Online ED clinic reviews

Our pick of the combination products, and the July rewrite only widened the gap. Start with what you are not agreeing to: auto-refill is opt-in rather than automatic, which only one other service here manages — and there is no membership fee, no contract, and you are refunded if a clinician decides the treatment is not appropriate for you. The safety information is among the strongest we have read anywhere in this category: it explains why nitrates are dangerous rather than just naming them, flags alpha-blockers, and warns about sudden vision and hearing loss. It is also the only page in our set that footnotes its own performance claims as published pharmacology rather than presenting them as proof. $114 buys a five-dose month at the subscription rate, flat, with no dose-based markups; the same pack bought once costs about 5% more. And the one question this review has carried since the first audit is now answered: we asked for the doses and the company sent them. They are restrained — the three PDE5 inhibitors come to about one maximum dose split three ways, more conservative than either rival whose numbers are public. The figures are not on the landing pages yet, which the company says is being fixed.

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The most responsible service we have audited, and the only one that says no. It publishes every dose, asks for your blood pressure, requires a recent physical, and refuses outright to treat men on nitrates or with heart disease. The one thing to check before you start: it will not serve you if you are 73 or over.

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A small operation with a page that embarrasses several much larger ones. It names the nitrate interaction and the drugs it applies to, explains that untreated priapism causes permanent damage, and flags alpha-blockers and ritonavir by name — that combination puts it in the top handful we have audited. The commercial terms are equally plain: one flat $64.99, no subscription, and no charge unless a prescription is actually issued. The gap is that the $64.99 buys the consult and the prescription rather than the medicine, and the page never says what the medicine will cost.

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Joint-best safety disclosure in this comparison, and one of only two pages that simply tells you who should not take this: not for those with heart conditions, low or high blood pressure, or liver or kidney problems. It names the nitrate interaction twice with the consequence, uses a two-hour threshold for a prolonged erection where everyone else uses four, publishes every dose with a daily maximum, and names sickle cell and pulmonary hypertension. What it asks in return is a layered bill — a monthly membership, a visit fee, and the medication on top, only two of which it prices.

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The dosage form a dozen compounding pharmacies have been selling for years, finally with an FDA approval behind it. The disclosure is the best in this comparison because it is simply the drug label. The price is four times generic sildenafil and the speed advantage is not in the data — so buy it for the label and the convenience, not for the marketing.

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The best-disclosed combination product we have audited. It is the only one that publishes the actual doses of both ingredients and the correct not-FDA-approved wording, and one of only two whose refills are opt-in rather than automatic — with a notification before each shipment and a phone number to cancel on. The safety section names nitrates with the consequence, guanylate cyclase stimulators, the four-hour rule, sudden vision and hearing loss, and alpha-blockers. The gaps are that it never names heart disease, publishes no pack size, and has no refund policy.

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The best-disclosed service we have audited, and it gets there by doing the unglamorous thing: selling ordinary FDA-approved generics and printing the whole safety label next to them. After nine pages of compounded stacks that would not name a nitrate, this reads like a different industry.

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The best price in this comparison on the drug most men should be taking, and it is a real FDA-approved generic rather than a compounded stack. The problem is the page: it sells you a vasodilator without a word about nitrates or your heart, and puts the warnings behind a link. Good value, thin duty of care.

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The most straightforward service we audited. It publishes its doses, states its cancellation terms, and makes no claim it cannot support — which sounds like a low bar until you see what the others do. The stacking concern still applies, and the nitrate warning is too soft to protect the man who most needs it.

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Not a service you can buy from, and the most rigorously documented product in this comparison. It publishes its doses, cites the statute it compounds under, names its contraindications with actual numerical thresholds, and admits the evidence for the combination is thin. It also contains twice the maximum approved dose of tadalafil, which is exactly why a real prescriber has to be involved.

