Promoted Content

Best ED Pills of 2024: Comparison, Ratings, Recommendations

Promoted Content: Gone are the days when men had to live with erectile dysfunction or spend big on treatments. Here are the best ED pills available online in 2024.

Your relationship and mental health depend on your performance in the bedroom, but your body may not cooperate with your desires. How can you improve your sexual function as a man?

ED chewables have become the norm for treating sexual dysfunction since they were approved and lost their patent protection. You can get ED tablets in many convenient ways, including online. This article reviews the best ED medications that work fast, and our overall winner, BlueChew.

Best ED Pills 2024

  • BlueChew – Best ED solution overall
  • Hims – Best for brand name and generic ED pills
  • Roman – Best for fast shipping
  • Rex MD – Most user-friendly platform
  • Elan MD – Best ED pills with a free trial
  • Now Ready – Best for 24/7 services

The best over-the-counter ED pills are available in evidence-based formulations and delivered to your door discreetly. They come from honest telehealth services that eliminate the awkwardness and time-consuming nature of seeing a doctor in person. We found that the best ED tablets come from BlueChew, with Hims at a close second.

1. BlueChew – Best ED Solution Overall


  • Chewable tablets
  • Licensed medical professionals
  • Short- and long-acting ED medications are available
  • Discreet packaging


  • Not available in North Dakota or South Carolina

Who Is BlueChew Best For?

For those seeking flexible prescription options, BlueChew stands out as a great choice. You have the freedom to select from short-acting sildenafil, longer-acting tadalafil, or the more potent vardenafil. These ED medications, including vardenafil, can be effective for men across all age groups above 18 years of age [1].


  • Sildenafil:
  • Dosage options: 30mg or 45mg
  • Pack sizes: 6, 10, 17, 34 tablets per month
  • Tadalafil:
  • Dosage options: 6mg or 9mg
  • Pack sizes: 4, 7, 14, 28 tablets per month
  • Vardenafil:
  • Dosage option: 8mg (only)
  • Pack sizes: 4, 8, 15, 30 tablets per month


Monthly subscriptions cost $20-$120. It depends on the medication type, dose, and number of tablets you order.


Experience the effectiveness of BlueChew, the premier online ED service, offering a diverse selection of options and featuring the powerful vardenafil for your convenience.

>>Check the best prices for BlueChew here 

2. Hims – Best for Brand Name and Generic ED Pills


  • Both brand-name and generic ED medications are available
  • Includes other sexual health products such as premature ejaculation wipes
  • Hard Mints are an option if you can’t swallow pills


  • Some choices can be costly

Who Is Hims Best For?

Consider Hims if you want to sort your men’s health needs all in one place, especially if you have a more complex set of needs that can’t be solved even with the best over-the-counter ED pills. Other products that Hims sells include medication for anxiety and obesity, two conditions that can cause or worsen ED.


  • Sildenafil: Available in 25mg, 50mg, and 100mg doses
  • Tadalafil (Generic): Sold in 5mg doses
  • Stendra (Avanafil): Offered in its maximum 100mg dose
  • Vardenafil: Can be compounded into various doses as Hard Mints


  • Hard Mints: As low as $1.63 per dose
  • Viagra: Up to $139 per dose


Hims has the best range of ED pills and provides treatment for many other men’s health concerns, including conditions that occur alongside ED.

>>Check the best deals for Hims here

3. Roman – Best for Fast Shipping


  • Sells sildenafil and tadalafil at their maximum therapeutic doses
  • Free shipping, often arriving in two days
  • Weight loss drugs and testosterone pills are available too


  • Does not sell vardenafil or avanafil
  • No chewable tablets

Who Is Roman Best For?

If you’re looking for the best ED pills with fast shipping, Roman is your go-to choice for higher doses and additional support. With options like 100mg of Sildenafil and brand-name Viagra, as well as up to 20mg of tadalafil, Roman tailors to your needs.

