What is Erect Direct Now?

Erect Direct Now is an online platform that connects men with licensed medical professionals who can prescribe FDA-approved ED medications at affordable prices. We provide discreet, convenient access to generic Sildenafil (Viagra) and Tadalafil (Cialis) without the hassle of in-person doctor visits.

Telemedicine is fully legal and regulated in all 50 states. Our platform connects you with licensed physicians who review your medical history and issue prescriptions when appropriate, just like an in-person visit. All medications are dispensed by licensed, US-based pharmacies.

Our network consists of board-certified physicians licensed to practice telemedicine in all 50 states. Each doctor has extensive experience in men's health and ED treatment. They review every consultation carefully to ensure the medication is safe and appropriate for you.

What is Viagra and what does sildenafil do?

Viagra is a brand-name ED medication containing sildenafil citrate — also known as the little blue pill. What does sildenafil do? It works by blocking the PDE5 enzyme, allowing blood vessels to relax and increasing blood flow to the penis during sexual arousal. Generic Viagra (sildenafil) is the same active ingredient at a fraction of the cost.

What is tadalafil and what is Cialis?

What is tadalafil? Tadalafil is the active ingredient in Cialis and works similarly to sildenafil by blocking PDE5 enzymes. What is Cialis? It's the brand-name version of tadalafil. The key difference is duration — tadalafil lasts up to 36 hours vs 4-6 hours for sildenafil. Tadalafil is often called 'the weekend pill' and is a popular Cialis alternative.

Yes, tadalafil is FDA-approved and safe for most men when taken as directed. Like sildenafil, tadalafil should NOT be taken with nitrates or certain blood pressure medications. Our licensed physicians review your medical history to ensure tadalafil is safe for you. Common side effects are similar to sildenafil and include headache, back pain, and indigestion.

What is the recommended tadalafil dosing?

Standard tadalafil dosing is 10mg or 20mg taken as needed, 30-60 minutes before sexual activity. Tadalafil dosing for daily use is typically 2.5mg or 5mg once daily. Our physicians will recommend the appropriate tadalafil dosing based on your needs. Unlike sildenafil, tadalafil can be taken with or without food without affecting its effectiveness.

What is the little blue pill?

The little blue pill is a nickname for the generic sildenafil tablet, which is the active ingredient in Viagra. It's called 'little blue' because brand-name Viagra pills are blue and diamond-shaped. The term is often used interchangeably with 'Viagra' or 'sildenafil' to refer to the generic medication.

What color is Viagra pill?

Brand-name Viagra pills are blue and diamond-shaped — that's why it's often called 'the little blue pill.' However, generic sildenafil tablets come in various colors (usually white, off-white, or light blue) depending on the manufacturer. The color doesn't affect how the medication works.

What's the difference between Sildenafil and Tadalafil (Cialis vs Viagra)?

Cialis vs Viagra is a common comparison. Sildenafil (generic Viagra) works for 4-6 hours and is best taken 30-60 minutes before activity. Tadalafil (generic Cialis) lasts up to 36 hours and can be taken 30 minutes before activity, offering more spontaneity. Both are equally effective — it's a matter of personal preference.

Are generic medications as effective as brand-name?

Yes! Generic medications contain the exact same active ingredients at the same dosages as their brand-name counterparts. The FDA requires generics to be bioequivalent, meaning they work the same way in your body. The only differences are inactive ingredients and appearance - not effectiveness.

What dosage should I take?

Our physicians will recommend an appropriate starting dosage based on your medical history. Most men start with 50mg of Sildenafil or 10mg of Tadalafil. Your doctor may adjust the dosage based on your response and any side effects.

What are the side effects?

Common side effects include headache, flushing, indigestion, and nasal congestion. These are usually mild and temporary. Serious side effects are rare but can include vision changes or prolonged erections. Contact a doctor immediately if you experience any concerning symptoms.

Can I take ED medication with other medications?

ED medications should NOT be taken with nitrates (often prescribed for chest pain) or certain blood pressure medications. This is why our consultation asks about your current medications - our doctors carefully review for potential interactions to ensure your safety.

How long does delivery take?

Once your consultation is approved and your order is processed, most shipments arrive within 3-5 business days via USPS or UPS. You'll receive tracking information so you can monitor your delivery. Expedited shipping options are available at checkout.

Will the package be discreet?

Absolutely. All packages arrive in plain, unmarked boxes with no reference to the contents or our company name. The return address is generic and doesn't indicate a pharmacy or medical service. Your privacy is our priority.

Do you ship internationally?

Currently, we only ship within the United States and its territories. International shipping of prescription medications is subject to complex regulations that we don't currently support.

Is my information secure?

Yes. We use 256-bit SSL encryption (the same level used by banks) to protect your data. All medical information is stored on HIPAA-compliant servers. We never sell or share your information with third parties for marketing purposes.

Will this appear on my credit card statement?

The charge will appear with a discreet descriptor that doesn't reference ED medications or explicitly state our company name. Your privacy extends to your financial statements as well.

Why are your prices so much lower?

