The Beginner’s Guide To BlueChew

If you’re going to begin a new medication like the ones BlueChew offers, you should definitely know what side effects you could encounter — and when those side effects should prompt you to speak to a doctor. Thankfully, BlueChew side effects are usually mild, but the likelihood and nature of possible side effects varies by medication and is affected by dose.

Medication Type	Interaction Effect	Notes
Nitrates	Severe hypotension	Do not combine with Cialis
Alpha-blockers	Increased risk of low blood pressure	Consult doctor for dose adjustments
CYP3A4 Inhibitors	Increased tadalafil levels	Use lower doses or avoid combination
Other ED drugs	Possible additive effect	Risk of priapism; caution advised

We’ll break it all down so that you can proceed in confidence or explore alternative treatment options. BlueChew entered the landscape as a unique company — the first to provide chewable prescription treatments for ED online. Initially, this meant compounded versions of the active ingredients in Viagra and Cialis, which are sildenafil and tadalafil, respectively.

• Chewable Cialis is a good option for men who travel frequently and want treatment convenience.
• It does not increase sexual desire; it only facilitates the physical response to stimulation.
• Sudden decrease or loss of hearing has been reported in a small number of users.
• Proper storage ensures the stability and potency of the medication until its expiration date.

But later, BlueChew introduced a third option: chewable vardenafil, the active ingredient in Levitra.

How To Get Tadalafil From BlueChew

Dosages do vary from company to company, which is something we’ll outline later in this guide since it can affect the likelihood of side effects. The company recently introduced a daily version of its tadalafil chew. (Previously, only an as-needed version of tadalafil was available.) The main difference between daily and as-needed tadalafil prescriptions tends to be dosage, though BlueChew’s daily chew does include supportive supplemental ingredients. Some of these, such as vitamin D and folic acid, are even present at levels that studies indicate could be beneficial for men trying to address ED.37 38 Only a medical professional — like the kind affiliated with BlueChew or its competitors, or a doctor you’d see in a traditional office — can determine if you’re a safe and suitable candidate for these medications. If you are, it means the medical professional has reviewed pertinent details about your medical history, health, and current medications and concluded that using one of these medications will likely help address your ED symptoms without posing a serious risk to your health.

Effective treatments, trusted by over 500,000 men

But if you are approved, it does not guarantee you’ll experience no side effects. In fact, side effects are not uncommon. Thankfully, they tend to be very mild, with few people discontinuing treatment because of them. In our surveying the landscape of available ED treatments — prescription medications, over-the-counter options like supplements, and various devices you’d use at home or in a clinical setting — none currently offer the same combination of effectiveness, safety, affordability, and convenience as the treatments BlueChew offers. To understand why BlueChew’s ED medications would cause side effects and also why those side effects would vary from drug to drug, it’s useful to know a few basic details of how the medications work. BlueChew offers ED prescriptions through an online portal, allowing you to have medication delivered straight to your door wherever you live in the United States (as long as that isn’t North Dakota), without any physical doctor’s visit or trip to a pharmacy. While it may have been the first, BlueChew is no longer the only company to do all of this.

Benefit	Explanation
Rapid Onset	Absorbs quickly due to chewable form
Ease of Use	Chewable form is easier to take for some users
Discreet Administration	No water needed, convenient for on-the-go use
Long-lasting Effect	Effects can last up to 36 hours
Improved Sexual Confidence	Helps achieve and maintain erections