Roman provides oral solutions for erectile dysfunction through a subscription service. This includes popular medications such as Viagra, Cialis, and their generic forms, sildenafil and tadalafil. Plus, they offer the best over-the-counter ED pills that prolong your duration during sex.


Sildenafil (generic):

  • Available in 25mg, 50mg, and 100mg doses

Viagra (brand-name):

  • Available in 25mg, 50mg, and 100mg doses

Tadalafil (as-needed):

  • Available in 5mg, 10mg, and 20mg doses

Tadalafil (daily):

  • Available in 2.5mg or 5mg doses


Generic Sildenafil:

  • Costs $4, $6, or $10 (dose-dependent)


  • Costs $90 per dose

Tadalafil (as-needed):

  • 5mg dose costs $4
  • Higher doses cost $11

Tadalafil (daily):

  • Costs $8 per dose


Roman offers comprehensive support for men and ED meds in higher doses delivered to your door in days, making it the best ED pills service for fast shipping.

>>Check the best deals for Roman here 

4. Rex MD – Most User-Friendly Platform


  • Try it out with two free doses
  • Affordable, higher-dose sildenafil
  • Support your overall health with testosterone-boosting pills


  • Subscriptions can be more complicated to cancel if Rex MD isn’t for you

Who Is Rex MD Best For?

Rex MD excels in men’s health, offering a user-friendly platform with a free trial for newcomers to ED treatments. Their telehealth service ensures private and efficient doctor-patient communication, providing both brand-name and generic ED pills.

Starting with low doses like 20 mg generic Viagra is recommended for first-timers, reflecting Rex MD’s commitment to a comfortable and effective health journey.



  • Sold in 20mg, 50mg, and 100mg doses


  • Available in 10mg or 20mg options

Cialis Daily:

  • Comes in 2.5mg and 5mg doses


Sildenafil and Tadalafil:

  • Cost up to $6 per dose

Cialis Daily:

  • Costs $3 per dose
  • Monthly cost is $90


Rex MD allows you to not only get started with integrative men’s health support but also provides a free trial.

>>Check the best prices for Rex MD

5. Elan MD – Best ED Pills With a Free Trial


  • Enjoy a 14-day free trial
  • High doses of sildenafil and tadalafil are available
  • Hassle-free deliveries


  • Prices are not listed on the website

Who Is Elan MD Best For?

Elan MD simplifies access to the best ED pills with a straightforward online pharmacy service. They deliver both generic and branded medications discreetly to your door, eliminating the hassle of obtaining prescriptions. Their 14-day money-back guarantee lets you experience how these men’s health products can enhance your life, assessing effectiveness and side effects.



  • Standard dosages up to 100mg


  • Standard dosages up to 20mg



  • Starts at $5
  • Available from 5mg to 20mg


  • Starts at $2
  • Available from 20mg to 100mg

Prostate Health Support

  • Starts at $36
  • 30 Servings

Ultra Test Formula

  • It starts at $38/bottle
  • 45 servings


Elan MD is a great way to learn more about your body’s response to ED meds, alone or alongside testosterone-supporting pills.

>>Check the best prices for Elan MD 

6. Now Ready – Best for 24/7 Services


  • Free initial consultation
  • Mid-range doses
  • Free two-day shipping


  • No choice of dosages
  • It costs more to change pills

Who Is Now Ready Best For?

Now Ready revolutionizes access to the best ED pills with discreet online consultations and prescriptions from certified doctors. Their wellness specialists monitor your journey to improved sexual health, ensuring personalized care.

With a 24/7 pharmacy, Now Ready quickly dispenses FDA-approved medications like Sildenafil and Tadalafil, maintaining utmost privacy. Opt for Now Ready’s straightforward service for a hassle-free path to managing your sexual health with trusted, effective treatments.


  • Sildenafil: Unique 60mg dose
  • Tadalafil: Available in 5mg dose


  • Sildenafil: $3 per dose
  • Tadalafil: $5 per pill


Now Ready is a simple yet effective service, with the original two best ED pills at mid-range doses.

