Keeps vs Hims: ED Options, Side Effects and Cost Guide

For erectile-dysfunction care, Keeps and Hims both offer online routes to prescription options, but their featured choices are not the same. Keeps presents four clinician-matched treatments, including a three-ingredient sublingual tablet, while Hims lists single-ingredient and combination sildenafil/tadalafil options; the best fit comes down to the medication approach, price structure, safety review, and follow-up you want.

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What are Keeps and Hims offering for ED?

Keeps says its service is online, uses health questions and clinician review, and offers four prescription treatment paths. Its Quicky Rx names sildenafil, its Weekend Rx names tadalafil, and its combination option names sildenafil plus tadalafil. Its Powerhouse tablet is described as dissolving under the tongue and lists tadalafil, vardenafil, and apomorphine.

Hims says its platform offers online access to ED treatment options. Its featured as-needed option is generic sildenafil, listed from $22 per month. It also lists a 3-in-1 pill and 3-in-1 chew, each with sildenafil, tadalafil, and vitamin B12, from $30 per month. The site lists a daily tadalafil and zinc option from $35 per month and a daily tadalafil plus PE-treatment option from $39 per month.

These are prescription decisions, not a contest between brand names. A clinician considers your health history and medications before deciding whether a prescription is appropriate. If ED has become part of a bigger health picture, an integrative care plan can help keep the clinicians involved in your care on the same page. Readers weighing other ED telehealth services can also see our Quad by MEDVi review and our Lemonaid ED review.

How do the listed ingredients differ?

The overlap is sildenafil and tadalafil. Harvard Health explains that sildenafil, tadalafil, vardenafil, and avanafil are PDE5 medicines that improve blood supply to the penis and work with sexual stimulation. Sildenafil is generally used as an as-needed option; Harvard notes tadalafil has a longer duration and is also available in a daily form.

Keeps also lists vardenafil in Powerhouse and describes apomorphine as part of that formula. Hims lists vitamin B12 in its two 3-in-1 products and zinc in one daily product. The product pages in this comparison name ingredients, but do not provide a per-serving dose, so the prescription label is the place to confirm the exact medication and dose proposed for you.

An ingredient list is useful for asking better questions, not for predicting a personal result. This guide to ingredient studies and finished products explains why research on an ingredient and a finished product are different questions.

Which option is easier to plan around?

If you want an as-needed option, both brands list sildenafil-based choices. Hims also presents an as-needed chew; Keeps presents a sublingual Powerhouse option and describes it as faster-acting. If you want a longer planning window, both brands list tadalafil-containing options. Keeps calls its tadalafil product Weekend Rx, while Hims lists tadalafil in its daily and 3-in-1 choices.

Harvard Health says onset and duration vary among ED medicines: sildenafil is listed at 30 to 60 minutes with a four- to five-hour duration, while tadalafil is listed at 30 to 45 minutes with a 24- to 36-hour duration. Food can affect how some options are absorbed. That is why the useful question is not simply which brand works, but what medication, dosing plan, and timing fit your life.

What does Keeps vs Hims cost?

Prices shown as of October 20, 2026; check the checkout for today’s price. Keeps advertises treatment from $1 per day. It does not give a bottle price, serving count, or dose-specific price in the information here, so a price-per-serving calculation would not be meaningful.

Hims lists generic sildenafil from $22 per month; its 3-in-1 pill and chew from $30 per month; daily tadalafil plus zinc from $35 per month; and daily tadalafil plus PE treatment from $39 per month. Hims says actual customer price depends on the product and subscription plan purchased. Since serving counts are not stated with those prices, compare the checkout total, refill timing, and exact prescription offered before deciding.

Harvard Health notes that ED medicine costs can vary by pharmacy price, prescription co-pays, and health-plan coverage. Keep the comparison practical: compare the exact medication, amount, refill schedule, and full recurring charge rather than a headline starting price.

What side effects and interactions matter most?