It’s among a widening group of providers offering compounded forms of well-studied prescription ED medications. These compounded drugs have the same therapeutic potency as traditional, brand-name pills. Dosages do vary from company to company, which is something we’ll outline later in this guide since it can affect the likelihood of side effects. The company recently introduced a daily version of its tadalafil chew. (Previously, only an as-needed version of tadalafil was available.) The main difference between daily and as-needed tadalafil prescriptions tends to be dosage, though BlueChew’s daily chew does include supportive supplemental ingredients. Some of these, such as vitamin D and folic acid, are even present at levels that studies indicate could be beneficial for men trying to address ED.37 38 Only a medical professional — like the kind affiliated with BlueChew or its competitors, or a doctor you’d see in a traditional office — can determine if you’re a safe and suitable candidate for these medications.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	20mg	60 + 6 Pills	117.76€ 112.15€	Buy
Cialis Super Active	20mg	180 + 20 Pills	521.59€ 496.75€	Buy
Cialis Generic	10mg	270 + 10 Pills	308.71€ 294.01€	Buy
Cialis Generic	20mg	270 + 10 Pills	335.21€ 319.25€	Buy
Cialis Professional	20mg	360 + 6 Pills	807.03€ 768.60€	Buy
Cialis Professional	40mg	10 Pills	65.09€ 61.99€	Buy
Cialis Soft Tabs	20mg	30 + 4 Pills	87.43€ 83.27€	Buy
Cialis Black	80mg	30 + 2 Pills	89.11€ 84.87€	Buy
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Cialis Generic	5mg	10 Pills	29.39€ 27.99€	Buy
Cialis Generic	10mg	360 + 10 Pills	388.49€ 369.99€	Buy
Cialis Generic	10mg	180 + 8 Pills	236.88€ 225.60€	Buy
Cialis Original	20mg	48 + 4 Pills	224.69€ 213.99€	Buy
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€	Buy
Cialis Original	20mg	120 + 8 Pills	497.29€ 473.61€	Buy

If you are, it means the medical professional has reviewed pertinent details about your medical history, health, and current medications and concluded that using one of these medications will likely help address your ED symptoms without posing a serious risk to your health. But if you are approved, it does not guarantee you’ll experience no side effects. In fact, side effects are not uncommon. Thankfully, they tend to be very mild, with few people discontinuing treatment because of them. In our surveying the landscape of available ED treatments — prescription medications, over-the-counter options like supplements, and various devices you’d use at home or in a clinical setting — none currently offer the same combination of effectiveness, safety, affordability, and convenience as the treatments BlueChew offers.

How Long Does Tadalafil Chewable Last?

And the reason these treatments don’t cause spontaneous erections is that arousal is still necessary for the brain to signal to the cavernous nerve (a nerve in the penis) to release NO there.6 (Remember, NO has the aforementioned effects vascularly downstream of where it is released.) None of the PDE5 medications that BlueChew offers are completely selective for PDE5. In other words, they can inhibit other families of PDE as well. To the limited extent that they do collaterally inhibit other PDE families, they can produce different side effects corresponding to those PDE families and what their normal jobs are in our bodies. And while all three of the medications share a small set of common potential side effects — headache, nasal congestion, and dyspepsia — most adverse side effects happen because of the medications inhibiting other PDE families aside from PDE5.35 Sildenafil and vardenafil collaterally inhibit PDE1 and PDE6. Tadalafil, meanwhile, doesn’t cause that kind of collateral effect, but it does collaterally inhibit PDE11.6 This provides some explanation for why these medications differ in the side effects they're most likely to cause.

Food Interactions

As the active ingredient in Viagra, sildenafil is probably the most common and certainly the longest-studied ED medication on the market today. It’s the one that started them all, the only one introduced in the 20th century; if you’re old enough, you may remember Bob Dole as a spokesman for it following his presidential campaign in the late ‘90s. Like vardenafil, sildenafil is an as-needed medication. You’ll take it 30-60 minutes before sexual activity may occur, and after that waiting period, the medication will be effective for a period of 4-6 hours. On the one hand, the fact that it’s the longest-studied ED medication can give people some peace of mind, and it’s still the first path that many prescribing doctors explore with patients. To understand why BlueChew’s ED medications would cause side effects and also why those side effects would vary from drug to drug, it’s useful to know a few basic details of how the medications work. All of BlueChew’s medications are PDE5 inhibitors, a class that also includes relative newcomer avanafil (Stendra), which BlueChew does not yet offer. PDE5 stands for “phosphodiesterase type 5.” (You can see why people use the abbreviation.) Phosphodiesterases are a superfamily of cialis daily for sale enzymes that act as regulators of signals being sent within cells. As the number in PDE5 would suggest, there are numerous families of phosphodiesterase that have been identified — 11, to be precise (PDE1 through PDE11) — and they all have different effects on the human body.3 Scientists further divide these families into subtypes and splice variants. As BlueChew’s medications are all PDE5 inhibitors, they all temporarily prevent PDE5 from doing what it normally would do in your body… which makes it useful to understand what PDE5 ordinarily does.

