ED Meds Online,Prescribed by Licensed Providers

Provn connects you with licensed U.S. providers who can prescribe erectile dysfunction (ED) medication online, including sildenafil, tadalafil, and two combination treatments.

Take the quiz

Compare treatments ↓

Online review, usually same-day
By a licensed provider in your state
Same active ingredients
As Viagra® (sildenafil) and Cialis® (tadalafil)
Usually same-day
Online review by a licensed provider in your state
From $36/month
On a 12-month plan. No insurance needed. FSA and HSA eligible
Free, discreet shipping
In plain, unmarked packaging

You take a short online health quiz, a provider in your state reviews it in a same-day consultation, and if treatment is right for you, your medication ships free in plain packaging.

Provn+ (Sildenafil + Tadalafil)

starting at 

$36

/month

⁠Provn+ Fusion (Sildenafil + Tadalafil + Oxytocin)

starting at 

$41

/month

Sildenafil

starting at 

$36

/month

Tadalafil

starting at 

$36

/month

Sildenafil vs. Tadalafil vs. Combination ED Treatment

All four rely on PDE5 inhibitors, which increase blood flow to the penis when you’re sexually aroused. The differences are how fast they start, how long they last, and what’s in them.

How long each one lastsTypical onset is 30 to 60 minutes. Tadalafil can take up to 2 hours.
SildenafilStarts in 30 to 60 min
About 4 to 6 hours
TadalafilStarts in 30 min to 2 hr
Up to 36 hours
Provn+Starts in 30 to 60 min
Up to 36 hours
Provn+ FusionStarts in 30 to 60 min
Up to 36 hours
0 h6 h12 h18 h24 h30 h36 h
Sildenafil Tadalafil Provn+ Provn+ Fusion
Active ingredientsSildenafilTadalafilSildenafil + tadalafilSildenafil + tadalafil + oxytocin
Same active ingredient asViagra®Cialis®BothBoth, plus oxytocin
Typical onset30 to 60 minutes30 minutes to 2 hours30 to 60 minutes30 to 60 minutes
How long it lastsAbout 4 to 6 hoursUp to 36 hoursUp to 36 hoursUp to 36 hours
May suit you ifYou plan ahead and want a shorter windowYou want more room for spontaneityYou want a fast start and a long window in one tabletYou want the Provn+ combination with oxytocin added
Starting price$36/mo$48 monthly plan$36/mo$48 monthly plan$36/mo$48 monthly plan$41/mo$59 monthly plan

Starting prices are for the 12-month plan. Monthly plans are $48/month for sildenafil, tadalafil, and Provn+, and $59/month for Provn+ Fusion.

All four are compounded by state-licensed pharmacies and aren’t FDA-approved. Oxytocin’s role in ED treatment has limited research behind it. Your provider decides which treatment and strength fit your health history.

How Erectile Dysfunction Medication Works

Erectile dysfunction (ED) is trouble getting or keeping an erection firm enough for sex. It’s common, and it becomes more likely with age. It isn’t a typical part of aging, though, and it can be a sign of a health condition that needs treatment (Mayo Clinic).

Men in the U.S. estimated to have erectile dysfunction
30 to 0 M
Of men are affected at age 40
0 %
Report having ED by age 70
0 %

Source: NIDDK

Common causes and risk factors

Health conditions

Such as cardiovascular disease, high blood pressure, diabetes, obesity, and chronic kidney disease

Certain medications

Including some blood pressure medicines and antidepressants

Mental health factors

Such as anxiety, depression, and stress

Lifestyle factors

Such as smoking, drinking too much alcohol, and not getting enough physical activity

These risk factors come from NIDDK. Treating an underlying cause, or making lifestyle changes like eating well, getting more physical activity, quitting smoking, and limiting alcohol, can improve symptoms of erectile dysfunction (NIDDK). ED medication can help alongside those changes.

