Our Services
Medical Information
Helpful Resources
Published on: 10/14/2026
BlueChew is a US-based online subscription service that connects men with licensed medical providers and ships chewable tablets for erectile dysfunction directly to their door. The chewables contain the same active ingredients found in common ED pills: sildenafil (as in Viagra), tadalafil (as in Cialis), or vardenafil (as in Levitra), prepared by a compounding pharmacy in lower, non-standard doses rather than as FDA-approved brand products. Because compounded chewables, dosing, drug interactions, and underlying causes of ED all matter, there are several important factors to consider before starting, which are explained in full below. ED can also signal cardiovascular, hormonal, or psychological conditions that a subscription service alone may not address, so understanding the cause first is worth your time. Take a free, instant, anonymous symptom check to see what may be driving your symptoms and get clear guidance on your next steps.
Last reviewed for medical accuracy: 10/13/2026
BlueChew is a subscription-based telehealth service that provides chewable tablets containing prescription-strength medications—sildenafil and tadalafil—to treat erectile dysfunction (ED). Instead of pills you swallow whole, BlueChew’s tablets are designed to be chewed and absorbed more quickly. The service handles everything from a short online medical questionnaire to prescription delivery, making it a convenient option for many men.
BlueChew tablets come in two main formulations:
Sildenafil Chewables
Tadalafil Chewables
Both drugs belong to a class called phosphodiesterase type 5 (PDE5) inhibitors. They work by:
Besides the active drug (sildenafil or tadalafil), chewable tablets typically include:
BlueChew provides full ingredient lists in their packaging, so if you have allergies or sensitivities, you can check before you start.
Choose Your Formulation and Dose
Complete the Medical Questionnaire
Receive and Chew
Monitor Effects
Like all PDE5 inhibitors, BlueChew may cause side effects in some users. Common ones include:
Less common but more serious side effects can include:
If you experience any serious symptoms, seek medical attention immediately.
BlueChew (sildenafil and tadalafil) is not safe for everyone. Do not use if you:
Always review your full medical history with a healthcare provider before starting.
Struggling with ED can be more than just a physical issue; it may signal underlying conditions such as cardiovascular disease, diabetes, or hormonal imbalances. If your symptoms are new, worsening, or accompanied by other concerns (chest pain, dizziness, mood changes), consider a broader health evaluation.
You might also try a free, online symptom check, using the doctor approved Ubie Symptom Checker.
BlueChew offers an innovative way to access ED treatment with chewable sildenafil and tadalafil via a telehealth model. It can be a convenient and effective solution for many, but it’s not without risks. Always weigh benefits against potential side effects and contraindications.
If you have any serious or life-threatening symptoms—or if you’re unsure whether BlueChew is right for you—please speak to a doctor. Your health and safety should always come first.
(References)
* Sperling H, Michel MC, Rübben H. [Sildenafil (Viagra). Tolerance, contraindications, drug interactions]. Urologe A. 1999 Mar;38(2):124-7. doi: 10.1007/s001200050254. PMID: 10231931.
* Petersen KU, Jaspersen D. Medication-induced oesophageal disorders. Expert Opin Drug Saf. 2003 Sep;2(5):495-507. doi: 10.1517/14740338.2.5.495. PMID: 12946250.
* Schudt C, Hatzelmann A, Beume R, Tenor H. Phosphodiesterase inhibitors: history of pharmacology. Handb Exp Pharmacol. 2011;(204):1-46. doi: 10.1007/978-3-642-17969-3_1. PMID: 21695634.
* Sanford M. Vardenafil orodispersible tablet. Drugs. 2012 Jan 1;72(1):87-98. doi: 10.2165/11208270-000000000-00000. PMID: 22191797.
* Scaglione F, Donde S, Hassan TA, Jannini EA. Phosphodiesterase Type 5 Inhibitors for the Treatment of Erectile Dysfunction: Pharmacology and Clinical Impact of the Sildenafil Citrate Orodispersible Tablet Formulation. Clin Ther. 2017 Feb;39(2):370-377. doi: 10.1016/j.clinthera.2017.01.001. Epub 2017 Jan 28. PMID: 28139291.
* Ovarian Stimulation TEGGO, Bosch E, Broer S, Griesinger G, Grynberg M, Humaidan P, Kolibianakis E, Kunicki M, La Marca A, Lainas G, Le Clef N, Massin N, Mastenbroek S, Polyzos N, Sunkara SK, Timeva T, Töyli M, Urbancsek J, Vermeulen N, Broekmans F. ESHRE guideline: ovarian stimulation for IVF/ICSI(†). Hum Reprod Open. 2020;2020(2):hoaa009. doi: 10.1093/hropen/hoaa009. Epub 2020 May 1. PMID: 32395637; PMCID: PMC7203749.
* Alshehri YM, Al-Majed AA, Attwa MW, Bakheit AH. Lodenafil. Profiles Drug Subst Excip Relat Methodol. 2022;47:113-147. doi: 10.1016/bs.podrm.2021.10.004. Epub 2021 Dec 7. PMID: 35396013.
* Fadda HM, Weiler H, Carvalho M, Lee YZ, Dassouki H, AbuBlan R, Iurian S, Hamid A, Şeremet G, Li Z, Tuleu C, Minghetti P, Pauletti GM. Pediatric oral extemporaneous preparations and practices: International Pharmaceutical Federation (FIP) global study. Eur J Pharm Biopharm. 2024 Nov;204:114483. doi: 10.1016/j.ejpb.2024.114483. Epub 2024 Sep 6. PMID: 39245358.
* Rüegg L, Pluma A, Hamroun S, Cecchi I, Perez-Garcia LF, Anderson PO, Andreoli L, Wirström SB, Boyadhzieva V, Chambers C, Costedoat-Chalumeau N, Dolhain RJEM, Fischer-Betz R, Giles I, Gøtestam-Skorpen C, Hoeltzenbein M, Marchiori F, Mayer-Pickel K, Molto A, Nelson-Piercy C, Nielsen OH, Tincani A, Wallenius M, Zbinden A, Meissner Y, Finckh A, Förger F. EULAR recommendations for use of antirheumatic drugs in reproduction, pregnancy, and lactation: 2024 update. Ann Rheum Dis. 2025 Jun;84(6):910-926. doi: 10.1016/j.ard.2025.02.023. Epub 2025 Apr 26. PMID: 40287311.
* Jiang X, Sun F, Shi P, Gu X, Zhao X, Zhang X, Xu Y, Gao X, Ma Y, Fu Y, Cao Y. Bioequivalence Study of Tadalafil Oral Soluble Film and Tadalafil Tablet in Healthy Chinese Volunteers Under Fasting Conditions. Clin Transl Sci. 2025 Dec;18(12):e70440. doi: 10.1111/cts.70440. PMID: 41340316; PMCID: PMC12675823.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Was this page helpful?
Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.