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The one product in this comparison a man on nitroglycerin can consider, because there is no drug in it. That single fact makes it worth knowing about even though it works for fewer men than a pill does. Buy it off a shelf, try it three or four times, and take the fact that you needed it to a doctor anyway.

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Sets the standard for safety disclosure in this category, then undercuts itself commercially by hiding the price and the cancellation terms. If you are going to buy a stacked product, this is the page that will at least tell you what can go wrong.

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The closest thing to an actual doctor's appointment in this comparison, at the lowest prices in it. You pick a clinician, see their rating and fee before booking, and talk to them for fifteen minutes. What it does not do is print the safety label — the nitrate warning is excellent and almost everything else is missing.

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Hims writes the best safety copy in this comparison and then declines to tell you the dose. Both of those are worth taking seriously. If you want a compounded mint from a company that will actually explain what could go wrong, this is the one — but ask what is in it before the first refill, and know that the plain generic sildenafil on the same site is cheaper and comes with a label.

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The best-structured safety information in this comparison, attached to the wrong regulatory disclaimer and a price you cannot see. It is the only page here that gives side effects with frequency bands, names riociguat, calls a four-hour erection a medical emergency, publishes an exclusion list and names tamsulosin by name. Then it signs off with the dietary supplement disclaimer — “not intended to diagnose, treat, cure, or prevent any disease” — on a prescription drug whose entire purpose is to treat a disease.

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A well-made physical solution to one specific half of the problem: holding an erection once you have one. If that is your problem it is a sensible, one-off purchase with no drug interactions. If you cannot get an erection in the first place, this will not help, and the page's confident “FDA Class II” badge should not be read as anyone having found that it works.

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One of the clearest commercial propositions in this comparison attached to one of the emptier safety sections. It publishes all four tadalafil strengths, shows the regular price struck through beside the discount, names the prescribers, and sells FDA-approved generics while saying so accurately — all of which several better-known services fail at. Then it sells a vasodilator to men over 50 without once mentioning nitrates.

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We spend a lot of this site telling readers how to check whether an online pharmacy is legitimate. This is the only entry in our comparison that gives you everything you would need to do it — accreditation, a named state licensing board, an NCPDP number and a street address. What it does not give you is the dose or an FDA statement.

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One of the more honest compounded pages we have audited — it publishes both doses, gives the beyond-use date, and does not pretend the FDA has looked at it. Then it sells 81 mg of sildenafil and 12 mg of tadalafil in a single troche and calls the size of that dose the feature. Because the numbers are public we can be precise about the objection instead of vague, which is more than most of this market allows.

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The most established company here, behind a landing page that says less about safety than its size would lead you to expect. The compounded and not-FDA-approved status is stated honestly; almost everything else that matters sits behind a link.

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The best-disclosed product Ro sells and the one whose dose deserves the most scrutiny. It publishes everything about what it is — 7 mg of tadalafil, compounded, not FDA-approved — and nothing about what it can do to you. On a drug you take every single day, that omission compounds.

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An oddly lopsided page. It publishes the dose, the quantity per shipment, the compounded status in the correct terms and three price tiers with their billing frequencies — all of which most of this comparison fails at. Then it puts every word of safety information behind a link, so a buyer can reach checkout without seeing the nitrate warning. The dose it publishes is also above the approved maximum for oral vardenafil, with no explanation of why.

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A per-visit doctor service with the highest consultation fee in this comparison — $79.95, medication not included. The safety copy is terse but genuinely there: it names nitrates with the consequence in brackets, lists the common side effects, and names hearing and vision loss, which most competitors skip. What it does not do is define priapism, give the four-hour figure, or say anything to a man who already has heart disease.

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The only service in this comparison that will not sell to you unless you are already its patient: ED medication is restricted to men already taking PrEP with Q Care. For everyone else the page is academic. Which is a shame, because what it does say about nitrates is better than most — it names poppers, gives the consequence, and tells you to seek urgent care — and it bills through insurance rather than a subscription. But there is no price, no dose, no side-effect list and nothing about heart disease.