• May help improve self-esteem and reduce performance anxiety related to erectile dysfunction.
• The medication is metabolized primarily in the liver by the CYP3A4 enzyme system.
• Men with severe renal impairment require dose adjustments, usually a lower maximum dose.
• Driving or operating machinery is not recommended until you know how the drug affects you.

You may or may not have heard of the chemical, nitric oxide (NO).

Tadalafil vs. Cialis Dosage

On the other hand, years of research also reveal that sildenafil seems capable of causing certain side effects that a couple newer options like vardenafil and avanafil likely won’t. Avanafil — the active ingredient in Stendra and the newest PDE5 for ED cialis 5mg generique — is a relatively costly medication offered by Hims but not BlueChew. It’s the most selective PDE5 inhibitor and less likely to cause side effects.7 Sildenafil’s most common side effects are mild and include:8 Dyspepsia (discomfort in the upper abdomen caused by stomach upset) Vision changes (such as a blue-green tint, temporarily blurred vision, or difficulty with color perception) Side effects involving vision disturbances arise due to the fact that sildenafil also collaterally inhibits PDE6. Of course, this isn’t the purpose of taking sildenafil; the goal is to inhibit PDE5 in order to facilitate erections. PDE6 isn’t associated with erections but, instead, with certain visual processing pathways.

Onset and Peak Performance Windows

People who experience vision-related side effects often successfully avoid them in the future by switching to tadalafil. Switching to vardenafil sometimes solves this problem as well; though vardenafil also weakly inhibits PDE6, research indicates that men who experience vision-related side effects from sildenafil may avoid those side effects when using vardenafil.9 Also, these mild visual changes are not to be confused with a very rare but serious side effect (described later) involving total loss of vision in one or both eyes. It’s rare, but if it happens, seek medical attention. Whereas sildenafil and vardenafil are similar in molecular structure, tadalafil (the active ingredient in Cialis) is quite different from them.3 There’s a waiting period of about 30-60 minutes before a dose starts working, but tadalafil is a much longer-acting drug than either sildenafil or vardenafil. Because tadalafil remains active for 18-36 hours, it can be prescribed either as an as-needed medication or a once-daily medication. Some people take dietary supplements to increase NO in their bodies, typically with goals involving exercise performance, sexual performance, or general cardiovascular health. This is because NO, vascularly downstream of where it is released in the body, causes the conversion of GTP (guanosine triphosphate) into cGMP (cyclic guanosine monophosphate). cGMP relaxes the smooth muscles in the walls of blood vessels, which is what causes them to widen — something called vasodilation.4 So, NO can promote increased blood flow.

• Effectiveness may decrease in men with severe neurological causes of erectile dysfunction.
• Can be prescribed alongside other BPH medications like finasteride or dutasteride.
• May cause palpitations or a rapid heartbeat in some individuals.
• Report any new chest pain, shortness of breath, or nausea during physical activity to your doctor.

