Vardenafil has a very similar side effects profile to sildenafil. However, along with tadalafil, vardenafil was developed about a half-decade after sildenafil appeared on the market. Compared to sildenafil, it is more selective in inhibiting PDE5.9 Side effects of vardenafil tend to be mild, as with the other two BlueChew medications, and most commonly may include:14 Nasal congestion, runny nose, and/or sneezing Vardenafil does still collaterally inhibit PDE6 but doesn’t do so to the extent that sildenafil does, so its likelihood of causing visual side effects is lower.9 This often makes it a good alternative for people who want to discontinue sildenafil due to changes in color perception. Side effects of BlueChew vardenafil will be much the same as those of brand-name Levitra or Staxyn but with possible added side effects from the peppermint that BlueChew includes for flavor. Peppermint may trigger heartburn symptoms in those who suffer from GERD because it relaxes the lower esophageal sphincter.15 As described above, the vast majority of BlueChew side effects are mild.

Serious side effects of sildenafil

8.5mg or 11.2mg for either How could this factor into your decision-making and comfort levels when it comes to risk of side effects? Let’s break it down further by medication. With a strength of 30mg or 45mg, BlueChew’s compounded sildenafil could be a solid choice if you’re hoping to start at a relatively modest strength and minimize your risk of side effects. Branded Viagra dosage comes in 25mg increments (e.g., 25mg, 50mg, 100mg), with many doctors starting patients at 50mg. If the 30mg BlueChew sildenafil works for you, then you may keep your likelihood of experiencing side effects close to a minimum from day one.

Sildenafil and Viagra pills may look different

Taking a look at other online competitors like Hims and Roman, for instance, your lowest-dose options will be tablets (not chews) from those companies. Roman’s generic sildenafil doses start at 25mg, but Hims sildenafil doses start at 20mg and increase sildenafil otc in 20mg increments up to 100mg. With branded Viagra, Hims and Roman tablets both start at 25mg. The lowest doses of any of those tablet options could make your chances of side effects potentially even lower, but if you want a chewable medication that doesn’t require a handy glass of water, those other two companies only offer more aggressive multi-medication treatments involving higher doses of sildenafil with robust dosages of tadalafil. BlueChew’s lowest-dose chewables are inherently less likely to cause side effects than the multi-medication chewables of those companies. In very rare cases, however, PDE5 medications may cause side effects that would require swift medical attention. If you experience any of the following side effects, you should seek medical attention immediately: Like all versions of these PDE5 inhibitors (branded, generic, or compounded), BlueChew medications are supposed to enable a healthy erection that endures during arousal and then subsides. But in very rare situations, the medications may cause an erection that lasts longer than four hours, a condition known as priapism.6 Priapism is a dangerous situation that can permanently damage the tissues of the penis if unaddressed, so it’s very important to seek medical attention. This is a separate phenomenon from the potentially bothersome yet mild visual side effects mentioned earlier (like changes in color perception). Rarely, a person using PDE5 medications may experience a sudden loss of vision due to a condition called non-arteritic anterior ischemic optic neuropathy (NAION).16 This can happen in just one eye or in both eyes. While more research is needed, sudden sensorineural hearing loss (SSNHL) is another rare but serious side effect that may apparently occur from using PDE5 medications.17 The degree of hearing loss could vary from minor to severe, could occur in one or both ears, and could be accompanied by tinnitus (ringing in the ear). Some research suggests that full or partial recovery of hearing is possible afterward, either spontaneously or through treatment, but in some cases, hearing never returns to normal. And while this side effect is rare, sildenafil may put you at higher risk of it than the other ED medications.17 It remains unclear why SSNHL would occur from using a PDE5 medication.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	100mg	90 + 6 Pills	129.02€ 122.88€
Viagra Generic	200mg	180 + 10 Pills	277.56€ 264.34€
Viagra Generic	150mg	90 + 6 Pills	147.18€ 140.17€
Viagra Generic	150mg	60 + 4 Pills	111.25€ 105.95€
Viagra Generic	200mg	60 + 4 Pills	125.19€ 119.23€
Viagra Generic	200mg	30 + 2 Pills	83.07€ 79.11€
Kamagra Polo	100mg	60 + 4 Pills	189.39€ 180.37€
Viagra Generic	25mg	180 + 6 Pills	154.93€ 147.55€
Viagra Generic	200mg	20 Pills	61.69€ 58.75€
Kamagra	100mg	84 + 6 Pills	264.44€ 251.85€
Viagra Generic	25mg	10 Pills	25.19€ 23.99€
Viagra Generic	50mg	180 + 8 Pills	158.82€ 151.26€
Viagra Generic	150mg	180 + 10 Pills	236.46€ 225.20€
Kamagra Soft Tabs	100mg	60 + 4 Pills	180.59€ 171.99€
Viagra Generic	100mg	360 + 10 Pills	330.21€ 314.49€
Kamagra	100mg	180 + 6 Pills	436.79€ 415.99€

Again, these side effects are rare, thankfully.

