Rugiet review: what to know before buying

Rugiet is a telehealth platform offering prescription medications for hair growth, weight management, and men’s sexual health. Its ED and PE treatments may include active ingredients like sildenafil (Viagra) or tadalafil (Cialis).

Sildenafil and tadalafil are approved by the US Food and Drug Administration (FDA) for ED. But Rugiet’s formulations are compounded medications, which are not FDA-approved. These may be prescribed off-label when a patient’s needs aren’t met by standard options or during drug shortages.

In this article, we’ll review Rugiet’s ED and PE products — how they work, their effectiveness, and their pros and cons — and compare them with alternative ED treatments to help you decide if Rugiet is the right choice.

This article is Ro-sponsored content intended for informational purposes only. It should not be taken as medical advice. If you have any questions or concerns about your condition or treatment, please talk to your healthcare provider.

Here’s a quick breakdown of what Rugiet is, what it offers, and whether its treatments might be the right fit for you:

What it is: Rugiet is a US-based telehealth platform that provides prescription medications for men’s health concerns such as erectile dysfunction (ED), premature ejaculation (PE), hair loss, and weight management. To get started, you complete an online questionnaire, which is then reviewed by a licensed healthcare provider, according to Rugiet. If you’re eligible, the provider can prescribe treatment, and the medication is shipped directly to your home. The entire process can be done virtually. Rugiet is available in all 50 states, including Washington, DC. 

What it offers: Rugiet offers four men’s sexual health products, many of which primarily address ED. These treatments come in various forms, including a dissolvable lozenge, a chewable, and pills. All of these feature active ingredients sildenafil and/or tadalafil — two individually FDA-approved phosphodiesterase type 5 (PDE5) inhibitors. (Rugiet’s offerings, however, are not FDA-approved as they are compounded formulations.) PDE5 inhibitors improve blood flow to the penis to help men achieve and maintain erections.

Rugiet’s specific options include:

• Rugiet Ready: A 3-in-1 sublingual tablet that contains sildenafil, tadalafil, and apomorphine (a dopamine agonist thought to stimulate arousal that is used off-label for this purpose). 

• Rugiet Boost: A cinnamon-flavored chewable that contains tadalafil and dehydroepiandrosterone or DHEA (a hormone that the body converts into testosterone).  

• Rugiet Go Long: A 2-in-1 pill that contains tadalafil and paroxetine (a selective serotonin reuptake inhibitor or SSRI sometimes prescribed off-label for PE).

• Rugiet Grower: A 2-in-1 pill that contains tadalafil and minoxidil (a vasodilator that improves blood flow and is also used for hair growth).

How much it costs: Rugiet’s pricing depends on the product, dose, quantity, and monthly plan (if any).  According to the Rugiet website or the online visit, prices can start at:

• $7.29 or $10/dose for Rugiet Ready

• $2.21/dose for Rugiet Boost

• $2.33/dose for Rugiet Go Long 

• $1.63/dose for Rugiet Grower

Pros: Certain offerings are discreet and don’t require swallowing pills, are portable, contain active ingredients traditionally used in ED treatments, and are combination therapies (vs. single-drug treatments), which may be especially useful for some men. 

Cons: Limited number of sexual health offerings, lack of transparent pricing, and Rugiet is not accredited with the Better Business Bureau (BBB), and its reputation is mixed. Prices and dosages for certain products aren’t clearly laid out on the website. 

Good for: Men who dislike swallowing pills (for certain offerings) or those who haven’t had success with single-medication ED treatments (even at higher doses).

Not ideal for: Men who prefer single-drug treatments, dislike mint or cinnamon flavoring, or are looking for the lowest-cost alternatives.

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Rugiet currently offers four prescription products designed for men with ED and, in some cases, PE or hair loss. Each option contains tadalafil and/or sildenafil — the same active ingredients in Cialis and Viagra — but they differ in form, dosing, and added ingredients.

Rugiet Ready

Rugiet Ready is a sublingual lozenge that combines sildenafil, tadalafil, and apomorphine. It is designed to be taken as-needed and dissolves under the tongue. The 3-in-1 formula is advertised to taste like mint chocolate. 

How it works: Sildenafil and tadalafil are PDE5 inhibitors that work in part by increasing blood flow to the penis when aroused, helping men get and maintain an erection. Apomorphine is a dopamine agonist that is thought to act on the brain to promote sexual arousal, though it’s not specifically FDA-approved for this purpose. The sublingual route is intended to allow faster absorption than standard oral tablets.

