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.

Sildenafil

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.

Tadalafil

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?

Sildenafil

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.

Tadalafil

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 45 reviews here on HighYa, Roman averages 3.2-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.


Read 46 Roman ED Meds Customer Reviews and Complaints

Write a Review
Average Customer Rating: 3.2
Rating Snapshot:
5 star: 24 4 star: 0 3 star: 1 2 star: 3 1 star:  18
Bottom Line: 50% would recommend it to a friend
Showing 1-11 of 46
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  • Big rip-off warning

    • By Roger W.,
    • Colorado,
    • Aug 9, 2018
    • Verified Reviewer

    After taking a charge of $15 on my credit card they didn't contact me as they said they would, and repeated calls to the listed phone number gets you to a Google Phone Number with a "leave a message." Discover Card refuses to refund me the charge, even after Roman repeated fails on returning my phone calls and website messages. So avoid Roman and Discover Card.

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


  • They are a fraud and scam

    • By Ed R.,
    • Orlando, FL,
    • Oct 15, 2018
    • Verified Reviewer

    It was my first experience with them and I have never received my order or my $15 back. I checked my bank account and sure enough, they took the money. Since our last correspondence, they stopped replying. I will now do all that's possible to report them everywhere I can. Beware of angry old men!

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


  • No luck!

    • By Jw O.,
    • Grants Pass, OR,
    • Nov 3, 2018
    • Verified Reviewer

    This is an embarrassing subject. I signed up, went through the process, I described what the website asks, the phases, questions asked, gave my full information, credit card, and the instructions said you will be billed $15 and the rest after the doctor speaks to you. I contacted via email and online chat, my email and info were up on the site over 24 hours and bang, my info disappeared. All I got was you never completed the forms, no one looked into anything, and now I'm going to be charged 15 bucks, and I'll have to tell them I contacted an ED company about meds. These people do not care...all they said was you did not complete the process? How would I know the details then...

    They got my 15 bucks, and all I got was the runaround. My advice is to go to the real doctor, these guys are clowns. Sorry, no one cares at Roman or is accountable, you're just not here on our records Mr. Smith/Jones or whatever, see YA! Sammy...very poor customer service. Feel free to make an effort Roman.

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


  • Updated review

    Edit

    • By Aaron,
    • Jul 31, 2018
    • Verified Reviewer

    To those making comments about my review, it is not illegal to perform telemedicine in Nebraska; it’s illegal to prescribe without actually talking to a doctor per Nebraska telemedicine laws. I was expecting a call from a doctor and instead just received the medication in my mail. I immediately canceled my service and reported them. Weird also how a lot of positive reviews on this site are from New York, the headquarters of Getroman. Hmmm...

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

    • Previous review
    • Apr 13, 2018

    Getroman.com doesn’t follow telemedicine laws

    Getroman.com claims they follow the law, but they do not. All states have varying telemedicine laws. Laws required to perform prescription writing over the phone or on the internet. Getroman.com does not follow the law.

    Example: I ordered with them, I live in Nebraska, and telemedicine laws in my state require I verbally talk to a doctor over the phone. I talked to nobody. All I had to do to order was send a copy of my driver's license and a picture of myself and a week later I got prescription drugs. This is illegal. I could be a little kid that stole my dad's wallet and took his picture, and I could have gotten prescription drugs from Getroman.com. This is unacceptable.

    There are numerous other online sources that operate legally, and Getroman.com is not one of them and is a scam. There are private companies that monitor online telemedicine companies, LegitScript and CSIP. Getroman.com is approved by LegitScript, but they should not be as they do not follow telemedicine laws. I’ve already filed a complaint with LegitScript and CSIP. If you want prescription drugs and you want to obtain them illegally, use Getroman.com.

    (read moreread less...)

  • Efficient but expensive

    • By Edward M.,
    • Rhode Island,
    • Mar 25, 2019
    • Verified Reviewer

    I was very impressed with the efficiency of the process. I filled out the form and was called by one of Roman's doctors the next day. He was helpful and did ask some questions to make sure the medication was appropriate for my situation. I received the medication within 2 days. It came in the form of individually wrapped dosages. The cost was $72 for 12 doses. There-in lies the rub. That turns out to be quite expensive.

    I subsequently spoke with my own doctor who provided a prescription which I filled at a local Walmart with a coupon I obtained from GoodRX. By doing it this way, I was able to get 30 doses at approximately 1//2 the cost. Also, be aware that Roman automatically signs you up for auto-refill, which is cumbersome to cancel. You need to really look for it in FAQs in order to find out how to do it - It is not obvious.

    Bottom line: While Roman is very convenient, if you work with your own doctor you can save a lot of money.

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

    • May 15, 2019

      Company Response from Roman Health

      Hi E, thanks for taking the time to leave this honest review. We're working hard to offer the most competitive prices that we are able, but we certainly understand your decision making in this situation. We've added some account credit if you ever decide to return to Roman for treatment, thanks again for your thoughts - we're here if you need us.

      - Mike from Roman


  • Unresponsive ripoff after charging for consult

    • By Bob H.,
    • Dallas, TX,
    • Feb 21, 2019
    • Verified Reviewer

    I went online, answered the questions and was given the "medical consult" and charged for it. Told them I had a history with Sildenafil, 100mg pills. She prescribed 20 mg pills, 10/month.

