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Also, because BlueChew deals exclusively in chewable and dissolvable tablets, it makes a smart choice for men who aren’t keen on or capable of swallowing pills. Tablet forms of ED medications are typically pretty small, but problems swallowing medications of any size are very real, and chewables or dissolvables can make a big difference for those men.45 Some of the underlying causes of ED listed above — such as heart disease and high blood pressure — may ultimately mean that it isn't safe or advisable for you to try BlueChew.
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It’s important to remember that this is a very common health condition, and treatment options are available. BlueChew is worth exploring if you’ve noticed difficulty getting or keeping an erection in order to enjoy sex. Through the medical consultation, BlueChew will be able to determine if your underlying health makes you a good candidate for their prescription ED medications. BlueChew should also be especially appealing to men who’ve had limited success with monotherapies in the past and would like to try a multitherapy like BlueChew Gold. This chewable and dissolvable tablet provides two PDE5 inhibitors in one treatment, alongside two additional medications intended to treat ED from different angles than traditional therapies. Whether you see a doctor in person or seek treatment via a telemedicine provider like BlueChew, be forthright about your medical history. If you’ve had a stroke or heart attack in the past or currently have high blood pressure, you must share those important details. The BlueChew consultation process prompts you to share all important aspects of your history, and then, based on that history and underlying cardiovascular health, the prescribing medical professional affiliated with BlueChew will determine whether you’re a suitable candidate for ED medication. Beyond that, it’s important to realize that BlueChew can’t cure ED; it can only make ED symptoms go away for a while.
Mechanism of action
Low doses are common in this space, with BlueChew offering 2mg, 3mg, and 4mg apomorphine doses in Gold, alongside sildenafil, tadalafil, and oxytocin. And while some comparative studies show that a common sildenafil dose (50mg) can outperform a common apomorphine dose (3mg), other comparisons show similar performance and highlight apomorphine’s quick onset of action, even at just a 2mg dose.38 39 Oxytocin is a hormone associated with social bonding to such an extent that some researchers have taken to calling it the “love hormone.”40 It’s been studied extensively in the context of women’s sexual health, but its potential to treat physiological causes of ED hasn’t been established. However, because around 40% of all ED cases are psychogenic, or psychological in origin, oxytocin’s potential to treat psychiatric issues makes it a prime candidate for ED treatment.26 24 This potential is further supported when you realize the complex interconnection between ED and mental health concerns like depression and anxiety.41 One can lead to the other, and either can make the other worse. Treating ED from both physiological and psychological perspectives may be the most efficacious pathway for most men. BlueChew’s tablets consist of more than just the active drugs they provide. If you stopped taking medication from BlueChew, your symptoms would almost be guaranteed to recur. Should your ED be rooted in identifiable and treatable physical or psychological conditions, you could use BlueChew to improve your sex life now while working on those underlying conditions over time. Then, by successfully dealing with those underlying conditions, you might be able to stop using medications and resume normal, healthy sexual activity without medical assistance. But there’s no shame in reaching for help from BlueChew while you work on those longer-term health goals.
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To get those drugs into a convenient chewable or dissolvable form, the company compounds them with several inactive ingredients that allow the tablets to hold their shape, taste relatively good, and break down easily in the mouth. As we mentioned at the top, ED isn’t some rare and shameful disorder; it affects about a third of all men. Of course, the prevalence of ED increases with age, but that doesn’t mean it’s unheard of among young men, either. About 5% of men under age 40 are unable to achieve an erection,6 and numerous medications can include ED as a potential side effect, including two popular hair loss treatments, finasteride and dutasteride.44 Other factors can contribute to ED, as well, including both physiological and psychological issues. These can play off one another to exacerbate ED the longer you suffer from it. While more research is needed, and BlueChew’s medications are not prescribed or intended at all as treatments for premature ejaculation (PE), studies show that sildenafil and tadalafil can make you last longer in bed (increasing how long you last before climax). Using a score based on intravaginal ejaculation latency time (IELT) — basically, how long it takes a person to climax — researchers found that sildenafil, tadalafil, and vardenafil all allowed study participants to last longer than their baseline IELT assessments. The study looking into sildenafil was the only one of the three not to reach statistical significance in its increase, but participants still reported increased ejaculatory control and confidence compared to placebo.10 That might lead men with both ED and PE to try vardenafil instead, as its study showed more dramatic improvement in IELT scores than sildenafil.11 The most improvement in IELT scores came from the tadalafil study, which could at least partially be a result of the drug’s daily routine compared to the other two medications’ as-needed use.12 However, in this review, we want to make it absolutely clear that you shouldn’t seek out ED medications just because you want to last longer in bed. For starters, doctors likely won’t prescribe them to you without an ED diagnosis, and even if they did, there’s some evidence connecting recreational ED medication abuse with increased rates of ED.13 That means you could start out without ED and then potentially develop it from taking ED meds when you don’t need them. There are other effective products for PE — available over the counter or by prescription — that help men improve the duration of their sexual activity without introducing the risk of developing ED.