Ingredients and dose options (per lozenge):

• Low strength: tadalafil 14 mg + sildenafil 40 mg + apomorphine 2 mg

• Medium strength: tadalafil 22 mg + sildenafil 65 mg + apomorphine 2 mg

• High strength: tadalafil 22 mg + sildenafil 80 mg + apomorphine 3 mg

• Max strength: tadalafil 22 mg + sildenafil 110 mg + apomorphine 3 mg

Dose quantities: Packs of 6, 12, 18, or 24

How to take it: According to the Rugiet website, place one lozenge under the tongue and allow it to dissolve for about 10 minutes, avoiding food and drink while it dissolves. Rugiet suggests starting with half a dose and increasing to a full dose if needed. 

How fast it works and how long it lasts: According to the brand’s website, the lozenge can start working in about 15 minutes on average and can last up to 36 hours.

Rugiet Ready

Rugiet Boost is a cinnamon-flavored chewable that can be taken daily or as needed. The 2-in-1 formula combines tadalafil with dehydroepiandrosterone (DHEA), a hormone involved in testosterone production. 

How it works: As a PDE5 inhibitor, tadalafil improves erectile performance in part by increasing penile blood flow during arousal. DHEA is a hormone precursor that the body can convert into testosterone, though evidence for its benefit in ED is limited.

Ingredients and dose (per chewable): tadalafil 8 mg + DHEA 50 mg

Dose quantities: Packs of 10, 20, or 30

How to take: According to Rugiet’s website, you can take Rugiet Ready daily, at the same time every day, or as needed, about 30–60 minutes before sex. 

How fast it works and how long it lasts: According to the brand’s website, the chewable can start working in 30–60 minutes when taken as-needed or right away (i.e. on demand) when taken daily. It can last up to 36 hours. 

Rugiet Go Long

Designed to treat ED and PE, Rugiet Go Long is a pill that combines tadalafil with paroxetine (the generic of Paxil), an antidepressant sometimes prescribed off-label for PE. 

How it works: Tadalafil works in part by increasing blood flow to the penis, helping men get and keep an erection when they are aroused. Meanwhile, paroxetine may help delay ejaculation for some men by increasing serotonin levels. (Serotonin can slow down ejaculation.)

Ingredients: tadalafil 5 mg + paroxetine 20 mg 

(FYI, specific details are hard to find on the main product page — you have to dig for them in the brand’s FAQs.)

Dose quantities: Limited information available 

How to take: As needed, at least 30–60 minutes before sex

How fast it works and how long it lasts: According to Rugiet’s website, the pill can take 30–60 minutes for effects to kick in and can then last for up to 36 hours. 

Rugiet Grower

Rugiet Grower is a once-daily pill for ED and hair loss. It’s formulated with tadalafil and minoxidil, a vasodilator (and active ingredient in Rogaine) that, when in oral formulation, is used off-label to treat hair loss.

How it works: Tadalafil increases blood flow to the penis to improve erectile function, while minoxidil increases blood flow to hair follicles to deliver essential nutrients that support hair growth.    

Ingredients: tadalafil + minoxidil — limited information available about specific dosage strengths 

(FYI, Rugiet’s FAQs page says that Grower contains 6 mg of tadalafil, 3 mg of minoxidil, and 3 mg of biotin. But the product page does not mention biotin as an ingredient, and the strengths cannot be substantiated anywhere else on the brand site.) 

Dose quantities: 30 pills  

How to take: Daily, with or without food 

How fast it works and how long it lasts: The Rugiet website first says Grower should be taken daily, but also says “tadalafil works within 30 to 60 minutes.” That is true of as-needed tadalafil, not necessarily daily tadalafil. (When taken daily, tadalafil’s effects should kick in immediately when aroused.) The minoxidil component can take 3–6 months of “consistent use” to see “best” results, according to the brand’s website.  

The main active ingredients in Rugiet’s sexual health products — sildenafil and tadalafil — are part of a drug class known as phosphodiesterase type 5 (PDE5) inhibitors. These are the same active ingredients found in FDA-approved medications like Viagra and Cialis. PDE5 inhibitors help improve erectile function by making it easier for the body to do what it already does (or should do) naturally during arousal: achieve and keep an erection. 

Here’s how PDE5 inhibitors (e.g. sildenafil and tadalafil) work: When you’re sexually aroused, your brain signals the release of nitric oxide in the blood vessels of the penis. Nitric oxide triggers the production of cyclic guanosine monophosphate (cGMP). 