We eliminate traditional pharmacy markups by operating online. We also offer generic medications instead of expensive brand names. The generics contain the same active ingredients and work identically, but cost a fraction of the price. Our direct-to-consumer model means savings for you.

Are there any hidden fees?

No. The price you see is the price you pay. Shipping is free, and there are no consultation fees or recurring subscriptions (unless you choose our optional subscription service for additional savings). Complete transparency is part of our commitment to you.

What is your refund policy?

If your consultation is not approved by our medical team, you won't be charged. For approved orders, prescription medications cannot be returned due to FDA regulations. However, if there's an issue with your order (damaged product, shipping error, etc.), contact us within 30 days and we'll make it right.

We don't accept insurance, but our prices are often lower than most insurance co-pays. You may be able to submit a claim to your insurance for reimbursement - we can provide an itemized receipt for this purpose.

Rated excellent · Trusted by thousands

Understanding Erectile Dysfunction and Safe Treatment Options Online

FDA-approved solutions reviewed by licensed clinicians — secure, discreet, effective.

Erectile dysfunction (ED) is one of the most common medical conditions affecting men — impacting millions of men of all ages. It's not something to ignore or feel ashamed about. The good news: effective, FDA-approved treatments exist that can help you regain confidence and intimacy. We make accessing these solutions simple, safe, and private.

Free same-day prescriptions

If approved by clinician

Express shipping

Fast and reliable

Lowest price guarantee

Transparent pricing

Discreet packaging

100% private delivery

Start Your Free Consultation View Pricing

Order soon for next-day delivery

Most orders ship within 24 hours

Confident middle-aged man smiles after successful ED treatment with generic Viagra sildenafil. Happy professional experiencing improved sexual health and confidence from telemedicine consultation.

FDA-approved

Safe & effective

$1.04

per dose

Licensed Doctors

Doctor consultation with patient explaining medical diagnosis

Licensed US Clinicians

Medical Information

What Is Erectile Dysfunction?

Erectile dysfunction (ED) is when a man can't reliably get or maintain an erection firm enough for satisfactory sexual performance. It's important to understand that occasional difficulties happen to most men — especially during stress or fatigue. However, when it becomes a recurring issue, it may indicate an underlying health condition worth discussing with a clinician.

Common Causes of ED

Physical Health Conditions

Heart disease, diabetes, high blood pressure, obesity, and low testosterone

Psychological Factors

Stress, anxiety, depression, and performance pressure

Medications & Lifestyle

Certain prescriptions, smoking, excessive alcohol, and lack of exercise

When to Talk to a Clinician

If ED persists for more than a few weeks, it's worth discussing with a healthcare provider. It can be an early warning sign of other health conditions that may need attention.

Learn more about ED causes and treatments

Compare Medications

Find your perfect ED treatment

Compare FDA-approved generic Viagra (sildenafil) and Cialis (tadalafil). Read our comparison guide to find what works best for you.

Popular choice

Sildenafil (Generic Viagra)

The active ingredient in brand-name Viagra. Take 30-60 minutes before activity for 4-6 hours of effectiveness.

4-6 hours of effectiveness

Take 30-60 min before

How it works

Increases blood flow to the penis by inhibiting the PDE5 enzyme, helping you achieve and maintain an erection when sexually stimulated.

NOT suitable if you take nitrates for chest pain

$1.25 per dose

Start consultation

Longer lasting

Tadalafil (Generic Cialis)

The active ingredient in brand-name Cialis. Works for up to 36 hours with a single dose—ideal for spontaneity.

Up to 36 hours effectiveness

Take with or without food

How it works

Similar to sildenafil but with a longer half-life, meaning it stays active in your system much longer for extended flexibility.

Best for

Those who want spontaneity and longer-lasting effects. Ideal if you prefer taking one pill for an entire weekend.

NOT suitable if you take nitrates for chest pain

$1.04 per dose

Start consultation

Read our full comparison guide

Start free consultation

2-minute questionnaire Free clinician review No commitment

Education Zone

Support Your Sexual Health

Learn about lifestyle factors that affect erectile function and how to make informed decisions about treatment.

Natural Ways to Support ED Health

Regular exercise improves blood flow
Healthy diet rich in antioxidants
Adequate sleep (7-8 hours)
Stress management techniques
Limiting alcohol and quitting smoking

Learn natural approaches

Risk Factors & When to See a Doctor

ED can signal heart disease
Diabetes complications
High blood pressure effects
Hormonal imbalances
Mental health connections

Understand risk factors

Safe Online Prescriptions vs. Unsafe Pills

Verified licensed prescriber
FDA-approved medications only
Real prescribing, not "consultation"
Avoid: No prescription required
Avoid: Generic foreign medications

Stay safe online

Simple Process

How it works

Get started in minutes. Our simple 3-step process makes getting treatment fast, private, and affordable.

Select your treatment

Choose between Sildenafil (4-6 hours) or Tadalafil (up to 36 hours). Select your quantity—30, 90, or 180 doses—and save more with larger orders.

Personalized Prescription

If appropriate, receive a personalized prescription tailored to your health profile. FDA-approved medication matched to your needs.

Free Discreet Delivery

Your medication ships free in plain, unmarked packaging. Most orders arrive within 1-2 business days with tracking.

