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Online erectile dysfunction treatment, with care that fits you

ED care starts with understanding your symptoms, health history and goals. An online evaluation can help a licensed clinician decide whether treatment is appropriate for you, and whether you need an in-person assessment first.

Updated September 20267 min readEducational content · not medical advice

StiffiesRx is a US telehealth service offering prescription compounded chewable ED gummies, prescribed by licensed U.S. providers. This page explains how that care works and what to check before you start. Treatment is never guaranteed: a provider decides whether it is appropriate for you.

Prescription required. Treatment depends on a licensed provider's assessment.

How online ED care works

Online ED care works like any medical visit: you share information, a licensed clinician reviews it, and treatment follows only if the clinician decides it is appropriate. At StiffiesRx, that happens in three steps.

1

Answer a health questionnaire

Complete an online questionnaire about your health, current medications and what you hope to get from treatment.

2

A licensed provider reviews it

A licensed U.S. healthcare provider reads your answers and decides whether treatment is appropriate for you.

3

If prescribed, treatment ships

Your prescription is compounded for you by a state-licensed compounding pharmacy and shipped in discreet packaging.

Share your health history

The questionnaire is the clinical heart of the visit, so have a few things ready. Accurate answers protect you: the provider can only screen for risks they know about.

Have this information on hand

  • Every prescription and over-the-counter medicine you take, including nitrates for chest pain
  • Supplements and recreational substances, including poppers (alkyl nitrites)
  • Heart, blood pressure, liver, kidney and eye conditions, and any history of stroke
  • Past experience with ED medication, including side effects
  • When your symptoms started and how often they happen

Receive a clinician assessment

A licensed U.S. provider reviews your questionnaire. They may ask follow-up questions, and they can decline to prescribe or recommend that you see a clinician in person. That is a normal outcome of a real medical review.

Prescribing and payment are separate decisions. Paying for a plan does not purchase a prescription; the provider's medical judgment determines whether treatment is appropriate. If you are not prescribed, see the refund policy for how charges are handled.

If prescribed, arrange medication and follow-up

If the provider prescribes treatment, a state-licensed compounding pharmacy prepares your gummies and ships them in discreet packaging. Plans are monthly subscriptions, and current plan pricing is shown on the product page.

Support is available at care@stiffiesrx.com or (310) 280-8502 for questions about your order or how to reach a provider. Delivery times vary by location and carrier, so we do not promise a delivery date.

Treatment options and what StiffiesRx offers

ED has many possible treatments, and it helps to see the whole landscape before one catalog. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), clinicians often start with lifestyle changes such as quitting smoking, limiting alcohol, increasing physical activity and maintaining a healthy weight, and they look for and treat underlying causes, including medicines that may contribute to ED.

Medical options described by NIDDK include oral PDE5 inhibitors, which improve blood flow to the penis; testosterone when ED occurs with low testosterone; injectable medicines and suppositories; vacuum erectile devices; counseling; and, after other options, surgery such as an implant.

What StiffiesRx offers. StiffiesRx offers one product family: Stiffies, prescription compounded chewable gummies in three tiers (Stiffies Go, Stiffies Pro and Stiffies Max). The tiers contain combinations of sildenafil, tadalafil and apomorphine; Stiffies Go is sildenafil-only. Exact formulas and strengths are listed on the product page. StiffiesRx does not offer standalone sildenafil tablets, standalone tadalafil tablets, generic Viagra or Cialis, or a daily-tadalafil program. Compounded medications are not FDA-approved; they are prepared for individual patients by state-licensed compounding pharmacies when a licensed provider prescribes them.

To understand the two most common oral ED medicines before your visit, read our sildenafil vs tadalafil comparison. For the gummies themselves, see the ED gummies guide.

Who may need a different kind of care

Online care suits many adults, but not everyone. The provider decides case by case, and no checklist guarantees eligibility. Some situations are more likely to lead to an in-person referral or a decision not to prescribe.

Nitrates and poppers are not compatible with PDE5 inhibitors

Sildenafil and tadalafil are PDE5 inhibitors. Combining them with nitrate medicines used for chest pain, or with recreational alkyl nitrites ("poppers"), can cause a dangerous drop in blood pressure. Tell the provider about both. Read more in our guide to poppers and ED medication safety.

People with significant heart disease, uncontrolled blood pressure, recent stroke or heart attack, serious liver or kidney disease, certain eye conditions, or a history of prolonged erections may need testing a questionnaire cannot provide. Sudden or painful ED, or ED alongside other new symptoms, also deserves an in-person visit.

If the provider recommends in-person care, that is good medicine, not a rejection. Your primary care clinician or a urologist can run tests and treat underlying causes.

When to get urgent help

An erection that is painful or lasts more than 4 hours (priapism) needs immediate medical attention. Chest pain, fainting or severe dizziness after taking any ED medicine is an emergency. Call 911 or go to the nearest emergency department.

Care is available throughout the United States except North Dakota, and StiffiesRx also ships to Guam, Puerto Rico and the U.S. Virgin Islands. There is no international shipping.