>>Check the best deals for Now Ready here 

What Are the Best ED Pills?

The best ED pills are primarily indicated to treat erectile dysfunction (ED). They differ from treatments for premature ejaculation in their mechanisms of action and are also not types of testosterone replacement therapy.

How Do ED Pills Work?

The best ED pills work by promoting healthy circulation to the penis. This allows you to do your thing after you’re aroused.

Mechanisms of Action

The first and best ED pills are called phosphodiesterase-5 (PDE-5) inhibitors. Their benefit to male sexual health was discovered when PDE-5 inhibitors were studied as hypertension and angina treatments [2].

As for dietary pills, the best over-the-counter ED pills typically support circulatory health through antioxidant and vasodilating (blood vessel-widening) properties. Some may promote arousal by boosting testosterone, and often increase your energy levels, too.

Nitric Oxide and Its Role in Erections

Nitric oxide is a substance that promotes the widening of the blood vessels. More blood flow to the penis contributes to stronger, longer-lasting erections. Some of the best over-the-counter ED pills contain arginine and other supplemental ingredients that increase nitric oxide [3].

PDE5 Inhibitors

PDE-5 inhibitors work by relaxing the smooth muscle in your blood vessel walls, increasing blood flow to the penis. During arousal, the outflow of blood slows, but the benefits of PDE-5 inhibitors can make this stronger.

Onset, Duration, and Timing

The absorption and metabolism rates of ED medication, alongside how well they target PDE-5 receptors, determine the right timing. Experts recommend waiting 30-60 minutes after taking sildenafil or tadalafil. You can use vardenafil and avanafil after just 10 or 15 minutes, respectively, but it’s best to wait 30 minutes [4].

>>Check the best prices for BlueChew here 

Different Approaches to Using the Best ED Pills

Every man is different, so how often you use the best ED pills, and which ones you choose, vary by the individual or your preferences at the time.

Switching Between the Best ED Pills

Some men choose to use different ED pills depending on their needs. A fun night out may call for sildenafil, but a weekend vacation could make tadalafil the better option.

Trying Out ED Pills Chronic Therapy

Others prefer to find the best ED pills and stick with them. Daily Cialis or tadalafil subscriptions allow you to enjoy an active, spontaneous sex life the most, as it’s just like taking another medication. In fact, Hims provides a Sex Rx + Heart Support prescription for this reason to men who also benefit from taking a statin.

Who Should Avoid Using ED Pills?

Unfortunately, some men cannot take ED pills, particularly PDE5 inhibitors. If you use nitrates or nitroglycerin, such as meds for angina, they may have dangerous interactions. Vardenafil is particularly unsafe if you have Long QT Syndrome.

If you take alpha-blockers; have resting hypotension or hypertension; heart failure; unstable angina; or had a heart attack, stroke, or arrhythmia in the past six months, use ED pills with caution [2].

How We Evaluated the Best ED Pills

How did we find the best ED pills? Medication choice, affordability, and integrity are all essential factors.

Dose Timing

Different ED medications offer varying levels of convenience and timing flexibility. Some medications, such as tadalafil, can be taken daily or as needed. Others, like sildenafil, need to be taken shortly before intercourse.


The cost of ED medications can vary depending on the brand and dosage. All services we evaluated that sell medications provide generic versions.


The best over-the-counter ED pills services require a telehealth consultation before granting you a prescription. This reduces your risk of harmful adverse reactions.  


Medical ethics and laws state that patient confidentiality is non-negotiable. Even when you’re using medication for a non-serious, lifestyle purpose from a telehealth service.

>>Check the best prices for BlueChew here 

Alternatives to ED Pills

Men who cannot take even the best ED pills may still be able to find the right treatment for them.

Lifestyle Changes

Lifestyle interventions are non-negotiable if you don’t already have them covered. Smoking, excess alcohol consumption, and recreational drug abuse all harm sexual function. Regular exercise and a healthy diet, rich in antioxidant compounds, omega-3 fats, and protein, may improve sexual health by regulating weight and blood vessel health [5].

