As-Needed Tablet
Sildenafil taken about an hour before sex.
- Take it only when you need it
- No daily pill
- FDA-approved medication
- Strength (50 mg or 100 mg) set by your provider
Card authorized at checkout. Charged only if a provider approves.
Product images are for illustration only. Actual packaging may vary.
The As-Needed Tablet is a prescription drug that contains sildenafil and is used to treat erectile dysfunction (ED). Do not take it if you use any nitrate medicine or riociguat. Do not take it more than once a day, or within 24 hours of taking any other ED medication. See Important Safety Information.
The short version.
What is the As-Needed Tablet?
A sildenafil tablet (50 mg or 100 mg) taken before sexual activity to treat erectile dysfunction.
What makes the As-Needed Tablet different?
Sildenafil is one of the most widely used ED medications, with a shorter duration of action than tadalafil, suited to those who prefer to plan ahead.
How much does the As-Needed Tablet cost?
$99 per month. No membership fee.
Three simple
steps.
Get prescribed
Complete a secure online visit, and a licensed provider reviews your health history.
Take it before sex
Take one tablet about an hour before sexual activity, as your provider directs.
Be ready
Sexual arousal is still needed for it to work.
From your phone
to your door.
Your card is authorized at checkout, but you are only charged if a provider approves your treatment.
Complete a short online visit with a few health questions
Hear from your provider
Most orders arrive within a few business days of approval, with tracking sent when your order ships
Begin treatment, with your care team a message away
Find the
right fit.
Your provider confirms which option is appropriate for you.
| Treatment | What it is | Price |
|---|---|---|
| Daily Tablet | Tadalafil 5 mg · daily tablet | $99/moBilled monthly · ships monthly |
| Long-Lasting As-Needed Tablet | Tadalafil 20 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet | Sildenafil 50 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| As-Needed Tablet, Higher Strength | Sildenafil 100 mg · as-needed tablet | $99/moBilled monthly · ships monthly |
| Dual-Action Troche | Sildenafil + tadalafil · dissolving troche | $133/moBilled monthly · ships monthly |
Questions, answered.
When should I take it?
About an hour before sexual activity. It can be taken anywhere from 30 minutes to 4 hours before.
Can I take it with food?
Yes, but a heavy or high-fat meal can delay how quickly it starts working.
What's the difference between 50 mg and 100 mg?
Your provider chooses the strength based on your health history and how you respond.
Can I take more than one?
No. Don't take it more than once a day.
Can I drink alcohol?
Avoid heavy drinking, which raises the risk of dizziness and low blood pressure.
Can I take it with other ED medications?
No. Don't take it within 24 hours of any other medicine containing sildenafil or tadalafil.
Do I need a prescription?
Yes. Complete a short online visit to see if this treatment is right for you. A licensed provider reviews your answers and decides whether it's appropriate to prescribe.
Who makes the treatment decision?
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate.
What the research says.
The studies discussed here may involve different formulations, doses, delivery methods, or patient populations from the treatment offered. They do not establish the safety or effectiveness of this specific compounded product. Compounded medications are not FDA-approved; FDA does not review their safety, effectiveness, or quality before marketing.
Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,
What was studied. A systematic review of 87 studies of oral erectile dysfunction treatments.
What researchers found. Sildenafil and tadalafil are established treatments for erectile dysfunction. Your clinician selects the medication and dosing schedule based on your health history, preferences, and treatment response.
How it relates to this treatment. Studies of standard oral tablets do not establish that compounded combinations (troches, films or dissolving tablets) work, work faster, or outperform single-ingredient therapy.
“Oral drug treatments of erectile dysfunction: A AFU/SFMS systematic review,” 2025. PMID: 40915356.
What to know before starting As-Needed Tablet.
Other ways
we can help.
The As-Needed Tablet is a prescription drug that contains sildenafil and is used to treat erectile dysfunction (ED). Do not take it if you use any nitrate medicine or riociguat. Do not take it more than once a day, or within 24 hours of taking any other ED medication.
We serve patients in 46 states. We do not currently provide services in Alaska, Mississippi, New Jersey or Texas. Availability can vary by product, depending on whether the dispensing pharmacy is licensed to ship to your state.
Licensed providers make all consultation and prescribing decisions. Purchasing does not guarantee a prescription. Prescriptions are issued only after a licensed provider reviews your information and determines that treatment is appropriate. Your card is authorized at checkout, but you are only charged if a provider approves your treatment.