How sildenafil and tadalafil work

When you’re aroused, your body releases nitric oxide, which relaxes the blood vessels in the penis so blood can flow in. Sildenafil and tadalafil are oral ED medicines called PDE5 inhibitors. They block the enzyme that ends this process, so it’s easier to get and keep an erection.

01
Arousal

Your body releases nitric oxide

02
Blood vessels relax

Blood can flow into the penis

03
PDE5 inhibitors step in

They block the enzyme that ends this process

04
Easier to get and keep an erection

While the medication is active

What ED pills can and can't do

✓ Needed

They need sexual stimulation.

ED pills don’t cause an erection on their own.

✕ Not this

They don't increase desire.

They help with erectile function, not libido.

✕ Not this

They don't cure erectile dysfunction.

They work while the medication is active.

! Good to know

Food can matter.

A heavy or high-fat meal can slow how quickly sildenafil starts working.

! Good to know

The first dose isn't the final answer.

If a treatment doesn’t work well for you, your provider can adjust the dose or look at other treatment options.

Your provider decides

Which treatment and strength fit your health history.

Choosing the best ED pill for you

There’s no single best treatment for erectile dysfunction. The right one depends on your health and how you want to use it. Your provider will consider:

01

How far ahead you like to plan, and how long you want it to last

02

How often you expect to use it

03

Your medical history, including heart health and blood pressure

04

Every medication and supplement you take

05

Side effects you’ve had with ED medication before

Licensed providers in your state Online review, usually same-day Free, discreet shipping No insurance needed FSA and HSA eligible LegitScript certified
Licensed providers in your state Online review, usually same-day Free, discreet shipping No insurance needed FSA and HSA eligible LegitScript certified

How Online ED Treatment Works With Provn

Four steps, from your first answer to your door.

01

Take the health quiz.

Answer questions about your symptoms, health history, and current medications. It takes a few minutes.

02

A licensed provider reviews it.

A provider in your state reviews your answers in a same-day consultation and checks for anything that would make ED medication unsafe for you.

03

Get your prescription, if it's right for you.

Your provider chooses the treatment and strength. A state-licensed partner pharmacy fills it.

04

It ships free and discreetly.

Most patients receive their medication within 3 to 5 business days of being prescribed, in plain, unmarked packaging.

Provn treatment delivered in a sage green box with a vial and phone on a desk
Free expedited shipping

Pricing and plans

Sildenafil, tadalafil, Provn+

From $36/mo

Provn+ Fusion

From $41/mo

Monthly plan instead of 12-month

$48 or $59/mo
No insurance needed
FSA and HSA eligible
Free expedited shipping on every plan

Starting prices are on the 12-month plan. Cancel from your account dashboard or by contacting support, before your next renewal date. Provn serves patients in 46 states. Availability can vary by state.

After that, your provider can adjust your treatment over time.

See the full process →

Is ED Medication Safe for You?

Erectile dysfunction medication isn’t right for everyone. That’s why every Provn prescription starts with a provider reviewing your medical history.

Who shouldn't take ED meds, or needs extra care

Anyone taking nitrates.

Nitroglycerin, isosorbide, and “poppers” combined with sildenafil or tadalafil can cause a dangerous drop in blood pressure. Never combine them.

Men taking alpha blockers

For high blood pressure or an enlarged prostate. Together they can lower blood pressure too far.

Men with serious heart disease

A recent heart attack or stroke, or chest pain during physical activity, or anyone told that sexual activity isn’t safe for their heart.

Men with very low or uncontrolled high blood pressure.

Men with severe liver or kidney problems

Who may need a different dose.

Tell your provider about every medication and supplement you take, even ones that seem unrelated. Heavy drinking can also lower blood pressure while ED medication is active. Read more in our guide to ED medication safety and drug interactions.

Common side effects

Headache
Flushing
Stuffy or runny nose (nasal congestion)
Upset stomach
Back or muscle aches
Temporary blue tint to vision (sildenafil)

Headache, flushing, a stuffy or runny nose (nasal congestion), upset stomach, and back or muscle aches are the most common. They’re usually mild. Sildenafil can also cause a temporary blue tint to vision.

