Content
Be ready for sex whenever you're in the mood

Rugiet is a telehealth platform that sells prescription medications for hair growth, weight loss, and men’s health issues, including sexual health issues like erectile dysfunction (ED) and premature ejaculation (PE). Its sexual health medications include sildenafil (the active ingredient in Viagra®) and tadalafil (the active ingredient in Cialis®).
In this guide, we’ll review Rugiet’s PE and ED medications, how they work, and how much they cost.
We’ll also discuss alternative options for ED treatments to help you decide on the best course of action.
Content
Here’s a quick look at Rugiet’s telehealth services.
Who? Rugiet sells prescription medications for erectile dysfunction and premature ejaculation, as well as medications aimed at weight loss and hair regrowth.
What? Rugiet sells three sexual health products: Rugiet Ready, Rugiet Boost, and Rugiet Go Long. Rugiet Ready is a 3-in-1 sublingual tablet containing sildenafil, tadalafil, and apomorphine. Rugiet Boost is a cinnamon-flavored chewable ED tablet containing tadalafil and DHEA, which is a hormone involved in estrogen and testosterone production. And Rugiet Go Long is a 2-in-1 containing tadalafil and paroxetine (the active ingredient in Paxil®).
How much? Plans at Rugiet start at $2.70/dose for Rugiet Boost and $10/dose for Rugiet Ready, and starting at $1.95 for Rugiet Go Long.
Rugiet is a telehealth platform that sells prescription medications for a number of health concerns, including erectile dysfunction and premature ejaculation, in various formulations: dissolvable troches or lozenges, chewable tablets, and standard pills.
Across three unique products, ingredients include sildenafil and tadalafil, which are PDE5 inhibitors that help men get and keep erections by boosting blood flow to the penis. One of Rugiet’s products also contains apomorphine, a dopamine promoter, and another contains paroxetine, an antidepressant commonly prescribed for PE.
Rugiet allows customers to meet virtually with licensed healthcare providers and order medication online if they’re cleared for care.
The platform is accessible in all 50 states, including Washington, D.C.
Rugiet’s medications for ED and PE include:
Rugiet Ready (sildenafil, tadalafil, and apomorphine)
Rugiet Boost (tadalafil and DHEA)
Rugiet Go Long (tadalafil and paroxetine)
Rugiet Ready is a fast-acting, sublingual ED medication containing tadalafil, sildenafil, and apomorphine. This 3-in-1 formula tastes like chocolate and mint and dissolves under the tongue. While sublingual medications are designed to enter the bloodstream faster, some people may find this delivery method difficult, as you must keep the tablet under the tongue for up to 10 minutes to dissolve.
Dosages available | Various (sildenafil ranging from 40-110 mg; tadalafil 14-22 mg; apomorphine 2-3 mg) |
Dose quantities | Packs of 6, 12, 18, or 24 |
How to take it | As needed, at least 15 minutes before sex |
How quickly it works | The product is said to start working about 15 minutes after taking it. However, studies show both tadalafil and sildenafil can take 30 minutes or longer to work. Research does suggest that apomorphine has a faster onset time, although it can take 20 minutes to support erections in some users. |
How long it lasts | Around 36 hours |
Flavor | Mint-chocolate |
Tadalafil (generic Cialis) is the active ingredient in Rugiet Boost. The chewable tablet can be taken daily or as needed before sex to improve erectile function. The product also contains DHEA to support testosterone levels.
Dosages available | 8 mg |
Dose quantities | Packs of 10, 20, or 30 |
How to take it | As needed, about 60 minutes before sex, or daily |
How quickly it works | 30 minutes to an hour or on-demand when taken daily |
How long it lasts | About 36 hours |
Flavor | Cinnamon |
Rugiet Go Long treats ED and PE, which commonly occur together. The 2-in-1 pill contains tadalafil for ED and paroxetine (generic Paxil®), an antidepressant prescribed off-label for PE.
Dosages available | Limited information on the website |
Dose quantities | Limited information on the website |
How to take it | As needed, about an hour before sex |
How quickly it works | 30 minutes to an hour |
How long it lasts | Around 36 hours |
Flavor | No flavor |
The products offered by Rugiet use similar ingredients to FDA-approved medications like Viagra, Cialis, and Paxil.