This chemical messenger relaxes smooth muscle tissue in the penis, allowing blood to flow more easily into the spongy chambers called the corpora cavernosa. As those chambers fill and expand, the penis becomes firm, creating an erection. 

Normally, once sexual activity ends, an enzyme called phosphodiesterase type 5 (PDE5) breaks down cGMP. This allows the erection to subside. In men with ED, however, this process may not work effectively. PDE5 might break down cGMP too quickly, or insufficient blood may flow into the penis to sustain firmness. 

PDE5 inhibitors block PDE5 from breaking down cGMP, giving it more time to work. The effect is an erection that’s typically firmer, more reliable, and easier to maintain during sex. 

It’s important to note that PDE5 inhibitors don’t directly create erections on their own. They only work in the presence of sexual stimulation by enhancing the body’s natural erectile response. This is part of the reason they’re considered the first-line treatment for ED worldwide.

In addition to sildenafil and tadalafil, Rugiet combines other active ingredients depending on the product:

• Apomorphine is a dopamine agonist that activates dopamine receptors in the brain that are thought to trigger sexual arousal and pleasure responses. This kickstarts the process that leads to an erection. 

• Paroxetine is a selective serotonin inhibitor (SSRI) that’s sometimes used off-label to delay ejaculation by increasing the effects of serotonin in the brain.

• DHEA is a hormone precursor that the body can convert into testosterone (though evidence that it can really help ED is limited, if not lacking).

• Minoxidil is a vasodilator that comes as an over-the-counter topical treatment (e.g. Rogaine) or an oral tablet, which is sometimes prescribed off-label for hair loss. 

All of Rugiet’s sexual health products use PDE5 inhibitors, the same active ingredients found in generic or brand-name sildenafil or tadalafil. Therefore, their side effects are generally expected to be similar to those of other PDE5 inhibitors. They are usually mild to moderate and tend to improve over time as your body gets used to the medication. 

Common side effects of PDE5 inhibitors include:

• Headache

• Flushing

• Nasal or sinus congestion

• Dizziness or lightheadedness

• Indigestion or nausea

• Muscle or back pain

• Temporary changes in vision (such as a blue tint)

Rare but serious side effects:

• Sudden loss of vision or hearing

• Very low blood pressure

• Prolonged erections lasting more than four hours (aka priapism), which is considered an emergency requiring immediate medical attention

If you experience concerning side effects, do not hesitate to seek immediate medical attention to better address your symptoms.

Higher doses of PDE5 inhibitors may increase the likelihood of side effects. These drugs are not appropriate for everyone, particularly for those with certain heart or blood pressure conditions. They should never be taken with:

• Nitrates (often prescribed for chest pain/angina)

• Other ED medications

• Certain blood pressure–lowering drugs

PDE5 inhibitors, such as sildenafil and tadalafil, should only be taken under the guidance of a licensed healthcare provider. The same can be said of all medical treatments, including paroxetine, apomorphine, DHEA, and minoxidil — each of which can be found in different Rugiet products and comes with side effects.

Here are the commonly reported side effects of each of these ingredients: 

• Paroxetine can cause nausea, drowsiness, sweating, constipation, sexual dysfunction (e.g reduced libido, difficulty reaching orgasm), and weight changes. 

• Apomorphine (as a sublingual) can cause nausea, vomiting, dizziness, fainting, and low blood pressure.

• Minoxidil (as an oral tablet) can cause increased hair growth on the face, arms, or back, edema or fluid retention, changes in heart rhythm, lower blood pressure, and mild anemia.

Because Rugiet’s products are compounded medications and not FDA-approved, their safety and efficacy have not been evaluated like standard prescription drugs. But the active ingredients the sexual health products contain — sildenafil and/or tadalafil — are individually FDA approved for ED treatment. Plus, they are widely used for that purpose. For detailed safety information on Rugiet’s products, please visit the Rugiet website. 

Since Rugiet’s sexual health products all contain sildenafil and/or tadalafil — aka prescription medications — they require an Rx from a licensed healthcare provider. To get this, you need to consult with a Rugiet-affiliated provider, which can be done virtually. 

Here’s the process:

1. When you place an order, you’ll fill out an online health intake form that covers your medical history, current medications, and treatment goals.

2. Within 24–48 hours, a Rugiet healthcare provider reviews your questionnaire and the treatment you requested, according to the Rugiet website. If more information is needed, you’ll be contacted through your member portal or the email provided. 

