Frequently asked questions
Plain answers about online ED treatment. Not medical advice.
Do I need a prescription for ED medication?
Yes. Sildenafil, tadalafil, vardenafil and similar medications are prescription-only in the United States. Every provider listed on Erectiva Health requires an online medical assessment reviewed by a licensed clinician before any medication can be prescribed.
Is online ED treatment safe?
Reputable telehealth services use US-licensed providers and licensed pharmacies. Safety depends on giving accurate health information. ED medications can interact with nitrates and some blood-pressure drugs and are not suitable for everyone. Always follow your prescriber's advice.
Does Erectiva Health sell medication?
No. Erectiva Health is an independent informational comparison site. We do not sell, prescribe or dispense medication, and we do not provide medical advice. Any purchase happens directly on the provider's own website.
How does Erectiva Health make money?
We may receive a commission when you visit a provider through our links. This never changes what you pay. Our scores are based on our published methodology. See our Advertising Disclosure for details.
What is the difference between sildenafil and tadalafil?
Both are PDE5 inhibitors. Sildenafil (the active ingredient in Viagra®) is typically taken shortly before activity and lasts around 4–6 hours. Tadalafil (the active ingredient in Cialis®) can last up to 36 hours and is also available as a low daily dose. A clinician will advise which is appropriate.
Are generic ED medications as effective as branded ones?
FDA-approved generics contain the same active ingredient, strength and dosage form as the branded product and must meet the same quality standards. Compounded products are different: they are not FDA-approved.
What are common side effects?
Commonly reported side effects include headache, flushing, nasal congestion, indigestion and dizziness. Seek emergency care for an erection lasting more than 4 hours or sudden loss of vision or hearing.
Will my order arrive discreetly?
The providers we compare state that they ship in plain, unbranded packaging. Check each provider's shipping policy for specifics.
Can I use insurance?
Many online ED services are cash-pay. Some may accept insurance or provide prescriptions that can be filled at a local pharmacy. Check directly with the provider.
Who should not use online ED treatment?
You must be 18 or older and located in a state the provider serves. People taking nitrates, with certain heart conditions, or with recent stroke or heart attack should speak with their own doctor in person. ED can be an early sign of other health conditions, so a full check-up is worthwhile.