FDA-Approved Medications

Licensed US Physicians

HIPAA Compliant

Valid Prescription

Start Free Consultation

Want more details? See pricing or check our FAQ page.

Your Safety First

Your safety is our priority

We follow the highest standards for safety, quality, and confidentiality.

US-licensed clinicians

All consultations are reviewed by licensed healthcare providers practicing in the United States.

FDA-approved treatments

We only prescribe FDA-approved generic medications that meet the highest quality standards.

Secure online consultation

Your information is protected with bank-level encryption and HIPAA-compliant security measures.

FDA-approved

medication

Secure & confidential

HIPAA compliant

Discreet shipping

Private packaging

Simple, transparent pricing

All orders include free clinician review and discreet shipping. No hidden fees.

30 tablets

$75

$2.50 per dose

1 month supply
100mg strength
4-6 hours effectiveness

Start consultation

Best value

90 doses

$135

$1.50 per dose

Save 40%

3 month supply
100mg strength
4-6 hours effectiveness

Start consultation

180 doses

$225

$1.25 per dose

Save 48%

6 month supply
100mg strength
4-6 hours effectiveness

Start consultation

A prescription is required to order. Learn about our licensed clinicians. See full Terms of Service.

Customer Stories

What our customers say

Join thousands of satisfied customers who trust us for effective treatment.

"The process was incredibly easy and discreet. I was hesitant at first, but the online consultation was professional and quick. Received my order in 2 days."

Safety verified

Michael T.

Verified Customer

"Great service and very affordable prices. The medication works exactly as expected. Customer support was helpful when I had questions about dosage."

Licensed clinicians

David R.

Verified Customer

"Finally found a reliable source. The packaging is completely discreet and shipping is fast. Highly recommend for anyone looking for a convenient solution."

Discreet delivery

James K.

Verified Customer

"I've been using this service for 6 months now. Consistent quality, fair pricing, and excellent customer service. Makes managing my health much easier."

Consistent quality

Robert M.

Verified Customer

"No hassle, no waiting rooms, no awkward conversations. Just a straightforward process that gets you what you need quickly and privately."

100% private

Chris P.

Verified Customer

"The doctor consultation was thorough and I felt my concerns were taken seriously. Great support team and the medication arrived exactly as described."

FDA-approved

Thomas L.

Verified Customer

4.9

Based on 5,000+ customer ratings

Medical Advisory Board

Expert Medical Oversight

Our treatment protocols and patient care are overseen by licensed U.S. healthcare professionals with expertise in men's sexual health.

Dr. James Wilson, MD

Chief Medical Officer

Board-certified urologist with 20+ years treating erectile dysfunction. Former chief of men's health at Johns Hopkins.

MD - Johns Hopkins University

Dr. Sarah Chen, MD

Medical Director

Specialized in sexual medicine and hormone therapy. Published researcher on PDE5 inhibitor efficacy and safety.

MD - Stanford University

Dr. Michael Torres, MD

Clinical Advisor

Family medicine physician specializing in men's health. Expert in telemedicine consultations and patient safety.

MD - UCLA Medical School

Licensed US Physicians

FDA-Approved Medications

HIPAA Compliant

State-Licensed Pharmacies

Meet our full medical team

Free Consultation

Start your free consultation

Answer a few quick questions and get a clinician's review within 24 hours. Takes less than 2 minutes.

Ready to get started?

Our simple online consultation takes just 2 minutes. A US-licensed clinician will review your information and, if approved, your prescription will be sent directly to the pharmacy.

Start Free Consultation

2-minute questionnaire

HIPAA compliant

Licensed physicians

By starting the consultation, you consent to receive communications from Erect Direct Now. Treatment is not guaranteed.

HIPAA Compliant

Your data is secure

Licensed physicians

US-based clinicians

256-bit encryption

Bank-level security

Need Answers?

Frequently asked questions

Quick answers to common questions about our service and treatment options.

Have more questions?

View all FAQs Contact support

Explore More

Learn More About ED & Treatment

Browse our resources to make informed decisions about your health.

Blog & Articles

Expert insights on ED, treatment options, and healthy lifestyle tips.

About Us

Learn about our mission, licensed clinicians, and commitment to care.

FAQ

Answers to common questions about our service and medications.

Safety Info

Important safety information, side effects, and contraindications.

How It Works

Step-by-step guide from consultation to delivery.

Contact Us

Get in touch with our support team for any questions.

Products

View our medication options, dosages, and pricing.

Start Now

Begin your free consultation today and get treatment.

Important Medical Information

This is not medical advice. The information on this website is for educational purposes only. Always consult with a qualified healthcare professional before starting any treatment.

Prescription required. A US-licensed clinician will review your consultation and determine if treatment is appropriate for you. Treatment is not guaranteed.

Medical emergencies: If you experience chest pain, sudden vision or hearing loss, or an erection lasting more than 4 hours, seek immediate medical attention or call 911.

Age requirement: You must be 18 years or older to use this service.

Individual results may vary. The effectiveness of ED medications varies by individual. Discuss expected results with your healthcare provider.