Medically reviewed by: 
Roman Erectile Dysfunction Overview
Cost: As low as $4 per dose
What’s prescribed: Sildenafil, tadalafil, sildenafil + tadalfil, Viagra, Cialis
How to take: Daily or as-needed depending on the medication
Effects last for: 4-36 hours
Potential side effects: Diarrhea, headache, nausea, flushing, and more
FDA information: Some are FDA-approved medications, some are not but use FDA-approved active ingredients
Insurance information: Not covered by insurance
Shipping information: Free
Trustpilot rating: 4.0
If you’ve been considering finding treatment for erectile dysfunction (ED) online, you’ve probably heard about Roman. They’re one of the leading U.S. providers for health and wellness from home.
We recommend Roman because they offer a wide selection of ED medications. These include branded and generic Cialis (tadalafil) and Viagra (sildenafil), as well as a treatment called Sparks, which combines sildenafil and tadalafil into a dissolvable sublingual treatment.
In this article, we’ll discuss Roman’s ED treatments, including what they prescribe, possible medication side effects, and who might benefit from these treatments.
There are only a handful of medications worth trying for ED, like sildenafil and tadalafil, Roman provides all of them without mixing in any less-than-reputable supplements or herbal remedies. In addition to more traditional oral medications, they also offer a sublingual treatment that combines the effects of both sildenafil and tadalfil. While they’re not your cheapest choice for ED medications, their comprehensive offering and unlimited doctor’s support may be worth a few extra dollars to the right customer.
Roman ED Pros & Cons
Pros
- More affordably-priced medications that are either FDA-approved or use FDA-approved active ingredients
- Adjustable dosage and unlimited support from your Roman clinician
- Offers more traditional oral medications, as well as a sublingual, dissolvable treatment
Cons
- Not your cheapest choice, especially for generic medication
- Doesn’t offer vardenafil
My Experience With Roman ED Meds
Roman’s sign-up process couldn’t be more straightforward and simple. Since many of their ED medications require a prescription, I started with a digital consultation with one of their doctors. After I was approved, it took only a couple days for my treatment to arrive.
But the best part of the Roman experience comes after your initial purchase. I didn’t love the first treatment I tried, but it was great to know that my Roman doctor was there for me and was able to discuss dosage adjustments and what other medication options I was a good candidate for.
What Is Roman for ED?
You may already be familiar with Roman thanks to their integrated care for multiple health conditions, such as premature ejaculation and hair loss. If not, all you need to know is that Roman provides convenient at-home care for many common health issues. When it comes to ED, they offer both branded and generic versions of the most popular medications, as well as a combo sublingual treatment.
Is Roman a trustworthy provider?
We’re happy to report that you can trust Roman to be discreet and reliable as they meet your healthcare needs. If you need more convincing, check out their hundreds of positive reviews on Trustpilot.
Roman ED Treatment Cost
Roman ED medications will run you anywhere from $4 to $120 per month, depending on the dosage and medication. If you’d like to stick to the lower end of that price range, considering opting for generic medications like sildenafil and tadalafil: They work just as well as their brand-name counterparts, usually for much lower prices.
How Does Roman Work for ED?
If you’ve bought prescription medication online before, you’ll probably find Roman’s sign-up process familiar. It starts with an online consultation with your Roman clinician, who will make sure any treatments you’re interested in are medically necessary. After that, it only takes a few days for your treatment to get shipped to your door (delivery is free).
If you need to tweak your treatment for any reason–say, switching from as-needed to a daily dose–all you have to do is message your Roman provider. It’s always free to reach out to your doctor, no matter the situation.
Benefits of Roman ED Treatments
All of Roman’s ED treatments belong to a class of medications known as phosphodiesterase 5 (PDE5) inhibitors. These FDA-approved ingredients work by increasing blood flow to the penis, leading to longer-lasting erections. Generic and brand-name PDE5 inhibitors work the same way, so you don’t need to worry that lower prices might mean less efficacy.
Roman Sildenafil (Generic Viagra)
Sildenafil is the generic version of Viagra. Due to its beneficial impact on blood flow, it’s also used to treat certain types of hypertension, or high blood pressure. In most cases, sildenafil is used as-needed to treat ED, so it’s typically taken about 30 minutes before sexual activity.
Roman Viagra
Viagra is the FDA-approved brand-name version of sildenafil and one of the best-known treatments for erectile dysfunction. It’s used exactly the same way as sildenafil, but can cost you a lot more: $90 per dose of Viagra versus just $4 for the same active ingredients in generic form.
Is Cialis or Viagra better?