How Does Sildenafil Work?

If one of BlueChew’s doses works for you, research suggests that it would generally carry a lower risk of experiencing side effects compared to those common, higher doses. Meanwhile, Hims’ as-needed tadalafil chews are stronger than BlueChew’s, at 11.2mg. But its as-needed tablets, available as low as 5mg/dose, could be even better for avoiding side effects. In contrast with its as-needed doses, BlueChew’s daily tadalafil is stronger than many daily Cialis dosages, at 9mg per day. That’s the only strength available from BlueChew at this time, and its stronger dose means you may have a higher chance of experiencing tadalafil’s side effects with daily BlueChew than you would with a daily prescription of the medication elsewhere. At the time of a particular review of literature in 2008 — a decade after Viagra hit the market and a half-decade since Cialis and Levitra had entered it — there had been only one documented case of priapism caused by tadalafil and only a few documented cases caused by sildenafil; there was just as much evidence of this class of drugs alleviating recurrent priapism as there was evidence of the drugs causing priapism as a side effect.18 And in the case of hearing loss, more research is certainly needed; a review of the literature published in 2019 concluded that research up to that time was inconclusive, with some data suggesting risk and other data suggesting that PDE5s were actually otoprotective (protective of hearing) rather than somehow ototoxic.36 You’re far likelier to experience bothersome side effects than dangerous ones. And if you do encounter common side effects that rise to tablet sildenafil 50 mg a level of severity or frequency that bothers you, talk to your prescribing medical professional. If you work with BlueChew, you’d want to share your negative experience through their patient portal so that the medical professionals can reassess your dosage or medication and potentially propose an alternative treatment path that wouldn’t cause those unpleasant side effects. BlueChew’s medications are available only via prescription by one of BlueChew’s affiliated medical professionals. If you take certain medications already or have underlying cardiovascular conditions, prescription ED medications can be downright dangerous to you. For instance, if you take a nitrate-containing medication (like nitroglycerin), that is a contraindication to using PDE5 inhibitors like sildenafil, tadalafil, and vardenafil.

Sildenafil can interact with medications for blood pressure.
Chewing sildenafil might affect the rate of absorption and effectiveness.
Ensure proper hydration when taking sildenafil.
Avoid grapefruit or grapefruit juice while on sildenafil.
Sildenafil is contraindicated in individuals with severe heart conditions.
Be aware of the possibility of headaches or dizziness.
Correct administration ensures optimal therapeutic effect.
Do not share sildenafil with others.
Seek immediate medical attention if an erection lasts longer than 4 hours.

Sildenafil improves erectile function by enhancing blood flow.
Chewing sildenafil tablets is not an approved method of administration.
Use sildenafil only as prescribed by your doctor.
Do not double-dose if an effect is not immediate.
Be aware of possible side effects like flushing or stomach upset.
Sildenafil should not be taken with certain heart medications.
Store sildenafil in a cool, dry place away from children.
Combining sildenafil with recreational drugs can be dangerous.
Seek medical attention for prolonged erections or severe side effects.

All of this underscores the importance of being thorough in your description of medications and existing health conditions when you consult with the doctor — something perhaps even more important in an online consultation scenario. Prescribing medical professionals will be able to determine whether you’re a safe candidate for the treatments that BlueChew offers, but only if they have enough information about your underlying health and current use of medications. Your likelihood of experiencing side effects may be higher or lower depending on differences in the dosage of the active ingredients. Studies examining the effectiveness and safety of tadalafil, sildenafil, and vardenafil at different dosages reveal that side effects are more common at higher doses.3 Though studies are slightly mixed in terms of the linear effect of dosage on the likelihood of experiencing side effects, in one study, the group of participants taking 5mg of daily tadalafil experienced back pain more often than the group taking 2.5mg of daily tadalafil.19 Another study comparing 5mg and 10mg daily dosage efficacy and tolerance revealed that the 10mg/day test group experienced side effects at a higher rate than the 5mg/day group.24 Research suggests that the likelihood of experiencing side effects increases as dosage increases.22 For instance, a study of 256 sildenafil users at three different strengths (50mg, 100mg, 150mg) found that the incidence of side effects increased at each dosage level.20 Specifically, 20% experienced a side effect at 50mg, while 36% and 63% experienced one at 100mg and 150mg, respectively. Clinical trials in which participants used doses of vardenafil ranging from 5mg to 40mg showed that side effect prevalence was dose-dependent.25 Given that dosage appears to play a direct role in the likelihood of side effects — with higher doses increasing the chances of side effects — what does this mean for BlueChew side effects in particular?