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Ultimately, anything that can inhibit blood flow to the penis can be considered an organic cause, including: But it’s just as likely that there are other factors at play, including: In fact, mental health concerns resulting in or contributing to ED — also known as psychogenic ED — account for around 40% of all ED cases. (To learn more, you can also visit our complete guide to erectile dysfunction treatments.) At first glance, it’s clear that some men may overcome a few of these causes with lifestyle interventions such as quitting smoking, improving diet and exercise, or working to reduce stress. Those interventions are well worth pursuing but can take time, and there’s no harm in seeking prescription help from BlueChew in the meantime. Men who struggle with ED may be able to get an erection for a short duration, or they may not be able to become erect at all. For the many men affected by ED, the condition can be an unfortunate source of embarrassment and frustration. (If that’s what you’re looking for, we’ve got reviews of several of them, including reviews of the best delay sprays and PE wipes on the market.) BlueChew is as safe as any typical prescription for ED, unless you happen to be sensitive to one of its few inactive ingredients. For the most part, those ingredients (listed earlier) are extremely common food ingredients, so their safety is well-known. Any BlueChew prescription will be safe for most men who don’t have cardiovascular issues. That’s because these medications act as vasodilators, which lower blood pressure.
Comparing Cenforce with Other ED Medications
Once it kicks in, which takes about 30-60 minutes, it lasts between four and six hours. BlueChew Gold sildenafil in 70mg, 90mg, and 110mg doses, with research generally using 25mg increments up to 100mg.32 That puts Gold consistently on the higher side of the range seen in both research and among competitors’ products. Tadalafil remains active in the bloodstream for a longer period; it can effectively combat ED for 24-36 hours.3 You can also take tadalafil daily and be ready for sex at any time. This added convenience is why both men and women have responded to study surveys that they generally prefer tadalafil over other PDE5 inhibitors, like sildenafil or vardenafil.35 However, Gold is only intended to be taken as needed, with the maximum monthly allotment from the company being just 24 doses. Unlike PDE5 inhibitors, which work to control enzymatic activities that influence blood flow, apomorphine works in the brain as a dopamine receptor agonist, which essentially tricks the brain into behaving as though there’s more dopamine present than there is in fact.36 Dopamine — a critical neurotransmitter — plays important roles in male sexual health and behavior, with imbalances in neurochemistry that contribute to ED earning their own designation as neurogenic erectile dysfunction.37 23 Including apomorphine in an ED treatment regimen can help offset neurochemical imbalances that might be contributing to — or even be the root cause of — ED. If you already have low blood pressure or take medication that affects your blood pressure, adding a prescription PDE5 inhibitor from BlueChew or any other provider can be dangerous. After all, that’s why these medicines are available only with a prescription. As with anything containing PDE inhibitors, these drugs aren’t perfectly selective for PDE5; other PDE enzymes may be affected. And when the medications do collaterally inhibit other PDE enzymes, you may experience certain side effects, including: More serious side effects could also occur, including: Priapism (an erection that lasts longer than four hours) Sildenafil’s side effect profile is slightly more extensive compared with other as-needed PDE5 inhibitors, like vardenafil and avanafil (Stendra), mainly because those other drugs were developed later and have been designed to be more selective of the PDE5 enzyme.