The medication
- Compounded sildenafil, a PDE5 inhibitor for ED
- Taken as needed, 30 to 60 minutes before sexual activity
- Discreet packaging, plain billing description
Compounded PDE5 inhibitor
Sildenafil for ED, doctor-supervised.
A compounded sildenafil program for erectile dysfunction, prescribed when your provider determines it fits your cardiovascular profile. Discreet telehealth in MI, FL, AL, MS. In-person in Royal Oak.
- LegitScript certified
- Board-certified providers
- Discreet packaging + plain billing
Sildenafil
from $90/mo
Medication + provider review + dose adjustments, included.
Medically reviewed by
Dr. Erald Lula, MD, MPH
Triple Board-Certified: Internal Medicine, Obesity Medicine, Lifestyle Medicine
Last reviewed: Bio
One monthly price. Three things working together.
NuHealth's sildenafil program is built around clinical fit and privacy, not a checkout flow. Every plan combines the medication, supervised provider care, and discreet delivery.
The provider
- Board-certified providers licensed in your state
- Cardiovascular screen, medication review, nitrate and alpha-blocker check
- Direct provider messaging between appointments
The privacy
- Plain packaging with no indication of contents
- Plain billing description on your credit card statement
- HIPAA-compliant messaging, no marketing emails
Sildenafil
Sildenafil is a PDE5 inhibitor. It increases blood flow to the penis by relaxing smooth muscle in the penile arteries when sexual stimulation is present. It does not produce arousal on its own. NuHealth prescribes a compounded sildenafil preparation, prepared per-patient by a state-licensed 503A pharmacy; a compounded preparation is not an FDA-approved finished drug product.
$90/moas-needed dosing
Best for: Adult men with erectile dysfunction whose provider determines, after clinical review, that sildenafil fits.
Learn more
What it is
A PDE5 inhibitor prescribed for erectile dysfunction. Most patients start at 50 mg, taken as needed no more than once per 24 hours. Your provider may adjust up to 100 mg or down to 25 mg based on response.
Timeline
Onset is typically 30 to 60 minutes. Effect lasts 4 to 6 hours for most patients. Sexual stimulation is required; sildenafil does not produce arousal on its own.
Monitoring
Initial cardiovascular screen plus check on nitrates, alpha-blockers, and other interacting medications. Dose adjustments and refills happen via direct provider messaging.
Safety: Most patients tolerate sildenafil well. Common side effects are mild and short-lived: headache, facial flushing, nasal congestion. Call emergency care for an erection lasting more than 4 hours, sudden vision or hearing loss, or chest pain.
Start in under 20 minutes.
Free consultation
A 20-minute telehealth call with a board-certified provider. Cover your medical history, current medications, and cardiovascular profile. No credit card required.
Discreet shipping or in-person pickup
Medication ships from a state-licensed pharmacy in plain packaging with no indication of contents. Royal Oak patients can pick up at the clinic instead.
Clinical review and screen
Your provider screens for nitrate use, alpha-blockers, recent stroke or heart attack, vision or hearing concerns, and severe liver or kidney impairment. If sildenafil isn’t safe for you, your provider explains why and discusses alternatives.
Ongoing access
Follow-up check-ins, dose adjustments, and refills happen via direct provider messaging. Refills ship in the same discreet packaging.
Why this program is different, in one page.
NuHealth is a Royal Oak, Michigan clinic with a real telehealth program and a privacy posture that actually shows up in the packaging.
At a glance
At NuHealth
Most online ED clinics
Prescription path
Provider screen of your cardiovascular profile, medications, and history before any prescription.
Direct online questionnaire. Many never review nitrate or alpha-blocker use closely.
Privacy posture
Plain packaging, plain billing description, HIPAA-compliant messaging, no marketing emails.
Branded packaging, recognizable billing description, marketing emails common.
Pricing posture
Published. Sildenafil program from $90 per month.
Pricing surfaces only after you submit your information.
In-person option
Telehealth in MI, FL, AL, MS, plus in-person at our Royal Oak clinic.
Telehealth only. No clinic to walk into when you need to.
Ongoing access
Direct provider messaging, dose adjustments, refills without a re-questionnaire.
New questionnaire each refill is common.
Compliance posture
LegitScript certified. Anatomically clear language, no "bigger/harder/longer" framing.
Performance language and outcome promises common.
Prescription path
At NuHealth
Provider screen of your cardiovascular profile, medications, and history before any prescription.
Most online ED clinics
Direct online questionnaire. Many never review nitrate or alpha-blocker use closely.
Privacy posture
At NuHealth
Plain packaging, plain billing description, HIPAA-compliant messaging, no marketing emails.
Most online ED clinics
Branded packaging, recognizable billing description, marketing emails common.
Pricing posture
At NuHealth
Published. Sildenafil program from $90 per month.
Most online ED clinics
Pricing surfaces only after you submit your information.
In-person option
At NuHealth
Telehealth in MI, FL, AL, MS, plus in-person at our Royal Oak clinic.