When it is released vascularly upstream from the spongy tissues of the penis, NO leads to more cGMP in those tissues, which enables the increase in blood flow and accumulation of blood there, causing an erection.5 What causes an erection to stop, meanwhile, is PDE5; when the body feels that it’s time for an erection to end, PDE5 is released to bind to the cGMP, causing smooth muscles in the blood vessels to return to normal.6 This means less blood flow to the penis, and the erection goes away. Inhibiting PDE5 is an effective way to allow many (but not all) men with ED to get erections strong enough for the sexual activity they want. And the reason these treatments don’t cause spontaneous erections is that arousal is still necessary for the brain to signal to the cavernous nerve (a nerve in the penis) to release NO there.6 (Remember, NO has the aforementioned effects vascularly downstream of where it is released.) None of the PDE5 medications that BlueChew offers are completely selective for PDE5. In other words, they can inhibit other families of PDE as well. To the limited extent that they do collaterally inhibit other PDE families, they can produce different side effects corresponding to those PDE families and what their normal jobs are in our bodies. And while all three of the medications share a small set of common potential side effects — headache, nasal congestion, and dyspepsia — most adverse side effects happen because of the medications inhibiting other PDE families aside from PDE5.35 Sildenafil and vardenafil collaterally inhibit PDE1 and PDE6. Tadalafil, meanwhile, doesn’t cause that kind of collateral effect, but it does collaterally inhibit PDE11.6 This provides some explanation for why these medications differ in the side effects they're most likely to cause. As the active ingredient in Viagra, sildenafil is probably the most common and certainly the longest-studied ED medication on the market today. It’s the one that started them all, the only one introduced in the 20th century; if you’re old enough, you may remember Bob Dole as a spokesman for it following his presidential campaign in the late ‘90s. Like vardenafil, sildenafil is an as-needed medication. You’ll take it 30-60 minutes before sexual activity may occur, and after that waiting period, the medication will be effective for a period of 4-6 hours. On the one hand, the fact that it’s the longest-studied ED medication can give people some peace of mind, and it’s still the first path that many prescribing doctors explore with patients.

Cialis side effects

As-needed BlueChew tadalafil comes in 6mg or 9mg doses, while daily tadalafil from BlueChew is 9mg. Tadalafil is a longer-acting drug than either of BlueChew’s other treatments. Despite its differences, as it’s a PDE5 inhibitor, tadalafil is capable of causing several of the same side effects as the two other BlueChew medications. The most common side effects of tadalafil are mild and include:11 Dyspepsia (discomfort in the upper abdomen caused by stomach upset) Nasal congestion, runny nose, and/or sneezing Notice that this list differs from sildenafil’s side effects in a couple meaningful ways. First, visual side effects aren’t likely to occur with tadalafil because tadalafil doesn’t inhibit PDE6.

Will I need to take this drug long term?

But unlike sildenafil, tadalafil may cause back pain and muscle aches. This is owing to the fact that tadalafil inhibits PDE11 — something that sildenafil and vardenafil do not do.10 If you’re already susceptible to back pain, this might make you prefer those other two medications rather than tadalafil. On the other hand, years of research also reveal that sildenafil seems capable of causing certain side effects that a couple newer options like vardenafil and avanafil likely won’t. Avanafil — the active ingredient in Stendra and the newest PDE5 for ED cialis 5mg generique — is a relatively costly medication offered by Hims but not BlueChew. It’s the most selective PDE5 inhibitor and less likely to cause side effects.7 Sildenafil’s most common side effects are mild and include:8 Dyspepsia (discomfort in the upper abdomen caused by stomach upset) Vision changes (such as a blue-green tint, temporarily blurred vision, or difficulty with color perception) Side effects involving vision disturbances arise due to the fact that sildenafil also collaterally inhibits PDE6. Of course, this isn’t the purpose of taking sildenafil; the goal is to inhibit PDE5 in order to facilitate erections.

• The taste-masking technology used can vary between different generic manufacturers.
• It is important to disclose all over-the-counter supplements, especially those containing yohimbine.
• A trial period may be needed to determine the optimal dose for an individual.
• The medication remains effective even if taken after a high-fat meal, but onset is delayed.

PDE6 isn’t associated with erections but, instead, with certain visual processing pathways.

Side Effects of Tadalafil Chewable

If you’re going to begin a new medication like the ones BlueChew offers, you should definitely know what side effects you could encounter — and when those side effects should prompt you to speak to a doctor. Thankfully, BlueChew side effects are usually mild, but the likelihood and nature of possible side effects varies by medication and is affected by dose. We’ll break it all down so that you can proceed in confidence or explore alternative treatment options. BlueChew entered the landscape as a unique company — the first to provide chewable prescription treatments for ED online. Initially, this meant compounded versions of the active ingredients in Viagra and Cialis, which are sildenafil and tadalafil, respectively.

