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Roman ED

Overall Rating


53 Customer Reviews


Roman is a telemedicine company that offers name brand and generic erectile dysfunction medications, shipped directly to your door. Learn more about how Roman works, as well as the safety and efficacy of their products.

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Roman ED Meds Review: Is It the Right Treatment for You?

By Anthony Dugarte, M.D., C.S.C.S

Updated on: Dec 6, 2019

During sexual arousal, your brain, hormones and nervous system collaborate to drive the blood necessary for an erection into your penis. Erectile dysfunction (ED) can occur when one or more of these systems perform inadequately.

Multiple treatments are available as ED affects up to 20% of men worldwide; first-line therapy is phosphodiesterase type 5 (PDE5) inhibitors. These drugs work to increase blood flow to your penis during arousal by blocking the action of PDE5, an enzyme involved in the regulation of blood vessel diameter.

To combat this problem, Roman offers a subscription service for Viagra and Cialis, as well as their generic forms, through telemedicine technology. From the comfort of your own home, you can manage your ED in conjunction with a U.S. licensed physician and have medication shipped to your doorstep.

In this review, we will tackle Roman’s subscription process, as well as the safety and efficacy of their products.

Getting Started with Roman

Treating your ED with Roman is achievable in 3 steps:

1. Your Online Visit

As Roman provides medical treatments for ED that require a prescription, the first step is to meet with a physician. This service is offered remotely through its telemedicine platform. Simply submit your photo, a form of I.D., and a recent blood pressure measurement to determine eligibility.

While ED is often due to malfunction of one or more of the aforementioned systems, certain lab tests can paint a clearer picture of the underlying cause. Though not mandatory, Roman strongly suggests sending them your recent blood tests for a free analysis - this serves to optimize your treatment.

Physicians diagnose your ED through Roman’s platform as they would for any in-office visit – through a detailed history of your symptoms and assessment of your general health. You play a key role in this process as this information can help determine the best treatment options available for your needs.

Roman lists a number of important details to share with the physician prior to starting treatment; be honest and thorough. Any history of heart, vascular or lung disease, should be detailed. Recent surgery, liver or kidney issues, as well as a list of current medications must be shared during this visit.

2. Free Deliveries

Once the appropriate treatment for your ED is selected, place your order, and simply wait as your medication arrives with free 2-day shipping. The total cost to manage your ED is a function of the number of doses and shipping frequency.

3. Follow-Up Care

Roman offers free, unlimited follow-up visits through their telemedicine platform. Your feedback is an important part of your treatment plan. You can message the physician anytime so they are aware of the results, if any, as well as side effects you may be experiencing. Your treatment regimen may need to be altered.

What Medications Are Available and How Do They Work?

Roman offers Viagra and Cialis, as well as their generic forms, sildenafil and tadalafil, respectively. What’s the difference between the name brand and generic medications? Pricing (more on this later).

As the patent for Viagra expired in 2012, while that of Cialis in 2018, other drug companies began the manufacturing and sale of the generics. The U.S. Food and Drug Administration (FDA) requires rigorous testing prior to a drug being made available for sale.

Additionally, the FDA applies standards to all generic medications requiring them to be created equally when compared to the brand name in terms of dosage, safety, and efficacy.


ED occurs when psychological cardiovascular, or metabolic factors hinder the flow of blood to your penis. The latter two categories can be effectively managed with ED medications.

Sildenafil is the active ingredient in Viagra. As a phosphodiesterase type 5 (PDE5) inhibitor, it is considered first-line treatment for ED. This drug class works to block the action of PDE5, an enzyme that works to control the diameter of blood vessels, thereby allowing for increased blood flow.

When you become sexually aroused, sildenafil facilitates the blood flow into your penis that is required to achieve and maintain an erection. Doses at 25, 50, or 100mg are labeled as Viagra or its generic form. Doses at 20mg are considered Revatio or its generic form.

While Revatio and its generic are used to treat pulmonary hypertension, the Roman physicians may prescribe doses of this medication at 20mg increments in what is technically an “off-label” use. Again, the active ingredient, safety, efficacy, and route of administration are identical to Viagra.