Viagra and Cialis are some of the most commonly prescribed ED medications, proven to be effective in 60 to 70 percent of patients.
And apomorphine, the other ingredient in Rugiet Ready, helps users achieve erections within 30 minutes of taking the medication, sometimes as quickly as 10 minutes after dosing.
Studies also show that paroxetine is more effective than a placebo in improving premature ejaculation, with well-tolerated side effects. Some research also suggests that combining paroxetine and tadalafil provides better results in terms of helping sex last longer and increasing satisfaction versus paroxetine alone in PE patients.
The various ingredients in Rugiet’s offerings work differently. PDE5 inhibitors like sildenafil and tadalafil work as vasodilators. They inhibit the action of the PDE5 enzyme, which leads to an increase in cyclic guanosine monophosphate (cGMP), which causes blood vessels to widen. This allows better blood flow to the penis, a key component of getting an erection.
Apomorphine works a little differently. As a dopamine agonist, the medication activates a specific area in the brain called the paraventricular nucleus, which triggers signals that lead to an erection.
Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that helps improve premature ejaculation by delaying ejaculation, as delayed ejaculation is a common side effect of these types of medications.
Like any medication, Rugiet products carry a risk of side effects.
The most commonly reported side effects of PDE5 inhibitors like sildenafil and tadalafil include:
Headaches
Flushing
Dizziness
Nasal congestion
Upset stomach
Back pain
Visual changes
Low blood pressure
Though rare, more serious side effects can occur, such as:
Hearing loss
Vision loss
Priapism (a painful erection that lasts more than four hours)
Patients should not use PDE5 inhibitors if they are taking other ED pills, enhancement supplements, nitrates, or nitroglycerin.
These medications may also not be safe for those with certain health conditions like hypertension (high blood pressure), hypotension (low blood pressure), a history of heart failure or angina, and those recovering from a heart attack or stroke.
Side effects of paroxetine include:
Dry mouth
Drowsiness
Loss of appetite
Trouble sleeping
Sweating
Though Rugiet doesn’t require an in-person visit to a doctor’s office, you do need to consult with a licensed medical provider before ordering prescription medication.
The first step is completing an online medical questionnaire so one of the board-certified doctors in the Rugiet Health network can evaluate your health and determine if medication suits your needs.
You and your Rugiet provider will work together to determine the right medication and dose. All these steps will be completed virtually, either through messaging, phone calls, or video chat with the provider.
If you’re prescribed medication, your order will be shipped directly to your door in discreet packaging, anywhere in the U.S.
Pricing at Rugiet Health varies depending on the product, dose, and amount.
Rugiet Ready starts at $10 for the lowest dose, with a three-month prescription, and Rugiet Go Long, starts at $1.95 per dose.
We couldn’t find pricing information for the Rugiet Boost product on the website.
Rugiet also offers one-time purchases, but they don’t include a free consultation—that’s $20 extra. Refunds and returns are unavailable.
As a subscription-based model, Rugiet allows you to order your medication monthly or every three months.
Rugiet has an A- rating from the Better Business Bureau but is not BBB-accredited.
On TrustPilot, Rugiet is rated 4.1/5 stars. Customers have praised Rugiet for its customer service and product effectiveness. Others have found the product too expensive, and some have had difficulty canceling their subscription.
No, Rugiet products are not approved by the Food and Drug Administration because the FDA does not approve compounded medications.
However, these medications are made in licensed compounding pharmacies. On the FAQ section of the website, Rugiet explains that they complete regular audits and routine batch testing to verify that every medication meets strict quality requirements.
Here’s a quick review of Rugiet’s pros and cons regarding their sexual health products.
Pros:
You can complete your medical evaluation and order medication (if prescribed) on the Rugiet website.
Rugiet’s products contain similar ingredients to brand-name Viagra, Cialis, and Paxil but are generally more affordable.
Rugiet offers 3-in-1 and 2-in-1 medications to treat various symptoms at once.