Generic version

But later, BlueChew introduced a third option: chewable vardenafil, the active ingredient in Levitra. BlueChew offers ED prescriptions through an online portal, allowing you to have medication delivered straight to your door wherever you live in the United States (as long as that isn’t North Dakota), without any physical doctor’s visit or trip to a pharmacy. While it may have been the first, BlueChew is no longer the only company to do all of this. It’s among a widening group of providers offering compounded forms of well-studied prescription ED medications. These compounded drugs have the same therapeutic potency as traditional, brand-name pills. People who experience vision-related side effects often successfully avoid them in the future by switching to tadalafil. Switching to vardenafil sometimes solves this problem as well; though vardenafil also weakly inhibits PDE6, research indicates that men who experience vision-related side effects from sildenafil may avoid those side effects when using vardenafil.9 Also, these mild visual changes are not to be confused with a very rare but serious side effect (described later) involving total loss of vision in one or both eyes. It’s rare, but if it happens, seek medical attention. Whereas sildenafil and vardenafil are similar in molecular structure, tadalafil (the active ingredient in Cialis) is quite different from them.3 There’s a waiting period of about 30-60 minutes before a dose starts working, but tadalafil is a much longer-acting drug than either sildenafil or vardenafil. Because tadalafil remains active for 18-36 hours, it can be prescribed either as an as-needed medication or a once-daily medication. As-needed BlueChew tadalafil comes in 6mg or 9mg doses, while daily tadalafil from BlueChew is 9mg. Tadalafil is a longer-acting drug than either of BlueChew’s other treatments. Despite its differences, as it’s a PDE5 inhibitor, tadalafil is capable of causing several of the same side effects as the two other BlueChew medications.

Precautions and Warnings

All of BlueChew’s medications are PDE5 inhibitors, a class that also includes relative newcomer avanafil (Stendra), which BlueChew does not yet offer. PDE5 stands for “phosphodiesterase type 5.” (You can see why people use the abbreviation.) Phosphodiesterases are a superfamily of cialis daily for sale enzymes that act as regulators of signals being sent within cells. As the number in PDE5 would suggest, there are numerous families of phosphodiesterase that have been identified — 11, to be precise (PDE1 through PDE11) — and they all have different effects on the human body.3 Scientists further divide these families into subtypes and splice variants. As BlueChew’s medications are all PDE5 inhibitors, they all temporarily prevent PDE5 from doing what it normally would do in your body… which makes it useful to understand what PDE5 ordinarily does. You may or may not have heard of the chemical, nitric oxide (NO).

What does BlueChew sell?

Some people take dietary supplements to increase NO in their bodies, typically with goals involving exercise performance, sexual performance, or general cardiovascular health. This is because NO, vascularly downstream of where it is released in the body, causes the conversion of GTP (guanosine triphosphate) into cGMP (cyclic guanosine monophosphate). cGMP relaxes the smooth muscles in the walls of blood vessels, which is what causes them to widen — something called vasodilation.4 So, NO can promote increased blood flow. When it is released vascularly upstream from the spongy tissues of the penis, NO leads to more cGMP in those tissues, which enables the increase in blood flow and accumulation of blood there, causing an erection.5 What causes an erection to stop, meanwhile, is PDE5; when the body feels that it’s time for an erection to end, PDE5 is released to bind to the cGMP, causing smooth muscles in the blood vessels to return to normal.6 This means less blood flow to the penis, and the erection goes away. Inhibiting PDE5 is an effective way to allow many (but not all) men with ED to get erections strong enough for the sexual activity they want. The most common side effects of tadalafil are mild and include:11 Dyspepsia (discomfort in the upper abdomen caused by stomach upset) Nasal congestion, runny nose, and/or sneezing Notice that this list differs from sildenafil’s side effects in a couple meaningful ways.

What is tadalafil?

Compact and convenient

First, visual side effects aren’t likely to occur with tadalafil because tadalafil doesn’t inhibit PDE6. But unlike sildenafil, tadalafil may cause back pain and muscle aches. This is owing to the fact that tadalafil inhibits PDE11 — something that sildenafil and vardenafil do not do.10 If you’re already susceptible to back pain, this might make you prefer those other two medications rather than tadalafil.