Sildenafil has an onset of action of about 30 minutes, while it works for up to six hours. As this is the shorter-acting medication of the available options, it is prescribed to be used as needed and must be taken within 4 hours of sexual activity.


Also a PDE5 inhibitor, tadalafil is the active ingredient in Cialis and its mechanism of action is comparable to that of sildenafil. Tadalafil differs from sildenafil in that its effects can last 24-36 hours. This allows for both a daily dosing regimen or an as-needed prescription.

Roman offers both Cialis and generic tadalafil in identical doses. For both medications, 2.5–20mg tablets can be prescribed for as-needed use. If you prefer daily use, only the 2.5 and 5mg doses are available for this treatment option.

The Takeaway

Viagra and Cialis are the brand names for sildenafil and tadalafil, respectively. Sildenafil is short-acting and prescribed as needed, whereas as tadalafil’s longer-lasting actions allow for both daily and as-needed use. The brand name drugs are identical to their generic counterparts, though the generics are significantly cheaper.

Do These Medications Work?


The International Index of Erectile Capacity Form (IIEF) is a commonly used survey to measure various self-reported aspects of erectile performance, where higher scores indicate improvement. On average, this score nearly doubled after 1-month of treatment with 50mg of sildenafil in 141 patients and more than nearly 85% of patients in this study benefited from treatment at 6-months.

In another study, the efficacy of tadalafil and sildenafil did not differ. Additionally, the FDA reports a study comparing sildenafil treatment to placebo in 1,700 patients in which more than 60% of those treated with sildenafil reported improved erectile performance.


In a review of 4 studies comparing once daily and as-needed use of tadalafil in more than 1,000 patients, daily use demonstrated a greater improvement in IIEF. Another investigation demonstrated successful intercourse within 30-minutes of tadalafil treatment in 52% of the patients included.

The FDA cites more than 20 studies, 7 of which were randomized controls, in which the efficacy of tadalafil was investigated in over 4,000 subjects. The US trials demonstrated significant improvements in patient-reported erectile performance in both academic and community centers.

The Takeaway

Both drugs offer a variety of effective dosing regimens for the treatment of ED. The timing of doses with regards to sexual activity differs between sildenafil and tadalafil, with patient and partner preferences in favor of the latter.

What’s Your Best Option?

Roman offers plenty of options. Your medical history and symptoms will largely determine your eligibility for telemedicine ED treatment. Once approved, your price range, frequency of sexual activity, and interest in spontaneity will guide your physician in selecting the best plan of care for your needs.

In light of its shorter-acting effects, sildenafil requires careful planning as you must take it 4 hours prior to sexual activity. Tadalafil eliminates this requirement as it can be active for up to 72 hours. This increases spontaneity, while also allowing for daily or as needed dosing; both patients and partners seem to prefer it for these reasons.

The Takeaway

Consider your frequency of sexual activity, interest in spontaneity, and budget as Roman can offer options to accommodate most needs.

Are These Medications Safe?

While efficacy is similar for both drugs, they also have similar safety profiles. Nonetheless, they are not without risk, nor are they for everyone with ED.

The rate of adverse effects are similar for both medications and commonly include:

  • Nasal congestion
  • Upset stomach
  • Headaches
  • Back pain

Being thorough in your medical history prior to starting treatment is imperative. Share any history of heart, lung, liver, kidney, or bleeding disorders.

Be sure to provide a detailed medication list; drugs used to treat chest pain, blood pressure, HIV, and fungal infections can interact dangerously with ED medications.

Lastly, priapism, a painful, prolonged erection, is a medical emergency – seek immediate medical attention.

The Takeaway

A detailed medical history, description of symptoms, and a list of medications are important to share with your physician as ED treatment can be dangerous in certain conditions or in conjunction with certain medications.

How Much Does Treatment Cost?

This will vary patient to patient and depend on numerous factors, though there are some constants. For example, your membership, first visit, subsequent follow-up visits, and 2-day shipping remain free. No commitment necessary.