Rugiet products come in various forms: sublingual, chewable, and standard pills.
Rugiet offers multiple dose options and dose quantities.
Rugiet ships throughout the U.S., including Washington, D.C.
Cons:
Rugiet only offers three sexual health products with limited dose options.
Flavors are limited. The Rugiet Ready product only comes in a chocolate-mint flavor, Rugiet Boost is cinnamon-flavored, and Rugiet Go Long is flavorless.
You need to order and pay for your prescription online, which may be challenging for some people.
One-off orders require a consultation fee.
Rugiet doesn’t accept insurance.
Erectile dysfunction medications like sildenafil and tadalafil are considered first-line treatments, but they’re not the only options. For instance, some people find a significant improvement in ED and PE by making lifestyle changes or seeing a therapist.
Other ED solutions include vacuum erection devices, alprostadil injections, and penile implants.
Other PE solutions include topical anesthetics (which can be purchased over the counter) and techniques like the stop-start or squeeze technique.
Other telehealth platforms work similarly to Rugiet but may offer more ED and PE medications.
Online health platforms like Rugiet take the hassle out of accessing medication for sexual health issues. But is it the right choice for you? Here are three key takeaways before you commit:
Rugiet only offers three sexual health products. Rugiet only offers three products aimed at sexual health, with limited dose options. However, these products do contain effective active ingredients like sildenafil, tadalafil, and paroxetine, which have been studied thoroughly for sexual dysfunction.
Rugiet’s products come in various formulations. If you can’t swallow due to a medical condition, you may find Rugiet’s sublingual or chewable forms appealing. Rugiet also offers standard pills with its Go Long product.
Rugiet’s reviews are mixed. Though the BBB gives Rugiet an A-rating, it isn’t accredited. TrustPilot scores Rugiet at 4.1/5 stars.
Want to learn more about what causes ED and PE and what treatments are available? Find out how to treat erectile dysfunction and premature ejaculation at the same time, and get advice from a healthcare professional at Hims to determine if ED medication is the right choice for you.
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at blog@forhims.com!
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.
Full Name: Lynn Marie Morski, MD, JD
Current Role at Hims & Hers: Medical Advisor
Education:
Juris Doctor - Thomas Jefferson School of Law, 2014
Doctor of Medicine - Saint Louis University School of Medicine, 2005
Training:
Primary Care Sports Medicine Fellowship - University of Arizona, 2009
Family Medicine Residency - Mayo Clinic - 2008
Medical Licenses:
California, 2010
Board Certifications:
Affiliations & Memberships:
Specialties & Areas of Focus:
Mental Health, Primary Care, Psychedelic Medicine
Years of Experience: 11
Previous Work Experience:
Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025–
Investigator - Elite Clinical Network, June 2024–
Physician - Veterans Administration, 2010–2019
Publications & Research:
Morski LM. Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. Am J Ther. 2024;31(2):e183-e185. https://journals.lww.com/americantherapeutics/citation/2024/04000/invited_commentary_on_psychedelic_therapy__a.9.aspx
Grover, M., Anderson, M., Gupta, R., Haden, M., Hartmark-Hill, J., Morski, L.M., Sarmiento, Dueck, A. Increased osteoporosis screening rates associated with the provision of a Periodic Health Examination. J Am Board Fam Med November-December 2009 vol. 22 no. 6 655-662. https://www.jabfm.org/content/22/6/655.long
Morski, L.M., Bratton,R.L. and DeBrino, G. Older Man With Fever and Tender Rash. Consultant, 2009, May 49(5). https://www.consultant360.com/content/older-man-fever-and-tender-rash
Medical Content Reviewed & Approved:
List pages or topics the expert has reviewed for accuracy
Quotes or Expert Insights:
Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. We all deserve mental health support that’s evidence-based, accessible, and affordable.
Media Mentions & Features:
A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024
Why I Practice Medicine:
I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Everyone deserves to feel informed and empowered when it comes to their health!
Hobbies & Interests:
Salsa dancing, drumming, surfing, scuba diving, triathlons
Professional Website or Profile: https://www.morskiconsulting.com/, https://psychedelicmedicineassociation.org/