    I asked for 30 of the 100 mg pills and asked them to be sent to my preferred pharmacy in Houston.

    The physician then went on to prescribe 150, 20 mg pills with the instruction to take them 5 at a time!

    My pharmacy sent back 2 requests with questions for clarification. One a day after receipt, the other 6 days later.

    36 days later, after multiple calls, I received a message from the doctor that she didn't deal with insurance questions. What the heck? (Never did respond to the pharmacy.)

    I told her that the pharmacy didn't have 20 mg pills and buying 150 of them at $5 would be a ridiculous $750. The 100mg tabs from my pharmacy are approximately $6 each, so even 30 would only be $180.00.

    They have 36, 55, 75, 100, 110, and 125 versions available from regular pills to under the tongue dissolvables.

    I've never heard of being prescribed to take (and pay for) 5 pills at a time when a single pill is available.

    When I confronted/queried the online physician, she took offense, still did nothing to solve the problem, and merely offered to send the 150 pill prescription to another pharmacy.

    This does not seem to represent standard medical practice to me nor does it represent ANY sort of responsive customer service, or individual/patient consideration. Just a money grab!

    I personally feel scammed by being charged for a "medical consultation" then not being offered standard, reasonable, approved and available therapy.

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

    • May 15, 2019

      Company Response from Roman Health

      Hi Bob - this is Mike with the Roman Care Team. I'm sorry this has been such a process. We've located your account and issued you a refund for your doctor's consult - please keep an eye out for an email at care@ro.co confirming receipt. We are still committed to providing you with the medical treatment you deserve, and are looking forward to resolving this issue with you.


  • Sent incorrect dosage

    • By Zack R.,
    • California,
    • Oct 21, 2018
    • Verified Reviewer

    I purchased six 60 mg tablets for $36, instead, I received six 20 mg tablets. I contacted customer service and received a reply saying that I need to take three 20 mg tablets to get the 60mg. 60mg tablets are $6 a piece and 20 mg tablets are $2 a piece.

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


  • Fast service, real meds!

    • By Dave J.,
    • Norfolk, VA,
    • Oct 27, 2018
    • Verified Reviewer

    I started the process around 6 pm on Tuesday and got my meds (generic Viagra) around noon on Friday! I ordered the 6/60mg, but received 18/20mg! Which was better because I was going to try to cut the 60mg in 1/4 with a pill splitter anyway! I try one 20mg around 4 and then proceed to give my wife 45 minutes of the best sex in years! She wanted to call off from work for more fun! So meds are definitely real! I am writing this at 6 am Saturday morning and I'm still getting extremely hard erections like I was 16 years old (I'll be 50 in February)! I am waiting for my wife to get home from work now.

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


  • Stay away

    • By Jayson B.,
    • Texas,
    • Nov 7, 2018
    • Verified Reviewer

    I used this to quit smoking; they sent a prescription for Bupropion. I had a severe reaction to this medication. Then in a couple of weeks I received another bottle, and they charged my account, at which point I contacted them to refund my money for a product I could not take, and of course they refused, citing FDA guidelines, which does not state they cannot refund the money on a product I do not want, nor can I use it.

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


  • Scam

    • By David B.,
    • Washington DC,
    • Dec 7, 2018
    • Verified Reviewer

    I filled out a bunch of questions and paid $15 for a doctor to "review my chart," only to be automatically denied based on my answers to the questions. They could have rejected me without a doctor’s review and without taking my money, so thanks for the scam.

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

    • Jan 17, 2019

      Company Response from Roman Health

      Hi This is Mike from the Roman care team. I understand your frustration following the decision your physician made, and would be happy to clarify.

      The $15 consultation fee is paid to your physician and their practice for the consultation they provided. This is the same as if you visited a doctor in person and paid a co-pay to discuss your sexual health. Just as in a doctor's office, we cannot provide a refund for this fee.

      As stated on our website, the only cases in which a refund is provided are if the individual has too complex of a medical history to be properly evaluated via telemedicine, which was not the case here.

      I’m so sorry you did not receive the results you wanted. If you’d like, we can offer a free phone consultation with our clinical director to speak about any health concern you may have and to further expand on this decision. You can schedule that through email at care@ro.co . Thanks David!


  • Easy, works, economical!

    • By MMan M.,
    • Oregon,
    • Jun 7, 2018
    • Verified Reviewer

    Just as the article describes, I filled out a brief online questionnaire, then a physician called me by phone and discussed my case. He agreed I was a good candidate for the drug, so he created a prescription and order, and in about one week, I had my first eight doses of generic sildenafil (Viagra). I would highly recommend going that route as it is much cheaper than the brand-name drug and it worked wonderfully for me!

    I have since found it easy to send follow-up messages to the online doctor I was assigned to and get prompt replies. I have since changed my ordering quantity to get more doses per month since they have proven themselves to be safe, reliable and accessible.

    This service is really terrific and is something MUCH needed in the medical community. My only word of advice is to remember, like they say, this service and doctor are not intended to replace your regular doctor, and what you do, TELL THE TRUTH on the medical questionnaire and when you talk to the doctor by phone. Remember, he is relying on your honesty to know if it is safe to prescribe you an ED medication. If you lie about other health conditions, drugs you are taking, etc., you can really harm or kill yourself, so do the right thing. Be straight up with them, and they will be straight with you.

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


Showing 1-11 of 46

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