Pricing can vary greatly depending on medication, dosing regimen, and frequency of sexual encounters. Price per dose for each medication is detailed in the chart below.

Sildenafil (Revatio) Generic Viagra Viagra Generic Cialis Daily Generic Cialis Branded Cialis Daily Calis
Dose (mg) Price Dose (mg) Price Dose (mg) Price Dose (mg) Price Dose (mg) Price Dose (mg) Price Dose (mg) Price
20 $2 25 $34 25 $70 2.5 $11 2.5 $8 2.5 $17 2.5 $13
40 $4 50 $34 50 $70 5 $11 5 $8 5 $17 5 $13
60 $6 10 $34 100 $70 10 $44 10 $69
80 $8 20 $44 20 $69
100 $10

Can I Obtain These Medications Elsewhere?

Both the brand name and generic medications are available from other telemedicine services with similar platforms that allow you to skip the office visit and have your medication delivered to your doorstep.

BlueChew and hims are 2 options; both offer free visit with licensed physicians, free 2 day delivery, and a variety of dosing regimens.

Generic forms of first-line ED medications decrease cost substantially, monthly orders can still add up, however. A daily regimen of generic Cialis would approach $3,000 for a year of treatment with Roman.

Though these telemedicine services are convenient, it may be worth exploring the potential of your insurance provider in covering ED treatment (Medicare and many private insurers do not cover medications used to treat ED).

Another option includes doing some investigation of your own as regular drugstores and some discount online programs offer these medications at just pennies on the dollar.

What Are Customers Saying About Roman?

Based on 48 reviews here on HighYa, Roman averages 3.1-stars (out of five). In examining these reviews, it is apparent that Roman staff is extremely responsive – definitely a plus for this company. They seem to readily reply to both favorable reviews, as well as to those form customers with poor experiences.

While most praise Roman for their fast shipping and effective products, their less than perfect rating is related mainly to negative reviews from more recent customers that had a single issue with the shipping process. These reviews centered around experiencing slower than advertised transit or being charged in error.

In these instances, a representative from Roman reached out to apologize and rectify the situation by providing additional contact information as well as offering credit for another shot at their services.

Digging back farther, there were also a number of complaints regarding the fee for the initial visit. As Roman no longer charges this fee it seems as though they are willing to implement customer feedback.

The Bottom Line

Roman provides a wide variety of dosing regimens for brand name and generic ED treatments. The medications offered are effective, and safe if used correctly.

These medications are not without risk, however, so sharing a detailed medical history is paramount prior to starting treatment. Dangerous effects can occur in those being treated for cardiovascular-related issues.

The convenience of telemedicine treatment for ED can be costly; even the pricing for generic medication adds up over time.

Customer Reviews

3.1 Stars out of 53 Reviews
5 Star:49% 4 Star:0% 3 Star:1% 2 Star:9% 1 Star:39%
47% Recommend This Company
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Posted on Aug 22, 2023

Not working at all

By Boyke F., New Hampshire, Verified Reviewer

Bought the product, says to take them with an empty stomach. I took them and they make me drowsy. Next thing, I fell asleep and when I woke up the effects are gone already and I slept for like 3 hours and my penis is only half hard and cum under 10 minutes, using the spray works better for me. Totally a waste of money.

Length of Use: Less than 3 months

Bottom Line: No, I would not recommend this to a friend

Posted on May 8, 2023

Physician didn't read info provided

By D M., Williamsport, PA, Verified Reviewer

Frustrating experience at best. Provided info and assigned physician simply prescribed lowest starting dose. Replied to his emails 2x with correct info and still recommended lower dose than what already failed. Don't believe he read my email responses; finally read the complaint I gave customer service. Got the feeling someone was following a flow chart vs actually digesting provided information. Felt I was assigned a lazy physician or you really don't get one. Cancelled my incorrect prescription. In addition, prices are very high.

Bottom Line: No, I would not recommend this to a friend

Pros and Cons

Customer service was very helpful (I know because I had to call them 3x).

"Assigned" physician — either BS or I got a poor doctor.