Whether you’ll prefer Cialis or Viagra depends on how you like to use your treatment. If you find it easier to remember to take a pill every day, Cialis may be the better choice. But if you’d rather only take your medication when you need it, stick with Viagra.
Related reading: Roman vs. Viagra: Which ED Treatment Works Best?
Roman Tadalafil (Generic Cialis)
Tadalafil is the generic version of Cialis, another FDA-approved PDE5 inhibitor. You can take tadalafil on an as-needed basis, but if you’re using Roman to get ED treatment you can take every day, tadalafil is your only option. By taking a small dose every day, the medication stays steadily in your bloodstream.
Related reading:
Roman Cialis
Cialis is the FDA-approved brand-name version of tadalafil, which means it works the same way but can cost you quite a bit more. At Roman, Cialis costs $20 per dose compared to $11 for as-needed tadalafil.
How long will I stay hard on Cialis?
While you won’t be hard the entire time, Cialis stays in your system for 36 hours after you take it (compared to just four hours with Viagra), making it easier to achieve and maintain an erection more spontaneously.
Ro Sparks (2-in-1 Sildenafil & Tadalafil)
Wish you didn’t have to choose between the fast-acting impact of Viagra and the lost-lasting benefits of Cialis? Ro Sparks makes that possible by combining sildenafil and tadalafil into one easy-to-use treatment.
Why We Recommend Roman for ED
We’re glad to recommend Roman’s credible healthcare for multiple common symptoms and concerns, including erectile dysfunction. Here’s what makes them a standout choice.
Doctor-Prescribed Treatments
All of the ED treatments Roman offers contain FDA-approved active ingredients that are clinically proven to reduce symptoms of ED.
Convenient Subscription and Free Shipping
Treating ED has never been easier thanks to Roman’s convenient subscription, which ensures you’ll always have your medication when you need it. Plus, two-day priority shipping is always free!
Unlimited Messaging With Healthcare Provider
Worried about making changes to your treatment plan? With Roman, your clinician is always just a message away to help you handle the unexpected.
Personalized Dosage
Your Roman clinician can work with you to find the right dose and pill count for your unique needs.
Roman ED Meds Side Effects and Safety
Side effects of sildenafil can include:
- Diarrhea
- Headache
- Heartburn
- Muscle pain or numbness
- Nasal congestion
- Nausea
- Nosebleeds
- Sensitivity to light
Side effects of tadalafil can include:
- Diarrhea
- Cough
- Headache
- Heartburn
- Muscle pain
- Nausea
Roman ED Treatment Safety
Talk to your doctor before trying any of Roman’s ED treatment if you’ve ever dealt with hypertension (high blood pressure), strokes, arrhythmia, or heart failure.
When to Seek Emergency Medical Care
Contact emergency services immediately if you notice any of these potentially serious symptoms:
- Allergic reaction (swelling, itching, difficulty breathing, or hives)
- Changes in color vision (like having difficulty telling the difference between blue and green)
- Chest pain
- Difficulty breathing or swallowing
- Erections that are painful or last longer than four hours
- Fainting
- Lightheadedness
- Loss of hearing or vision
- Ringing in the ears
- Severe skin rash, hives, blisters, or peeling
- Swelling of the face, throat, hands, feet, or ankles
Roman ED vs. Alternatives
Ready to see how Roman stacks up against competitors like Hims, Rex MD, and Rugiet Ready? Here’s an at-a-glance comparison.
Roman vs. Hims vs. Rex MD vs. Rugiet Ready | Roman | Hims | Rex MD | Rugiet Ready |
|---|---|---|---|---|
| Single active ingredient ED meds | Starting at: Sildenafil $4/dose Tadalafil $11/dose Tadalafil daily $8/dose Cialis $20/dose Viagra $90/dose | Starting at: Sildenafil $4/dose Tadalafil $6/dose Tadalafil daily $1.33/dose Cialis $32/dose Viagra $139/dose | Starting at: Sildenafil $8.5/dose Tadalafil $8.5/dose Tadalafil daily $3/dose Cialis $29/dose Viagra $90/dose | ❌ Not available |
| 2-in-1 ED treatments | ✅ Sildenafil + Tadalafil (from $12/dose) | ✅ Vardenafil + Tadalafil (from $6/dose) | ❌ | ✅ Sildenafil + Tadalafil (from $14/dose) |
| Adjustable dosage and quantity options? | ✅ | ✅ | ✅ | ✅ |
| Unlimited messaging with healthcare provider? | ✅ | ✅ | ❌ | ❌ |
| Administration method(s) | Oral tablets Dissolvable Pill | Oral tablets Chewables | Oral tablets | Sublingual melts |
| Free delivery? | ✅ | ✅ | ✅ | 🟡 On subscription plans |
| Website |
Roman vs. Hims
If you’re especially interested in tadalafil or vardenafil, Hims is your best bet of the brands we’re considering. They offer as-needed tadalafil for just $6 per dose, and the daily version is just $1.33 per dose. Hims also opts for vardenafil rather than sildenafil for their 2-in-1 treatment. On the other hand, Hims is your priciest choice for brand-name medications like Viagra and Cialis.