Most online ED clinics
Telehealth only. No clinic to walk into when you need to.
Ongoing access
At NuHealth
Direct provider messaging, dose adjustments, refills without a re-questionnaire.
Most online ED clinics
New questionnaire each refill is common.
Compliance posture
At NuHealth
LegitScript certified. Anatomically clear language, no "bigger/harder/longer" framing.
Most online ED clinics
Performance language and outcome promises common.
Do you qualify?
Most adult men with ED are candidates.
- Difficulty achieving or maintaining an erection for sexual activity, more than occasionally.
- No nitrate medications — sildenafil is generally not prescribed alongside nitrates due to a serious interaction.
- No active cardiovascular contraindications — recent stroke or heart attack, uncontrolled blood pressure, or severe cardiovascular disease.
Final eligibility is determined by your NuHealth provider after a 20-minute consultation and a review of your medical history and medications. If sildenafil isn't safe for your situation, your provider discusses alternatives.
Take the 2-minute assessmentA real clinic, on Woodward.
A real clinic, on Woodward.
Medication ships discreetly to your door. When you need to walk in for an in-person visit or a private conversation, our Royal Oak clinic is on Woodward, between Birmingham and Berkley.
NuHealth Medical Wellness30301 Woodward Ave, Suite 240Royal Oak, MI 48073
Telehealth · MITelehealth · FLTelehealth · ALTelehealth · MS
The proofs, plainly.
- LegitScript certified
- Independently verified telehealth and medication-handling standards. Renewed annually.
- Board-certified providers
- Every prescription is reviewed and signed by a board-certified physician licensed in your state.
- State-licensed pharmacies
- Medications dispensed by state-licensed pharmacies. Discreet packaging by default.
- HIPAA-compliant care
- Telehealth visits, records, and patient portal are encrypted end-to-end.
One program. One transparent price.
Medication, provider review, dose adjustments, and direct provider messaging. Discreet packaging. Plain billing description on your credit card statement. No long-term contract.
Sildenafil (compounded)
$90/mo
as-needed program
- Compounded sildenafil, prescribed when appropriate
- Provider review and cardiovascular screen
- Dose adjustments based on response
- Direct provider messaging
- Discreet packaging and plain billing
A free 20-minute provider consultation precedes any prescription. You are charged only if your provider determines you are a candidate and you choose to start.
CareCredit · Financing partner
Flexible financing for the program you want.
Get the care you want today and pay over time with CareCredit. Prequalification takes a minute and does not impact your credit score.
Check your prequalificationCareCredit is a financing product from Synchrony Bank. NuHealth Medical Wellness does not own, operate, or set the terms of CareCredit. Approval, rates, and terms are determined by Synchrony at application.
Common questions. Clear answers.
Three topics, in plain language. If you don’t see your question, the consultation is the place to ask it.
How the program works
What is compounded sildenafil?
Sildenafil is a PDE5 inhibitor, the class of medication most commonly prescribed for erectile dysfunction. NuHealth prescribes a compounded sildenafil preparation, made per-patient by a state-licensed 503A pharmacy when your provider determines a personalized formulation fits your situation. A compounded preparation is not an FDA-approved finished drug product.
How quickly does it work?
For most patients, sildenafil starts working 30 to 60 minutes after taking it. A heavy or high-fat meal can slow the onset. The effect typically lasts 4 to 6 hours, though individual response varies. Sexual stimulation is required. Sildenafil does not produce arousal on its own.
Am I a candidate?
Most adult men with erectile dysfunction may be candidates. Sildenafil is generally not prescribed for patients on nitrate medications, with significant cardiovascular disease, recent stroke or heart attack, severe liver disease, retinitis pigmentosa, or interacting alpha-blockers. Your provider screens for all of these during the consultation.
Pricing and insurance
What's included in the monthly plan?
Medication, provider review, dose adjustments, and direct provider messaging. Discreet packaging and plain billing description on your credit card statement. No long-term contract.
Is this covered by insurance?
NuHealth doesn't currently work with insurance for sexual health programs. The $90/month cash price is fully transparent. HSA and FSA cards are accepted where eligible.
Safety and privacy
Are there side effects?
The most common side effects are mild and short-lived: headache, facial flushing, nasal congestion, indigestion. Less common but serious side effects include a prolonged erection (call emergency care if longer than 4 hours), sudden vision or hearing changes (stop the medication and seek care), and chest pain. Your provider reviews your specific cardiovascular profile during the consultation.
Is my information private?
Yes. Medication ships in discreet packaging with no indication of what's inside. Your credit card statement shows a plain billing description. Provider messaging is HIPAA-compliant and we don't send marketing emails. Your medical history stays between you and your provider.
The next step
A 20-minute call. Private from the first click.
Start with the free assessment. A board-certified provider reviews your history, screens for interactions, and prescribes when appropriate. No credit card to start.
- No credit card to start
- LegitScript certified
- Discreet packaging and plain billing