What will care cost?

We do not list dollar amounts here because pricing can change and this page is not the checkout. A StiffiesRx plan is a monthly subscription that includes the provider review and, if prescribed, your compounded treatment and shipping. Confirm each item below before you start.

Cost items to check before starting care (checked September 2026)
ItemWhat to knowWhere to confirm
Provider reviewIncluded in the monthly plan; a prescription is not guaranteedSee product page
MedicationCompounded gummies, tier and formula chosen with the providerSee product page
ShippingDiscreet packaging to eligible US locations and territoriesSee product page
Refill cadenceMonthly subscriptionSee product page
CancellationHow and when you can stop a subscriptionSee refund policy
Refunds if not prescribedHow charges are handled after a provider declinesSee refund policy

If you have questions about charges before you begin, contact care@stiffiesrx.com or (310) 280-8502.

Ready to see whether treatment is appropriate for you? A licensed U.S. provider reviews every questionnaire.

Start an online evaluation

Prescription required. Treatment depends on a licensed provider's assessment.

Privacy, providers and pharmacy partners

Trust in online care comes down to who treats you, who dispenses your medicine, and how your information is handled.

Providers. Your questionnaire is reviewed by licensed U.S. providers, who are responsible for the decision to prescribe. Contact support to reach the care team with follow-up questions.

Pharmacies. Prescriptions are filled by state-licensed compounding pharmacies. The FDA's BeSafeRx program says a safe online pharmacy requires a prescription from a licensed healthcare professional, provides a physical U.S. address, is licensed by the state board of pharmacy in your state, and has a state-licensed pharmacist available to answer questions. Sites that sell ED medicine without a prescription or ship from abroad are warning signs.

Privacy. StiffiesRx describes its service as HIPAA-compliant and LegitScript certified, with discreet delivery. Discreet packaging means the outer package does not advertise its contents; it does not make you anonymous to the provider, pharmacy or carrier. Read the privacy policy for how your data is handled, and use the contact page for complaints or questions about your record.

Care that respects your sex life

ED is common across every orientation and relationship, and good care does not assume what your sex life looks like. Whether you have one partner, several, or none right now, the questionnaire asks about your goals so the provider can consider what matters to you.

That includes being honest about things people sometimes leave out, such as poppers, other recreational substances, and how and when you tend to have sex. These affect safety, and a provider can only help with what they know. If you are a gay or bisexual man, our guide to ED in gay and bisexual men covers questions that broad ED content often skips.

Questions about starting care

Can ED be evaluated online?

Often, yes. A licensed provider reviews your health questionnaire to decide whether ED treatment is appropriate. Some people need an in-person exam or tests first, and the provider will tell you if that applies to you.

Is a prescription guaranteed?

No. A licensed U.S. provider reviews your answers and may decline to prescribe or recommend in-person care instead. Paying for a plan does not purchase a prescription; see the refund policy for how charges are handled if treatment is not prescribed.

What does the visit cost?

StiffiesRx plans are monthly subscriptions that include the provider review and, if prescribed, compounded treatment and shipping. Current plan pricing is shown on the product page, and cancellation and refund terms are in the refund policy.

Where is care available?

StiffiesRx serves patients throughout the United States except North Dakota, and ships to Guam, Puerto Rico and the U.S. Virgin Islands. It does not ship internationally.

What happens if medication is not suitable?

The provider will explain why and may recommend your primary care clinician or a urologist, who can run tests and treat underlying causes. Counseling, lifestyle changes, devices and other medicines exist beyond oral treatment.

Can I contact a clinician after starting?

Yes. Reach the care team through care@stiffiesrx.com or (310) 280-8502 with questions about side effects, your prescription or your plan. For an erection lasting more than 4 hours, chest pain or fainting, call 911 instead of waiting for a reply.

Sources

  1. NIDDK: Treatment for Erectile Dysfunction. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
  2. FDA: BeSafeRx Frequently Asked Questions. https://www.fda.gov/drugs/besaferx-your-source-online-pharmacy-information/besaferx-frequently-asked-questions-faqs
  3. MedlinePlus: Sildenafil. https://medlineplus.gov/druginfo/meds/a699015.html
  4. StiffiesRx: Product page. https://stiffiesrx.com/pages/product

This article is for general education and is not medical advice, diagnosis or treatment. StiffiesRx is a commercial provider of prescription ED treatment; treatment is available only if a licensed provider determines it is appropriate for you. Compounded medications are not FDA-approved. Talk with a clinician about your health, medications and options. If you have a medical emergency, call 911.

Find out whether treatment fits you

Answer a short health questionnaire and a licensed U.S. provider will review it. If treatment is appropriate, your prescription ships in discreet packaging.

Prescription required. Treatment depends on a licensed provider's assessment.

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StiffiesRx offers safe, effective ED treatments with the convenience you need—HIPAA-compliant, discreetly shipped, and backed by US-based doctors.

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(310) 280-8502

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