Posted on Jun 15, 2021

So far unimpressed

By David R., Virginia, Verified Reviewer

Thought I’d try Roman because of the quick and free shipping. I understand my state requires a phone visit with the doctor, website says the doc will contact me within 24 hours, but the only contact from the doc was a message on my account that said he tried to call. I never missed a call and was checking status periodically throughout the day. I call BS! Seems like the doc didn’t feel like working and bought himself more time since he allegedly reached out within 24 hours like they stated. Convenient that the message came 10 minutes before quitting time.

Bottom Line: No, I would not recommend this to a friend

Pros and Cons

No “pros” were specified in this review


Posted on May 14, 2021

A year plus

By Phillip S., Crystal Lake, IL, Verified Reviewer

I've been using Roman for about 2 years, for ED. They do what they say they are going to do, works for me. Doctor and customer service are competent.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Customer service is good

Prices are fair

No “cons” were specified in this review

Posted on Jul 7, 2020

Extremely fast service and friendly customer service

By Miguel G., Jacksonville, FL, Verified Reviewer

I had ordered through Roman twice and they have been great. As a matter of fact, yesterday was my birthday and I had placed an order and the system duplicated the billing. I contacted customer service and they shipped my medication and gave me a full refund without hassle because of the double billing that accidentally happened. The shipping is fast and the products they sell are good, especially the hair and nail products. I got to give Roman 2 thumps up on service and a 5-star overall rating for great service, inexpensive medication, and good products overall.

Length of Use: 3–6 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Fast service

Good products

Great customer support

No “cons” were specified in this review

Posted on Apr 25, 2020


By M V., Kailua Kona, HI, Verified Reviewer

Company is attempting to reimburse me and get a product to me that works.

Bottom Line: No, I would not recommend this to a friend

Posted on Feb 26, 2020


By Thom T., Kansas, Verified Reviewer

I first called Roman in need of medication. The process requires a photo of your driver's license, which in my case came out blurry. After I "registered" I didn't get an auto welcome email, just nothing, 3 days passed. I call Roman, explained everything to the "customer service" which was so bad they ended up overnight my meds, at their expense. Good, right, so I thought. I get the meds and they weren't working very well so I googled the correct dose and it's DOUBLE what Roman's doc prescribed. I called Roman to find out was going and then it's our policy this, sorry that, and so on. Then $28.00 refund this, sorry that...AVOID!

Bottom Line: No, I would not recommend this to a friend

Company Response from Roman Health

Feb 28, 2020

Hi there, thanks for your comment and apologies for the frustration you experienced. This is Mike from the Roman team, I'd love to directly address/offer some insight into the issues you experienced and described above. We do require a clear photo of your license in order to ensure we're treating the right person. We apologize that you had difficulties uploading a clear photo, it sounds like the communication should have been better on our end notifying you that your photo was unclear - that's on us and we'd love to offer you a promo credit to help ease that frustration, should you ever decide to use Roman again.

It sounds like we overnighted your medication in order to help make up for the delay in your online visit/photo submission - glad our care team could make that happen for you at no charge!

Without knowing specifically what you're prescribed, I'd love to address your dosage complaint. Your doctor prescribes what he or she determines will likely work best for you. As with most medication, titration is key and dosage is often adjusted after you're able to try the medication and determine its efficacy on your body. Googling a "correct" dose for Rx medication is not specific medical advice for you and should not be taken as such. If your medication isn't working as you'd like it to, we definitely encourage connecting with your Roman physician directly. You have free, unlimited access to them as a Roman member and that doctor can work with you to adjust your medication if necessary.

It sounds like we were also able to refund you for medication you used and received - we're happy to have been able to do that for you, but would still love to work with you in order to have the Roman experience and treatment you deserve. If you're interested, email me directly anytime at mikes@ro.co and we can continue the conversation and make sure you're taken care of appropriately! Thanks and enjoy the weekend.


Posted on Dec 28, 2019


By T L., California, Verified Reviewer

I have been having some problems getting my friend up during our special times. Was very skeptical at first but I gave it a chance, I feel more confident in myself and I know I can please my wife when I want too. The brand I chose was Roman as I did the most research on it. Made me feel normal again. Give it a shot!