The key safety discussion applies to the medicine, not the brand. Harvard Health lists headache, flushing, upset stomach, nasal congestion, vision problems, diarrhea, dizziness, and rash among common side effects of ED drugs. An erection lasting four hours or more needs urgent hospital care.

Most importantly, Harvard Health’s ED guide says PDE5 medicines are not safe with nitrate heart medicines because the combination can cause a dangerous drop in blood pressure. Alpha blockers can also lower blood pressure; Harvard advises discussing the timing and dose with the prescribing clinician. This matters for the sildenafil, tadalafil, and vardenafil options named by Keeps and Hims.

The National Institute of Diabetes and Digestive and Kidney Diseases says ED can be related to blood-vessel, nerve, hormone, medication, emotional, and lifestyle factors. Its symptoms include getting an erection sometimes but not every time you want sex, an erection that does not last long enough for sex, or being unable to get an erection. Bring your full medication list and relevant health history to the consultation; do not start, stop, or change another medication on your own.

What happens with shipping, refills, and refunds?

Keeps says it provides free rush shipping, plain unmarked packaging, and ongoing clinician access. It says subscriptions renew automatically unless canceled before the current subscription period ends; cancellation closes the account at the end of that billing period.

Keeps also describes a 60-night money-back guarantee for eligible ED medicines and new patients. Its terms say you must take the medication as directed during the applicable billing cycle, submit the refund request within 30 days of the most recent billing date, and that a refund applies only to the eligible medication cost from that most recent billing cycle. If that guarantee matters to your decision, read the eligibility terms alongside the treatment plan before paying.

Hims says prescription products require an online consultation and that a clinician determines whether a prescription is appropriate. It says price depends on the product and subscription plan. Ask about refill timing and the applicable cancellation and refund terms at checkout before enrolling.

What do buyer reviews tell you?

Neither brand’s information in this comparison gives a comparable product-rating or review-count figure, so there is no like-for-like review score to use as a deciding factor. Keeps includes patient quotations and percentage claims about confidence and desire on its treatment page; Hims includes a paid-testimonial notice and says individual results vary. Personal stories can show what a customer chose to talk about, but they cannot tell you which prescription is suitable for you.

Who might prefer Keeps, and who might prefer Hims?

Keeps may fit someone who wants its stated menu of four clinician-matched options, particularly its sublingual Powerhouse option or a plan with free rush shipping and a defined 60-night guarantee for eligible new ED patients. Hims may fit someone comparing its stated monthly starting prices, an as-needed chew, or its daily tadalafil combination options.

Neither is automatically better for every person. The American Medical Association describes ED as multifactorial: vascular health, diabetes, nerves, hormones, medications, emotional factors, and lifestyle can all contribute. It also notes oral PDE5 medicines are commonly used. That context makes the medication and clinical review more important than the logo on the package.

What else can support erectile function?

Medication is one tool. The American Medical Association says physical activity supports cardiovascular health, and reducing smoking and alcohol exposure can support erectile function. It also describes fruits, vegetables, and less ultra-processed food and saturated fat as part of a healthier overall pattern. These choices support health broadly; they are not a replacement for sorting out the cause of persistent symptoms.

A conversation with a partner can matter too. The American Medical Association notes that ED can affect confidence and relationships, and that open communication can help. If you already work with a primary-care clinician, specialist, therapist, or other practitioner, bring the exact prescription plan into your integrative care plan so medication changes and safety questions do not get lost between visits.

Before you choose Keeps or Hims

• Which named medication and dose is the clinician proposing?
• Do you take nitrates, alpha blockers, or any medicine that needs a safety review first?
• Do you want as-needed timing, a longer tadalafil window, or a daily plan?
• What is the complete recurring price, refill schedule, and cancellation process at checkout?
• For Keeps, do you meet the stated conditions for the 60-night guarantee?
• What health changes, medication list, and ED symptoms should you bring to the consultation?

By the Integrative Health Evidence Guide Team