic guanosine monophosphate (cGMP) and phosphodiesterase-5 (PDE5) in regular balance.6 A certain amount of cGMP maintains a relaxation in the muscles controlling your blood vessel constriction, and PDE5 helps wash out cGMP so it doesn’t build up. When you get aroused, your body produces extra cGMP, which results in a relaxation of the muscles that control blood vessel constriction, especially in the penis.

Recreational use

That increases blood flow to the penis, causing an erection.7 After climax, your body increases its production of PDE5, which returns your cGMP levels to normal. Blood flow decreases and your erection goes away. Evolutionarily speaking, this is a good thing. PDE5 inhibitors allow cGMP to accumulate and relax those blood vessels.2 This should work whether you have too much PDE5 or too little cGMP. However, not all PDE-5 inhibitors act exactly the same way. These are generally mild for most users but can be clinically significant in certain populations.

Ingredient	Amount per Tablet	Purity (%)	Source
Sildenafil Citrate	45 mg	99.5	Synthetic pharmaceutical production
Sodium Saccharin	15 mg	N/A	Synthetic sweetener
Carnauba Wax	2 mg	N/A	Plant-derived wax
Magnesium Stearate	1 mg	N/A	Lubricant in manufacturing

Common side effects of PDE5 inhibitors include:4 Among these, vision disturbances may be the most concerning at first glance. But while the vision disturbances associated with PDE5 inhibitors include blurred vision, ocular pain, and

How To Sign Up For BlueChew

You wouldn’t want it to lose efficacy before you have a chance to take it. Custom-compounded meds may have varying shelf lives; inquire with your prescriber as to how long your medication should last. If you’re not sure you want to commit to a month’s worth of medication to start, especially as you figure out what dose works best for you, you can also try BlueChew for free — a $25 value offered to our readers who visit BlueChew from links on our site — then evaluate your needs for quantity and dose adjustments from there. When we look at convenience, we consider both the convenience of attaining the medications in question and the convenience of taking them. Both Hims and BlueChew have very similar intake procedures, with online questionnaires followed by messaging with a doctor to finalize a prescription.

Getting Started Is Easy

All of it can be done entirely from home. Both BlueChew and Hims have easy-to-take chews that taste just fine, but the fact that Hims offers both chewable medications and traditional tablets might be a convenience factor for some men if they prefer to take pills, especially since those tablets open up a wider range of available doses than chews from either company. It’s worth noting that Hims chews come in little tins, with all of the chews together. BlueChew provides its medications in individually wrapped packets. This is a small difference on the surface, but if you’re taking your chews out into the world with you, when traveling or in other circumstances where discretion is important, one or two slim packets will be easier to carry around than a slightly thicker tin.

Monthly subscription rates

Here’s a quick comparison of the packet and the tin for thickness: Those BlueChew packets are no thicker than a single chewable dose, and they’re about the size of a sugar packet. Hims’ tin is about 0.75in thick, more than 3in long, and just over 2in wide. It’s not unfeasible that you could slip this into your pocket, but it’s definitely less convenient than the BlueChew alternative. BlueChew’s recently released daily tadalafil multivitamins also come in tins, but you don’t need to carry those around with you if you’re taking them once per day. The three main medications that either company offers in chewable form are well-researched and regarded as relatively safe.4 Their side effects have been thoroughly documented and exclude a few types of men from taking them, including those with cardiovascular conditions. alterations in light perception, one of the most common disturbances is an added bluish or

• Sildenafil 45 mg chewables enhance sexual performance temporarily.
• Take into account your overall health before use.
• Always adhere to your healthcare provider’s advice.
• Do not take more frequently than prescribed.
• The medication helps increase blood flow to the penis.
• Consult your doctor before starting or stopping treatment.
• Avoid taking with heavy meals for quicker action.
• Use with caution if you have eye or ear conditions.
• Be aware that side effects may include sleep disturbances.
• Ensure medications are stored out of reach of children.
• Do not consume alcohol or recreational drugs with this medication.
• Seek medical attention if adverse reactions occur.

greenish tinge to vision, which fades as the medicine leaves the body.11 The most significant

• Sildenafil 45 mg chewables are often used when lower doses are ineffective.
• The chewable form can be taken discreetly in any setting.
• Side effects may go away after a few hours or days.
• Do not drive or operate machinery until you know how it affects you.
• Sildenafil may interact with certain antifungals and antibiotics.
• Consult your doctor before starting new medications with sildenafil.
• Always verify your dose with a healthcare professional.
• The medication enhances natural sexual response.
• Be prepared for possible initial dizziness or lightheadedness.
• Keep a record of any adverse reactions experienced.
• Do not use sildenafil if you have recently had a heart attack.
• Follow prescribed guidelines strictly for safe use.

health risk associated with PDE5 inhibitors comes from the role they play in regulating blood flow.

• Use sildenafil chewables consistently for best results.
• Confirm with your doctor if you are taking other prescribed drugs.
• Avoid recreational drugs that can interact adversely.
• The medication can cause a drop in blood pressure.
• Side effects may include nausea, stomach upset, or rash.
• Do not take sildenafil if you have a history of vision problems.
• Keep unopened medication in its original container.
• Dispose of unused medication safely as advised.
• Do not consume grapefruit or products containing grapefruit.
• The medication should be used only by the person it was prescribed to.
• Remember to inform your doctor of all existing health issues.
• Timing is important for optimal efficacy and safety.