Yes, sildenafil requires a valid prescription from a licensed provider. After you place your order and complete the health intake, a board-certified provider reviews your information and issues a prescription if clinically appropriate. Your card is not charged until the order is approved.

Sildenafil typically takes effect within 30 to 60 minutes. Taking it on an empty stomach speeds absorption. A heavy meal can delay onset by 30 to 60 minutes. Effects typically last 4 to 6 hours.

Sildenafil is contraindicated with nitrate medications, as the combination can cause a dangerous drop in blood pressure. Use caution with alpha-blockers and certain antifungals. Your provider reviews your complete medication list during intake and will advise before prescribing.

Your sildenafil is compounded by a licensed U.S. FDA-registered 503A compounding pharmacy and ships in discreet packaging with no indication of contents on the outside. All orders include free standard shipping.

Yes. You can pause or cancel at any time through your patient portal or by contacting our support team. We ask for at least 5 business days notice before your next billing date. No long-term contracts or cancellation fees.