Roman vs. Rex MD
Like Hims, Rex MD supplies tadalafil at slightly lower prices than Roman does. If you’re planning on taking tadalafil every day, those savings will surely stack up over time. If not, you may be better off with Roman: Rex doesn’t offer a 2-in-1 option or unlimited support from a healthcare provider.
Related reading: Rex MD Review – Is It Legit for ED & Hair Loss?
Roman vs. Rugiet Ready
Unlike the other brands on this list, Rugiet doesn’t prescribe standalone tadalafil, sildenafil, Viagra, or Cialis. Instead, their trademark sublingual melts combine sildenafil, tadalafil, and the dopamine booster apomorphine into a fast-acting and convenient all-in-one ED treatment–all for just $14 per dose. If that sounds interesting, Rugiet Ready is certainly worth looking into. However, if you want generic, branded, and combination options, Roman may be the better provider.
Related reading: Rugiet Ready Review – Are These Dissolvable ED Chews Legit?
The Verdict: Do Roman’s Treatments Work for Erectile Dysfunction?
Roman’s ED Treatments are ideal for individuals looking for a wide variety of branded, generic, and 2-in-1 options.
The bottom line is that Roman’s treatments are an effective and more affordable option for anyone experiencing symptoms associated with ED.
Thanks to their wide range of treatments for ED, including generic, branded, and a 2-in-1 combination option, Roman is an ideal option for anyone looking for a more affordable, convenient, and supportive treatment experience. Roman may also work well for anyone looking to manage multiple concerns–like ED and premature ejaculation or hair loss–without breaking the bank or attending countless doctor’s appointments.
On the downside, you may be better off choosing one of Roman’s competitors if you’re primarily looking for more affordable generic medications or chewable compounded medications.
Frequently Asked Questions (FAQs)
Are Roman ED pills FDA-approved?
Some of Roman’s ED medications are FDA-approved, such as Viagra and Cialis, while their 2-in-1 medication is not FDA-approved, but uses FDA-approved active ingredients.
How long do Roman ED pills last?
Depending on which medication you go with, you can expect the effects to last anywhere from 4-36 hours.
What is better than Viagra?
While it’s not necessarily better than Viagra, you can get its generic equivalent for a much lower price–Roman has sildenafil for just $4 per dose.
What’s the closest thing to Viagra that’s over-the-counter?
The truth is there’s no over-the-counter treatment that works as well as prescription medications like Viagra and Cialis. That said, you can get their generic counterparts, sildenafil and tadalafil, much more cheaply (but you’ll still need a prescription).
Is there a way to cure ED?
There’s no permanent way to cure erectile dysfunction, but a daily treatment like tadalafil can ensure you rarely have to deal with the symptoms.
Do you need a prescription to get Roman medications?
Yes, you’ll need to talk to one of Roman’s doctors to get a prescription if you want to access their ED treatments.
Methodology
We conducted extensive research to evaluate the pricing, effectiveness, accessibility, overall quality, and customer support of Roman, as well as some of their top competitors. To determine overall value, we evaluated cost, usability, options, subscription services, and discounts.
Other factors we investigated prior to choosing the best ED treatment provider included convenience, access to healthcare providers, package deals, and any free services or resources offered. For most useful overall, Roman stood out for their balance of affordability, effectiveness, and convenience for those experiencing symptoms associated with erectile dysfunction.
| Review Process | Key Metrics | Weighting |
|---|---|---|
| Purchase online | - ease to complete intake form - affordability - upfront commitment or subscription required? - money back guarantee or refund policy? | 1 |
| Shipping + unboxing | - shipping cost - time from order to treatment delivery - sustainable packaging | 1 |
| Testing + journal for 1-3 months | - ease of use - transition into habitual use - taste / smell / feel / pain | 1.5 |
| Results after 3 months of use | - efficacy / results - ease of forming a health habit - requires additional purchae? - responsive customer support - willingness to recommend to a friend | 1.5 |
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