3. If your prescription is approved, it’s filled and shipped to you — typically within 48 hours of processing (depending on the day you order). FYI, Rugiet Ready is shipped with ice packs to keep them cold, but that doesn’t mean you have to refrigerate them. 

Rugiet’s pricing depends on the product, dose, and whether you sign up for a membership plan. 

Based on the information available on the Rugiet website or online visit, costs generally start around:

• Rugiet Ready: $7.29 per dose with a three-month plan or about $10/dose without a subscription

• Rugiet Boost: reported to start at $2.21  per dose (pricing details are not published on Rugiet’s own site)

• Rugiet Go Long: $2.33 per dose

• Rugiet Grower: $1.63 per dose

Rugiet offers one-time purchases, but they come with extra costs, such as a $20–$50 consultation fee. Subscription options are also available and include 30-day and 90-day plans, with which you can get free shipping and no additional consultation fees. 

It’s worth noting that Rugiet does not currently provide a full breakdown of pricing across all products on its website, and refunds or returns are not available. For the lowest per-dose pricing, subscription options appear to be required.

Rugiet currently holds a D- rating from the Better Business Bureau (BBB), but it is not BBB-accredited. According to the company’s BBB page, the low letter grade is due to “failure to respond to 5 complaint(s) filed against business.” Across its BBB profile, Rugiet’s customer score is 2.2 out of 5, though this is based on just 10 reviews (as of publication). 

On TrustPilot, Rugiet holds a 4.1 out of 5 average across more than 800 reviews. Positive reviews highlight fast shipping, responsive support, and discreet packaging. Negative reviews point to issues with refund policies, inconsistent performance, or dissatisfaction with taste, calling it “disgusting.”

Outside of review platforms, feedback on community forums such as Reddit is also divided,  with comments ranging from “zero results” to “the real deal.” 

Some users say that Rugiet products worked for them, noting effects on confidence or the psychological side of sexual performance. Others describe the treatments as ineffective, expensive, or “gimmicky,” with a few calling out issues with side effects and melted products upon arrival. 

Rugiet may be an option for men who are eligible to take PDE5 inhibitors like sildenafil or tadalafil and are seeking treatment for ED or, in some cases, PE. These medications are generally prescribed for individuals who are in overall good health but have difficulty getting or maintaining an erection firm enough for sex.

Because Rugiet offers dissolvable lozenges and chewables, they may appeal to people who prefer alternatives to swallowing traditional tablets. Rugiet offers compounded formulations and may also be considered by men who have tried single-drug therapies (like sildenafil or tadalafil alone) and found them less effective, even at higher doses.

Who may not want to pick Rugiet?

Rugiet may not be the right choice for everyone. Like all ED treatments, Rugiet’s products carry important medical considerations:

• PDE5 inhibitors (sildenafil, tadalafil) are not suitable for men with certain heart conditions, very low blood pressure, or those who take nitrates or other medications that interact with ED drugs.

• Apomorphine can lower blood pressure and cause dizziness or fainting. It may not be safe for people with cardiovascular concerns or those prone to nausea.

• Paroxetine may not be appropriate for people with certain psychiatric conditions or those already taking antidepressants, due to the risk of interactions and side effects.

• Minoxidil should not be taken by men who have pheochromocytoma (a tumor in the adrenal gland).

Beyond medical reasons, Rugiet may not appeal to everyone based on format and flavor. Men looking for a sublingual option might prefer Ro Sparks, which dissolve just as quickly, start to work in as little as 15 minutes (after it dissolves), and come in a fruit flavor.

Others may prefer a different daily form, such as Daily Rise Gummies. This is a chewable tadalafil option that might be more appealing for those who want a lower daily dose in a gummy format and/or want to keep things simple with just one medication. 

Generic or brand-name versions of sildenafil and tadalafil can also be worth considering if you’re more about monotherapy. Unlike the aforementioned options, these are typically available in pill formulation. 

TL;DR: Rugiet’s products may not be ideal for men with certain health conditions, those who prefer fruit-flavored or gummy formats, or anyone looking for the simplest, one-medication treatment. 

No — Rugiet products are not FDA-approved, since the FDA does not approve compounded medications. 

However, according to the Rugiet website, the company only works with licensed US compounding pharmacies that are FDA-regulated, such as The Pharmacy HUB in Florida and Triad Rx in Alabama. In the FAQs section, Rugiet says these partner pharmacies undergo regular audits and routine batch testing to ensure that “every medication” meets the company’s “strict quality requirements.”