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Two things here are better than anything else we have audited: the doses are the lowest of any combination product, and the cancellation terms are genuinely generous. Set against that, the page never mentions nitrates and never admits the product is compounded — the one omission it shares with the worst service in this set.

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A page that gets the hardest thing right and then leaves out the easy ones. The nitrate warning is better than most in this comparison — it names isosorbide dinitrate and mononitrate specifically, which is what a man actually reads on his own bottle — and it explains that ED can be an early signal of heart disease. Then it stops. There is no four-hour warning on a page selling four drugs that can cause priapism, no named side effect, no price, and no terms of any kind.

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A page that states its regulatory status more honestly than almost anything else in this comparison, and then declines to tell you the two things you need in order to buy: what it costs and what is in it. The compounded, not-FDA-approved disclosure is exactly right and appears twice. But Rocket Rise carries no price — three other products on the same page do — and no milligram figure appears anywhere in the copy. There is still no nitrate warning, which is odd on a page that already tells you the product can lower your blood pressure.

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It gets the compounding disclosure right and lists its side effects honestly, then sells the product on a claim — three times the strength of generics — that no evidence supports and that its own refusal to publish doses makes impossible to check.

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Honest about being a compounded drug and about paying its testimonial-givers, and silent on every single thing that could physically harm you. Two PDE5 inhibitors and an unapproved peptide, with not one dose published and not one warning given.

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The most thorough clinical work-up in this comparison sitting behind the emptiest safety page. It insists on a 50-biomarker blood panel and a physician reviewing it — which is exactly what we spend this site arguing for — and then tells you nothing whatsoever about what the medication can do to you.

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There is a genuine clinic behind this — two Las Vegas addresses, real opening hours, and it takes insurance, which nothing else in this comparison does. The product page undercuts all of that: you pay $199 before the consultation begins, a prescription is explicitly not guaranteed, and no refund policy is published anywhere.

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The same company as the generic tadalafil page we rate 3.3, selling a compounded two-drug chewable on a page that is markedly weaker. It does say the product is compounded and not FDA-approved — then spends the rest of the sentence softening that into something close to reassurance. It publishes no price at all while advertising 25% off, no dose for either ingredient, and nothing about nitrates, priapism or heart disease.

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A compounded three-ingredient sublingual tablet, priced attractively at an advertised $3 a dose, sold on a page that contains no safety information whatsoever. We read both this page and the main ED page: no nitrate warning, no four-hour rule, no side effect list, no cardiac prompt. It does say the formulation is compounded, which is more than several competitors manage, but it never says compounded drugs are not FDA-approved — and it never mentions that PT-141 is approved only for women. The price is the best thing about it and it is the only thing the page will actually tell you.

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A page built entirely around speed — a five-minute assessment, a prescription in forty-five minutes — that offers four different vasodilators and says nothing at all about when they are dangerous. No nitrates, no four-hour rule, no side effects, no mention of heart disease. What it does publish is unusually checkable: a real street address, a phone number and an email, which several better-scoring services do not manage. Being findable is not the same as being safe.

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Of the seventeen pages we have audited, this one discloses the least. Not a single warning of any kind, no doses, no statement about the combination product it sells, and no billing terms. The prices are clear and a licensed provider is involved — that is the whole of what we can credit.

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A clinic offering the treatments that actually work for men who have failed pills — injectable trimix in particular — behind a page that publishes no prices and almost no warnings. It does one thing better than anyone else in this comparison: it volunteers that PT-141 is approved for women, which a direct competitor selling the same peptide to men does not. Against that, there is no nitrate warning on a page selling tadalafil and injectable vasodilators, no cardiac prompt, and priapism is framed as an inconvenience with an antidote rather than an emergency.

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The only service we audited that never tells you it is selling a compounded drug, never mentions a single side effect, and guarantees a medical outcome. We link to it so you can check what we describe — but of the five we looked at, this is the one we would steer you away from.

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