Stop taking it and get medical attention right away for:

An erection that lasts more than 4 hours (priapism)

Sudden vision loss in one or both eyes

Sudden hearing loss, sometimes with ringing in the ears or dizziness

Chest pain during sex

Brand, generic, and compounded ED medication

✓ FDA-approved

Brand-name Viagra® and Cialis®

Are FDA-approved.

✓ FDA-approved

Generic sildenafil and tadalafil

Are also FDA-approved and contain the same active ingredients.

! Not FDA-approved

Compounded medications

Which is what Provn’s partner pharmacies prepare, are made by a state-licensed pharmacy for an individual patient. They’re legal to prescribe, but they aren’t FDA-approved, and the FDA doesn’t review them for safety, effectiveness, or quality. Compounding is what makes combinations like Provn+ possible. Your provider will explain the differences and whether a compounded option is right for you.

How to Buy ED Pills Online Safely

ED pills are prescription medications in the U.S. An online pharmacy that sells them without a prescription is a red flag, and the pills may be counterfeit, contain the wrong dose, or contain other ingredients. Before you order ED meds online, check that:

  • A licensed provider reviews your medical history before anything is prescribed
  • The pharmacy is licensed by a state board of pharmacy and has a licensed pharmacist you can reach, plus a physical address and phone number in the U.S.
  • You can see the full price before you commit
  • Your health information is protected under HIPAA

The FDA’s guide to buying medicine safely online covers the pharmacy side in more detail.

LegitScript certified

Provn is LegitScript certified, which you can verify on LegitScript’s site.

When to see a doctor in person

Erectile dysfunction can be a sign of a health condition that needs treatment, and it’s linked to heart disease, high blood pressure, and diabetes (Mayo Clinic). See a doctor in person if you have one of those conditions, if you have other symptoms along with ED, such as chest pain or shortness of breath, or if you haven’t had a physical exam or blood pressure check in a while.

ED Meds Online: Frequently Asked Questions

Need More Answers?
Can I get ED meds online without seeing a doctor in person?

Yes, but not without a medical review. A licensed provider reviews your health information online and prescribes treatment only if it’s appropriate.

It can be, if a licensed provider reviews your history first and a state-licensed pharmacy fills your prescription. Avoid any site that sells ED pills without a prescription.

Neither is better for every man with erectile dysfunction. Sildenafil works for about 4 to 6 hours and suits planned use. Tadalafil can last up to 36 hours and allows more spontaneity. Your provider will help you choose based on your health and preferences.

It contains sildenafil, the same active ingredient as Viagra®. Provn’s tadalafil contains the same active ingredient as Cialis®. Both are compounded by state-licensed pharmacies rather than made by the brand manufacturers, and compounded versions aren’t FDA-approved.

No. In the U.S., sildenafil, tadalafil, and other oral medications that treat erectile dysfunction require a prescription. The FDA has warned that some products sold as “natural” sexual enhancement supplements contain hidden prescription drug ingredients.

Consultations are usually same-day. After you’re prescribed, most patients receive their medication within 3 to 5 business days.

No. Plans start at $36/month on a 12-month plan, and treatments are FSA and HSA eligible.

Yes, slightly. That’s why it’s dangerous with nitrates and needs care with alpha blockers. Tell your provider about every blood pressure or heart medication you take.

Your medication ships in plain, unmarked packaging. Your consultation and records are handled in compliance with HIPAA.

Related guides

Oral ED medication options

Read guide →
ED medication safety

ED medication safety: drug interactions, nitrates, and contraindications

Read guide →
porn induced erectile dysfunction

Porn-induced erectile dysfunction

Read guide →
Woman using a laptop on her sofa at home

How Provn works

Read guide →

Find the ED treatment that fits you.

Take the health quiz, and a licensed provider in your state will review it, usually the same day.

Take the quiz