Just like with any decision, a good ’ol pros and cons list may help you figure out whether Rugiet could be right for you. So, here’s a quick rundown:

Pros

• Discreet, non-pill formats: Rugiet Ready (sublingual lozenge) and Rugiet Boost (chewable) don’t require swallowing traditional pills.

• Proven actives for ED: Sildenafil and tadalafil are well-studied, FDA-approved medications for erectile dysfunction when prescribed individually.

• Combination therapy: Multi-drug formulations may appeal to men who haven’t seen results with single medications, particularly when ED has both physical and psychological components.

• Higher tadalafil doses: Options go beyond the standard 2.5 mg or 5 mg daily tablets typically prescribed.

Cons

• Limited offerings: Rugiet offers only four sexual health products, each with a narrow range of dosages.

• Information gaps: Key details (like exact pricing and dosage strengths for Rugiet Go Long and Rugiet Grower) are not clearly listed on product pages and often require digging into FAQs, where they still might not be found. 

• Extra pricing and fees: Costs are not presented upfront or in a straightforward way for certain products, and one-time orders may include added expenses such as shipping and provider consult fees.

• Reputation concerns: Rugiet is not BBB-accredited and holds a C- rating, with some customer complaints about efficacy, taste, and refund policies.

• Taste and stability issues: Reviews often mention poor flavor (particularly the mint-chocolate lozenges) and products melting in transit despite Rugiet’s website saying they’re shipped with ice packs.

If Rugiet doesn’t seem like the right fit, there are other ways to treat ED and PE. 

Like Rugiet Ready, Ro Sparks is a sublingual lozenge that starts working in as little as 15 minutes after it dissolves on average. But that’s where the similarities end. With 55 mg of sildenafil and 22 mg of tadalafil in each lozenge, Ro Sparks can be a good alternative for those looking for a straightforward, easy-to-understand compounded option. 

People who want a daily, pill-free option may also be more inclined to consider Daily Rise Gummies, especially if they want a lower daily dose of tadalafil in a gummy format. These fruit-flavored gummies contain just one medication, making them a good option for men who prefer monotherapy with one FDA-approved active ingredient (vs. also containing DHEA, which is not FDA-approved).

And for men who prefer to keep things simple, generic or brand-name versions of sildenafil and tadalafil remain widely available — often at lower cost and more likely to be covered by insurance. These more traditional ED treatments are typically available in a pill formulation that needs to be swallowed, not chewed or dissolved. 

In addition to prescription options, certain health and lifestyle changes can also support erectile function. These include getting regular exercise, eating a healthy, balanced diet, managing stress (such as by seeing a therapist), and getting ample sleep. 

And when it comes to premature ejaculation (PE), treatment options may extend beyond oral medications. Over-the-counter topical sprays and wipes containing mild anesthetics (e.g. Roman Swipes) can help reduce sensitivity. And behavioral techniques such as the stop–start or squeeze method may improve control without medication. 

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Rugiet combines well-known ED medications (sildenafil, tadalafil) with additional active ingredients and offers some of them in non-pill formats like a sublingual lozenge or chewable formulation. This may appeal to men who dislike swallowing tablets or who haven’t had success with single-drug options. Before deciding if Rugiet is for you, here’s what you should consider: 

• Onset and format vary by product. Rugiet Ready is sublingual and may start working in ~15 minutes after it dissolves; Rugiet Boost and Go Long typically take 30–60 minutes. If spontaneity matters, sublingual options generally offer faster onset than standard pills.

• Pricing can be unclear and confusing, which can be off-putting. Not all pricing and dose details are clearly listed online, which can feel disingenuous. The lowest per-dose prices tend to require a 30- or 90-day membership. One-time orders can add consultation and shipping fees, and refunds and returns aren’t offered. 

• Rugiet is not an accredited business and has a mixed reputation. The company is not BBB-accredited, but it still has a C- rating on BBB and a customer score of 2.7 out of 5. On Trustpilot, its rating is higher (4.2 out of 5), though reviews of Rugiet are inconsistent, with common complaints about taste, value, and consistency. There are some positive notes, primarily about customer service. 

Bottom, bottom line: Rugiet may be worth considering if you want a discreet, non-pill format or combination therapy after monotherapy fell short. If you prefer treatments with clearer pricing and ordering from a BBB-accredited company, generics or alternatives for ED like Ro Sparks and Daily Rise Gummies may be a better fit for you and your needs.