Bottom Line: Yes, I would recommend this to a friend

Company Response from Roman Health

Feb 28, 2020

Thanks for the support! Here to help any time you need us.

Helpful Review? 4 People Have Voted

Posted on Oct 31, 2019

Weird experience - slow shipping

By Travis R., Peoria, AZ, Verified Reviewer

I saw the ad from TV, thought I’d give it a try. I set up an account and didn’t get to see prices until the very end of the order. I ordered the 20mg off label sildenafil, but needed 5 pills to work as I’m 210 lbs. Also, I would have liked to know the brand upfront...all said and done, I should have just ordered the 100mg. But at that point, there are other websites that are cheaper. Shipping was 2 days late, as the FedEx 2-day didn’t arrive in time. Way too hard to cancel my subscription. Lol, I don’t have that much sex where I need it monthly...I disputed my credit card as it was an easier route. Just being honest.

Bottom Line: No, I would not recommend this to a friend

Company Response from Roman Health

Nov 5, 2019

Hi T - thanks for leaving your thoughts, it sounds like you had a less than stellar experience and we're sorry about that. We'd love the opportunity to address some of the issues you had and make things right.

Apologies again for any confusion around our pricing - we aim to be transparent in all things including cost of treatment, and are careful to include that pricing when appropriate during your online visit. You can also check out our full page of offerings and corresponding prices any time at getroman.com/pricing

There's no excuse for your order arriving behind schedule, we've messaged you here privately in order to follow up on exactly what happened and make sure to avoid a similar situation in the future.

You can pause, delay, cancel, or switch to on-demand ordering any time by signing into my.ro.co with your Roman login info. If you do ever have trouble, we're available 24/7 at care@ro.co and M-F 9:30-6:30 ET at (888) 798-8686‬ - here and eager to help with anything you might need!

Finally, we'd love to offer you an account credit to help make up for the frustration you've clearly experienced. Really looking forward to connecting in DMs to facilitate that, if you're interested.

Thanks again for your honest thoughts here - we take your concerns seriously and will use them to continue getting better.

Mike Stangle

Community Manager


Helpful Review? 3 People Have Voted

Posted on Jul 31, 2019

Fast shipping

By Kris B., Washington, Verified Reviewer

Ordered on Wednesday night, got pills Monday night. Transaction was very easy and smooth. I haven't tried pills yet but once I do I'll leave my review on that part. I read a lot of "it's a SCAM" reviews and it's absolutely not.

Bottom Line: Yes, I would recommend this to a friend

Company Response from Roman Health

Feb 28, 2020

Thanks for the support! Can't wait for your follow up review.

Helpful Review? 11 People Have Voted

Posted on Jun 11, 2019

Easy to get started - SLOW SHIPPING!

By Michael A., Oregon, Verified Reviewer

I found starting up the process with Roman simple and effective. Cost is not the best but it is reasonable. The BIGGEST downside is they claim to use 2-day shipping. It normally takes 7-10 business days to get my order for some reason. So if you do use this service, make sure you reorder well before you run out of your current inventory!

Customer service...almost seems to be non-existent unless they are taking your credit card information.

Bottom Line: No, I would not recommend this to a friend

Company Response from Roman Health

Jun 26, 2019

Hi there, this is Mike - I'm the Community Manager here at Roman. Thanks so much for taking the time to share your thoughts. I apologize for any delay you might have experienced - we do offer free 2-day shipping but aren't able to if we're shipping to a PO Box. Is that the case with your address? Either way, I'd love to touch base through email to ensure your account is accurate and there hasn't been a miscommunication in any way. Would you mind messaging me privately here or at care@ro.co with the subject ATTN: MIKE? I'm eager to investigate your shipping issues and get them straightened out for you. Looking forward to connecting, thanks again for the feedback.



PS - our customer service agents typically respond to emails within 3 hours. We're also available by phone M-F 9:30-5 ET at (888) 798-8686. Please don't hesitate to reach out on those channels if you're ever in need - we're here to help.

Helpful Review? 14 People Have Voted
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