Important things to remember

Using both can cause possibly deadly low blood pressure (hypotension).35 If you have preexisting hypotension or take medications like alpha-blockers to treat high blood pressure, the prescribing doctor would need to decide whether it’s safe for you to take PDE5 inhibitors. Doing so may also cause dangerously low blood pressure, symptoms of which can include: But hypotension doesn't always cause noticeable symptoms, despite the risks to your health. Those with chronic kidney disease may not be suitable candidates for prescription ED medication, though the prescribing medical professional will be able to determine whether your circumstances contraindicate using them. All of this underscores the importance of being thorough in your description of medications and existing health conditions when you consult with the doctor — something perhaps even more important in an online consultation scenario. Prescribing medical professionals will be able to determine whether you’re a safe candidate for the treatments that BlueChew offers, but only if they have enough information about your underlying health and current use of medications.

Professional resources

Your likelihood of experiencing side effects may be higher or lower depending on differences in the dosage of the active ingredients. Studies examining the effectiveness and safety of tadalafil, sildenafil, and vardenafil at different dosages reveal that side effects are more common at higher doses.3 Though studies are slightly mixed in terms of the linear effect of dosage on the likelihood of experiencing side effects, in one study, the group of participants taking 5mg of daily tadalafil experienced back pain more often than the group taking 2.5mg of daily tadalafil.19 Another study comparing 5mg and 10mg daily dosage efficacy and tolerance revealed that the 10mg/day test group experienced side effects at a higher rate than the 5mg/day group.24 Research suggests that the likelihood of experiencing side effects increases as dosage increases.22 For instance, a study of 256 sildenafil users at three different strengths (50mg, 100mg, 150mg) found that the incidence of side effects increased at each dosage level.20 Specifically, 20% experienced a side effect at 50mg, while 36% and 63% experienced one at 100mg and 150mg, respectively. Clinical trials in which participants used doses of vardenafil ranging from 5mg to 40mg showed that side effect prevalence was dose-dependent.25 Given that dosage appears to play a direct role in the likelihood of side effects — with higher doses increasing the chances of side effects — what does this mean for BlueChew side effects in particular? Here’s a quick comparison of BlueChew’s dosages and those of its competitors. And note: competitors Hims and Roman both offer brand-name Viagra and Cialis in addition to the compounded versions whose doses you’ll find in the chart below. Here’s a quick comparison of BlueChew’s dosages and those of its competitors. And note: competitors Hims and Roman both offer brand-name Viagra and Cialis in addition to the compounded versions whose doses you’ll find in the chart below. 8.5mg or 11.2mg for either How could this factor into your decision-making and comfort levels when it comes to risk of side effects? Let’s break it down further by medication. With a strength of 30mg or 45mg, BlueChew’s compounded sildenafil could be a solid choice if you’re hoping to start at a relatively modest strength and minimize your risk of side effects. Branded Viagra dosage comes in 25mg increments (e.g., 25mg, 50mg, 100mg), with many doctors starting patients at 50mg. If the 30mg BlueChew sildenafil works for you, then you may keep your likelihood of experiencing side effects close to a minimum from day one. Taking a look at other online competitors like Hims and Roman, for instance, your lowest-dose options will be tablets (not chews) from those companies. Roman’s generic sildenafil doses start at 25mg, but Hims sildenafil doses start at 20mg and increase sildenafil otc in 20mg increments up to 100mg. With branded Viagra, Hims and Roman tablets both start at 25mg. The lowest doses of any of those tablet options could make your chances of side effects potentially even lower, but if you want a chewable medication that doesn’t require a handy glass of water, those other two companies only offer more aggressive multi-medication treatments involving higher doses of sildenafil with robust dosages of tadalafil.

What are the Potential Health Benefits of Sildenafil?

