Erectile Dysfunction After 60: Understanding and Safe Treatments

Erectile dysfunction (ED) is common after 60, but it doesn't mean your sex life is over. You can get an online prescription for effective ED medications like Sildenafil (Viagra) or Tadalafil (Cialis) from an EU-licensed doctor. Hi-Doctor offers a discreet, convenient, and affordable way to access treatment. For just €25, an EU-licensed doctor reviews your case, and if appropriate, you receive a prescription in under 24 hours, valid at any pharmacy in the EU.

How it works — get your ED medication prescription in 4 steps

1. Fill the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. A licensed EU doctor reviews your case in private. If the doctor decides the treatment is not appropriate, your €25 is refunded automatically — no risk.
3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect the medication.

Who qualifies for ED medication

Our EU-licensed doctors assess each case individually to determine if ED medication is safe and appropriate for you. They look for specific criteria to ensure your well-being. Generally, you may qualify if you experience consistent difficulty achieving or maintaining an erection firm enough for sexual intercourse. The doctor will consider your medical history, including any cardiovascular conditions, diabetes, neurological disorders, or current medications you are taking, as these can affect eligibility. Certain health conditions or medications can make ED treatments like PDE5 inhibitors (Sildenafil, Tadalafil) unsafe. The doctor's review ensures that the chosen treatment aligns with your overall health profile.

What ED medication actually does (and doesn't do)

Oral ED medications, primarily PDE5 inhibitors like Sildenafil (Viagra) and Tadalafil (Cialis), work by increasing blood flow to the penis when you are sexually aroused. They do not automatically cause an erection; sexual stimulation is still required. Sildenafil typically works within 30-60 minutes and lasts for about 4-6 hours, while Tadalafil can be effective for up to 36 hours. These medications are highly effective for many men, improving erectile function and satisfaction. They do not, however, treat the underlying causes of ED such as cardiovascular disease or hormonal imbalances — these require separate medical attention. They also do not increase libido or sexual desire.

Side effects and when to stop

Like all medications, ED treatments can have side effects. Common side effects of PDE5 inhibitors include headache, flushing, nasal congestion, indigestion, and temporary visual disturbances. These are usually mild and temporary. More serious side effects are rare but can include sudden vision loss, hearing loss, or an erection lasting longer than four hours (priapism). If you experience any severe or persistent side effects, or if your erection lasts too long, seek immediate medical attention. Always inform your doctor about all existing health conditions and medications, especially nitrates, as combining them with ED drugs can cause a dangerous drop in blood pressure. The doctor will advise you on when to stop the medication or seek further medical help.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your ED medication prescription offers significant advantages over traditional clinic visits:

• Speed: Get your prescription in under 24 hours, compared to weeks for an in-person appointment.
• Price: A flat €25 consultation fee — no hidden costs, unlike variable private clinic fees.
• Privacy: Everything happens securely within your account. No awkward reception desk conversations or waiting rooms.
• Convenience: Access an EU-licensed doctor from your phone, anywhere, anytime. No travel to a city-centre clinic.

We've served over 50,000 patients with a 4.8 Trustpilot rating, ensuring a reliable and discreet service. Our EU-licensed doctors review every case individually, and our platform is fully RGPD-compliant, guaranteeing your data privacy.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for ED medication?

If the doctor determines that ED medication is not appropriate or safe for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved, making it a no-risk consultation.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, any EU pharmacy (France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to dispense medication from it. You receive a downloadable PDF you can print and present at the counter.

How do I actually collect the medication once I have the prescription?

Once you receive your REMPE prescription as a PDF, simply print it or show it on your phone at any EU pharmacy. The pharmacist will read the QR code or digital signature and dispense your medication.

Is it legal to get ED medication online in my country?

Yes, it is legal to obtain ED medication via an EU-licensed doctor using a REMPE prescription. This process adheres to cross-border healthcare directives within the European Union.

How long does the prescription take?

Our EU-licensed doctors review your case and issue a prescription within 24 hours of your completed medical questionnaire and payment.

Is my data private?

Yes, your privacy is paramount. All interactions happen within your secure Hi-Doctor account, are RGPD-compliant, and auditable. We do not use WhatsApp or SMS for sensitive communications.

How much does the consultation cost?

The online consultation with an EU-licensed doctor costs a flat €25. This fee is refunded if the doctor determines treatment is not appropriate for you.