Confidence and Sexual Health: More Than Just the Physical
Looking for a sildenafil or tadalafil prescription online in Spain or the EU? Hi-Doctor connects you with an EU-licensed doctor for an online consultation.

DIRECT ANSWER
An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.
Less than 4 hours on average
Prescription issued in less than 4 hours on average if approved.
EU-licensed doctors
Every case is reviewed by a licensed clinician.
Valid across the EU
Approved prescriptions can be used at any EU pharmacy.
In this article
Looking to get a sildenafil or tadalafil prescription online in Spain or elsewhere in the EU? You can get a prescription for erection medication through a licensed EU doctor, without an in-person clinic visit. Hi-Doctor offers a convenient, private, and fast way to access treatment. Pay a flat €25 for an online consultation, receive your electronic prescription in under 24 hours if approved, and pick up your medication at any pharmacy in the EU.
How it works — get your erection medication prescription in 4 steps
- Fill out a short online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
- An EU-licensed doctor reviews your case individually and in private. If the doctor determines the treatment is NOT appropriate for you, your €25 fee is refunded automatically — you pay nothing.
- If the doctor finds treatment appropriate, you receive a REMPE electronic prescription (a downloadable PDF file) in your Hi-Doctor account and by email within 24 hours.
- Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect your medication.
Who qualifies for erection medication
Our EU-licensed doctors assess each patient individually to ensure treatment is safe and appropriate. When considering a prescription for medications like sildenafil or tadalafil, the doctor looks for:
- A clear diagnosis of erectile dysfunction (ED).
- No existing heart conditions, uncontrolled high blood pressure, or recent stroke/heart attack.
- No use of nitrate medications (often prescribed for chest pain), as these can interact dangerously with ED drugs.
- No severe liver or kidney disease.
- No known allergies to the active ingredients (sildenafil, tadalafil) or other components.
The online medical questionnaire helps the doctor understand your health history and current situation to make an informed decision.
What erection medication actually does (and doesn't do)
Erection medications like sildenafil (e.g., Viagra) and tadalafil (e.g., Cialis) belong to a class of drugs called PDE5 inhibitors. They work by increasing blood flow to the penis when you are sexually aroused, helping you achieve and maintain an erection firm enough for sexual activity. They do not cause an erection on their own; sexual stimulation is still required.
- Sildenafil typically takes effect within 30-60 minutes and lasts for about 4-6 hours.
- Tadalafil can work in as little as 30 minutes and has a much longer duration, up to 36 hours, earning it the nickname "the weekend pill."
These medications are effective for most men with ED, but they are not a cure for underlying causes of ED. They also do not increase libido or protect against sexually transmitted infections.
Side effects and when to stop
Like all medications, sildenafil and tadalafil can cause side effects. Most are mild and temporary. Common side effects include:
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Temporary visual disturbances (sildenafil) or back pain/muscle aches (tadalafil)
You should stop taking the medication and seek immediate medical attention if you experience:
- An erection lasting longer than 4 hours (priapism)
- Sudden decrease or loss of vision
- Sudden decrease or loss of hearing
- Chest pain or severe dizziness during sexual activity
Always discuss your full medical history with your doctor to ensure these medications are safe for you.
Why Hi-Doctor vs. walking into a clinic
Choosing Hi-Doctor for your erection medication prescription offers significant advantages over traditional in-person clinic visits:
- Speed: Get a prescription in under 24 hours with Hi-Doctor, compared to waiting weeks for a clinic appointment.
- Price: A flat €25 online consultation fee with Hi-Doctor versus variable and often higher private clinic fees. Plus, if the doctor says no, you get your money back.
- Privacy: All interactions happen within your private, RGPD-compliant Hi-Doctor account, avoiding awkward reception desk conversations or waiting rooms.
- Convenience: Consult with an EU-licensed doctor from your phone or computer, without the need to travel to a city-centre clinic.
- Trust: Join over 50,000 satisfied patients who trust Hi-Doctor, reflected in our 4.8 Trustpilot rating.
Everything is handled securely in the app – no WhatsApp, no SMS, no waiting. Just discreet, professional medical care.
COMMON QUESTIONS
Frequently asked questions
If the doctor determines that sildenafil, tadalafil, or similar treatments are not appropriate for your specific health situation, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.