While more research is needed, sudden sensorineural hearing loss (SSNHL) is another rare but serious side effect that may apparently occur from using PDE5 medications.17 The degree of hearing loss could vary from minor to severe, could occur in one or both ears, and could be accompanied by tinnitus (ringing in the ear). Some research suggests that full or partial recovery of hearing is possible afterward, either spontaneously or through treatment, but in some cases, hearing never returns to normal. And while this side effect is rare, sildenafil may put you at higher risk of it than the other ED medications.17 It remains unclear why SSNHL would occur from using a PDE5 medication. Again, these side effects are rare, thankfully. At the time of a particular review of literature in 2008 — a decade after Viagra hit the market and a half-decade since Cialis and Levitra had entered it — there had been only one documented case of priapism caused by tadalafil and only a few documented cases caused by sildenafil; there was just as much evidence of this class of drugs alleviating recurrent priapism as there was evidence of the drugs causing priapism as a side effect.18 And in the case of hearing loss, more research is certainly needed; a review of the literature published in 2019 concluded that research up to that time was inconclusive, with some data suggesting risk and other data suggesting that PDE5s were actually otoprotective (protective of hearing) rather than somehow ototoxic.36 You’re far likelier to experience bothersome side effects than dangerous ones.

Can you dissolve Viagra in water?

And if you do encounter common side effects that rise to tablet sildenafil 50 mg a level of severity or frequency that bothers you, talk to your prescribing medical professional. If you work with BlueChew, you’d want to share your negative experience through their patient portal so that the medical professionals can reassess your dosage or medication and potentially propose an alternative treatment path that wouldn’t cause those unpleasant side effects. BlueChew’s medications are available only via prescription by one of BlueChew’s affiliated medical professionals. If you take certain medications already or have underlying cardiovascular conditions, prescription ED medications can be downright dangerous to you. For instance, if you take a nitrate-containing medication (like nitroglycerin), that is a contraindication to using PDE5 inhibitors like sildenafil, tadalafil, and vardenafil. BlueChew’s lowest-dose chewables are inherently less likely to cause side effects than the multi-medication chewables of those companies.

Drug Class	Potential Interaction	Effect	Notes
Nitrates	Severe hypotension	Dangerous	Avoid combining
Alpha-Blockers	Increased blood pressure reduction	Additive effect	Use caution
Other PDE5 inhibitors	Enhanced side effects	Increased risk	Not recommended to combine
CYP3A4 Inhibitors	Increased sildenafil blood levels	Higher risk of side effects	Dose adjustments may be needed

The risk of side effects posed by BlueChew tadalafil, relative to other tadalafil options, depends on the form you want (compounded chewable vs. tablet you swallow) and the type of prescription you want (as-needed vs. daily). Cialis for daily use commonly comes in tablets of 2.5mg or 5mg, while as-needed tablets range from 5mg to 20mg. BlueChew’s as-needed tadalafil, by contrast, comes in either 6mg or 9mg chews — considerably lower than many typical as-needed Cialis prescriptions would be. If one of BlueChew’s doses works for you, research suggests that it would generally carry a lower risk of experiencing side effects compared to those common, higher doses. Meanwhile, Hims’ as-needed tadalafil chews are stronger than BlueChew’s, at 11.2mg. But its as-needed tablets, available as low as 5mg/dose, could be even better for avoiding side effects.

Sildenafil can help men with ED achieve better erections.
Chewing sildenafil may lead to inconsistent results.
Take sildenafil on an empty stomach for quicker response.
Avoid alcohol consumption when taking sildenafil.
Follow dosing instructions to reduce risk of adverse effects.
The effectiveness of sildenafil depends on proper administration.
Consult your healthcare provider if unsure about side effects.
Keep track of your response to adjust dosage if needed.
Use sildenafil safely and responsibly under medical advice.

In contrast with its as-needed doses, BlueChew’s daily tadalafil is stronger than many daily Cialis dosages, at 9mg per day.

Other Options

Altitude sickness

In very rare cases, however, PDE5 medications may cause side effects that would require swift medical attention. If you experience any of the following side effects, you should seek medical attention immediately: Like all versions of these PDE5 inhibitors (branded, generic, or compounded), BlueChew medications are supposed to enable a healthy erection that endures during arousal and then subsides. But in very rare situations, the medications may cause an erection that lasts longer than four hours, a condition known as priapism.6 Priapism is a dangerous situation that can permanently damage the tissues of the penis if unaddressed, so it’s very important to seek medical attention. This is a separate phenomenon from the potentially bothersome yet mild visual side effects mentioned earlier (like changes in color perception). Rarely, a person using PDE5 medications may experience a sudden loss of vision due to a condition called non-arteritic anterior ischemic optic neuropathy (NAION).16 This can happen in just one eye or in both eyes. That’s the only strength available from BlueChew at this time, and its stronger dose means you may have a higher chance of experiencing tadalafil’s side effects with daily BlueChew than you would with a daily prescription of the medication elsewhere.

I have a subscription of the regular blue chew every month & I would like to to switch to the Blue Chew Gold. A little