Other options include natural supplements such as the best testosterone boosters for ED

Psychosexual ED Treatment

If your erectile dysfunction stems from anxiety or depression, psychotherapy can help. Your therapist can assist in changing your way of thinking about sexual performance, so you don’t keep up the habit of placing unnecessary pressure on yourself.

Hormonal ED Treatment

Several hormones affect erectile function. The most important is testosterone, which promotes healthy libido and supports penile tissue and function. Additionally, high prolactin can scuttle desire and your ability to get an erection, while low thyroid hormones raise prolactin [5]. ED treatment can involve addressing one or more of these.

Surgical ED Treatment

Some men turn to penile implants, such as inflatable pumps, to get an erection on demand. We consider these to be a last resort. Nerve grafting is an experimental surgery that could restore erections in over 70% of men with damaged nerves, but this is not approved as of 2024 [6].

Benefits of ED Pills

Using the best ED pills can provide significant benefits to your health and quality of life:

  • More fun in the bedroom
  • Fewers misunderstandings in your intimate relationships
  • Less stress, as you may not feel so “old” during intimacy or under as much pressure
  • Telehealth services such as BlueChew and Hims can prevent awkward trips to the doctor or pharmacy.

Potential Side Effects and Precautions When Taking ED Pills

Common side effects of ED meds include headache, flushing, nasal congestion, and indigestion. While these side effects are generally mild and well-tolerated, it’s important to be aware. If you experience severe or persistent side effects, it is important to consult with your healthcare provider.

Factors to Consider When Choosing the Best ED Pills

  • Sildenafil (Viagra): Sildenafil is one of the most well-known and widely used ED medications. It is typically taken 30-60 minutes before sexual activity and can last for up to four hours.
  • Tadalafil (Cialis): Tadalafil is a popular ED medication that can last up to 36 hours. Tadalafil provides more flexibility in terms of timing and allows for spontaneity in sexual activity.
  • Vardenafil (Levitra): Vardenafil is similar to sildenafil in terms of its mechanism of action and effectiveness. It typically starts working within 30 minutes and can last for up to eight hours.
  • Avanafil (Stendra): Avanafil is a newer ED medication that acts quickly, typically taking effect within 15 minutes. It lasts approximately six hours.

>>Check the best prices for BlueChew here 

Safe and Effective Use of ED Pills

To use the best ED pills safely, here are some essential tips:

  • Give your medication of choice enough time to work. This typically falls within the range of 30-60 minutes
  • Do not take more than the recommended dose. Instead of taking two sildenafil pills in a day, consider tadalafil for all-day benefits.
  • Consider your overall health, including whether any other medications may negatively interact with the best over-the-counter ED pills
  • See your doctor if your ED does not improve, as this could indicate a more serious condition


Here are the most important things you should know about ED pills.

What Is the Most Effective Pill for ED?

If you look at the duration of efficacy, tadalafil preparations are the best ED pills. As for the speed of action, avanafil is best.

What Pill Can I Take To Get Hard and Stay Hard?

Tadalafil is the longest-acting medication, with a window of 24-36 hours per dose. However, no pill will make you stay hard when you are not aroused, and you will have a resting period even during marathon sessions.

What Is the Most Effective Cure for ED?

A comprehensive look at your diet and lifestyle, alongside the best ED pills, may be a more effective treatment than short-term relief alone.

How Do I Know If I Have ED?

Erectile dysfunction involves difficulty in gaining or maintaining an erection. It is painless and does not affect sperm counts. However, it can be a cause of stress or concern if your doctor suspects it to be due to low testosterone or some hormone condition.

What Causes ED?

A range of conditions affecting circulation, testosterone, and nerve conduction to the penis may cause ED. They include diabetes, anxiety, hyperthyroidism, and atherosclerosis. In this case, some may consider taking the best ED pills for diabetes.

How Quickly Do ED Pills Work?

