Erectile Dysfunction Medication: Long-Term Management Guide
Get your Erectile Dysfunction medication prescription online from an EU-licensed doctor. Hi-Doctor offers a €25 online consultation, with a prescription issued in under 24 hours if appropriate. Pickup at any EU pharmacy.

Erectile Dysfunction Medication: Long-Term Management Guide
Looking to get your Erectile Dysfunction medication prescription online? You've come to the right place. Hi-Doctor connects you with EU-licensed doctors who can review your case and, if appropriate, issue a prescription for ED medication online. Our process is fast, discreet, and convenient: a €25 online consultation, a prescription issued within 24 hours (if approved), and valid at any pharmacy across the EU. No risk — if the doctor determines the treatment is not suitable, you get your money back.
How it works — get your ED medication prescription in 4 steps
- Fill the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
- 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.
- If approved, you receive a REMPE electronic prescription (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 the medication.
Who qualifies for ED medication
Erectile Dysfunction medications like sildenafil (Viagra), tadalafil (Cialis), vardenafil, and avanafil are commonly prescribed. When you complete your online medical questionnaire, our EU-licensed doctors will assess several factors to determine if these medications are safe and appropriate for you. They will look for:
- Your medical history, including any cardiovascular conditions, liver or kidney problems, or uncontrolled high blood pressure.
- A list of all other medications you are currently taking, especially nitrates (often used for chest pain), alpha-blockers, or other drugs that could interact negatively with ED medication.
- Your general health status and any contraindications that would make these treatments unsafe.
The doctor's primary goal is your safety and ensuring the treatment is effective for your specific situation.
What ED medication actually does (and doesn't do)
ED medications, known as PDE5 inhibitors, work by increasing blood flow to the penis. This makes it easier to achieve and maintain an erection when sexually stimulated. Different medications have different onset times and durations:
- Sildenafil (Viagra): Typically taken 30 minutes to an hour before sexual activity, effects last 4–6 hours.
- Tadalafil (Cialis): Can be effective for up to 36 hours (earning it the nickname 'the weekend pill') and can also be prescribed for daily, low-dose use.
- Vardenafil and Avanafil: Similar to sildenafil in onset and duration, but may suit some individuals better in terms of side effects.
It's important to understand that these medications do not create sexual desire; they only assist in the physical process of achieving an erection when you are already aroused. They are not a cure for ED but a management tool.
Side effects and when to stop
While generally well-tolerated, ED medications can have side effects. Common ones include headaches, flushing, nasal congestion, and visual disturbances. These are usually mild and temporary. More serious, though rare, side effects include sudden vision or hearing loss, or an erection lasting more than four hours (priapism). If you experience any of these serious symptoms, seek immediate medical attention.
Our EU-licensed doctors will discuss potential side effects during your consultation. If side effects persist or become bothersome, it's crucial to inform your doctor, who may adjust your dose or suggest an alternative treatment. Never adjust your dosage without medical advice.
Why Hi-Doctor vs. walking into a clinic
Choosing Hi-Doctor for your Erectile Dysfunction medication prescription offers significant advantages over traditional in-person clinic visits:
- Speed: Get a prescription in under 24 hours (if approved) vs. waiting weeks for an appointment.
- Price: A flat €25 for the online consultation, with a money-back guarantee if not approved. Private clinic fees can vary significantly.
- Privacy: Everything happens securely within your Hi-Doctor account. No waiting rooms, no reception desks, no uncomfortable conversations in person.
- Convenience: Access an EU-licensed doctor from your phone or computer, anywhere in the EU. No travel needed.
- Trust: Join over 50,000 satisfied patients with a 4.8 Trustpilot rating. Our platform is RGPD-compliant, ensuring your data privacy.
Frequently asked questions
What happens if the doctor decides I'm not a candidate for ED medication?
If the EU-licensed doctor determines that the treatment is not appropriate 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, this prescription is recognised and valid at any pharmacy in the EU, including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, and more. You will receive a downloadable PDF file that you can print and present.
How do I actually collect the medication once I have the prescription?
Once approved, you receive a downloadable PDF file of your REMPE electronic prescription. Simply print this PDF or display it on your phone at any EU pharmacy. The pharmacist will scan the QR code or verify the 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 online via an EU-licensed doctor who issues a valid REMPE prescription. This process adheres to EU cross-border healthcare directives, ensuring legality and safety across all EU member states.
How long does the prescription take?
Our EU-licensed doctors review your medical questionnaire and, if appropriate, issue your REMPE electronic prescription within 24 hours of your consultation fee payment.
Is my data private?
Yes, your privacy is paramount. All consultations and data handling comply with strict RGPD (General Data Protection Regulation) standards. Your medical information is kept confidential and is only accessible by you and the reviewing doctor within your secure Hi-Doctor account.
How much does it cost?
The online consultation fee is a flat €25. This fee covers the doctor's review of your case. If the doctor determines the treatment is not appropriate, this fee is fully refunded. The cost of the medication itself is paid directly at the pharmacy.