Consider taking the best over-the-counter ed pills that work fast like avanafil if you want something close to fast-acting. Most ED pills can take anywhere from 15 minutes (avanafil) to 60 minutes to work.

Can Depression or Anxiety Cause ED?

Depression and anxiety can contribute to erectile dysfunction by disrupting your autonomic nervous system, especially in younger men.

Is There a Cure for ED?

As factors that cause ED can come and go, such as stress or being overweight, there is no permanent cure for ED. Even the best ED pills non prescription may not work. You may, however, maintain a long-term “remission” through a healthy lifestyle, testosterone support through natural testosterone boosters, and the best ED pills.

Will Viagra or Other ED Meds Give Me an Erection Automatically?

No. Viagra and other ED pills boost the blood flow into the penis and slow its flow back out again. This enables an erection but doesn’t cause one unless you are already aroused.

>>Check the best prices for BlueChew here 

Best ED Pills 2024: Final Thoughts


You can get the best over-the-counter ED pills from trustworthy telehealth services that offer evidence-based dosages. They will give you a prescription after you consult with them online.

Some of them have chewable options, a free trial, or pills that support men’s health. We also included two other ways to improve your erectile function without pills: devices that you can use at home.

We think BlueChew is the best choice because it has chewable tablets and different subscription packages.


  1.  Morales, Antonio Martín et al. “Vardenafil for the treatment of erectile dysfunction: an overview of the clinical evidence.” Clinical interventions in aging vol. 4 (2009): 463-72. doi:10.2147/cia.s3878
  2. Dhaliwal A, Gupta M. PDE5 Inhibitors. [Updated 2023 Apr 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from:
  3. Jian Ying Yang, Yong Fa Zhang, Na Nie, Wen Po Feng, Jian Feng Bao, Xiang Ping Meng, Xiao Lan Qiao, Protective effects of l-arginine against testosterone synthesis decreased by T-2 toxin in mouse Leydig cells, Theriogenology, Volume 134, 2019, Pages 98-103, ISSN 0093-691X,
  4. Evans, Jeffery D, and Stephen R Hill. “A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil.” Patient preference and adherence vol. 9 1159-64. 12 Aug. 2015, doi:10.2147/PPA.S56002
  5.  Mazzilli, Fernando. “Erectile Dysfunction: Causes, Diagnosis and Treatment: An Update.” Journal of clinical medicine vol. 11,21 6429. 30 Oct. 2022, doi:10.3390/jcm11216429
  6. Reece, Jeanette C et al. “End-to-side Somatic-to-autonomic Nerve Grafting to Restore Erectile Function and Improve Quality of Life After Radical Prostatectomy.” European urology vol. 76,2 (2019): 189-196. doi:10.1016/j.eururo.2019.03.036

[a]External link

[b]Internal link



table class=”c36″>

Author Details


Author Email

Kire Stojkovski M.D

Kire Stojkovski is a practicing medical doctor whose work has been published in some of the most respected medical journals.

Fact Checker Details

Fact Checker

Fact Checker Email

Daniel Boyer M.D

Daniel Boyer is a practicing Doctor of medicine with a passion for medical research. He specializes in molecular biology, histology, and pharmacology.

Please understand that any advice or guidelines revealed here are not even remotely substitutes for sound medical or financial advice from a licensed healthcare provider or certified financial advisor. Make sure to consult with a professional physician or financial consultant before making any purchasing decision if you use medications or have concerns following the review details shared above. Individual results may vary and are not guaranteed as the statements regarding these products have not been evaluated by the Food and Drug Administration or Health Canada. The efficacy of these products has not been confirmed by FDA, or Health Canada approved research. These products are not intended to diagnose, treat, cure or prevent any disease and do not provide any kind of get-rich money scheme. Reviewer is not responsible for pricing inaccuracies. Check product sales page for final prices.

This article is sponsored content. No endorsement by The Times of Israel of advertiser products or services, real or implied, is intended. The Times of Israel editorial team did not contribute to this article.