Erectile Dysfunction Medication: What to Do If You Miss a Dose

Dealing with erectile dysfunction (ED) is common, and managing your medication effectively is key. If you've missed a dose of your ED medication like sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), or avanafil (Spedra), it's crucial to know how to proceed safely. This guide helps you understand what to do and how you can get your Erectile Dysfunction medication prescription online, quickly and discreetly, from an EU-licensed doctor. For just €25, an EU-licensed doctor reviews your case, and if appropriate, you'll receive a prescription within 24 hours, valid at any pharmacy in the EU.

How it works — get your Erectile Dysfunction 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 determines 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 Erectile Dysfunction medication

An EU-licensed doctor assesses your medical history to determine if ED medication is safe and appropriate for you. Generally, doctors look for:

• A confirmed diagnosis of erectile dysfunction.
• No severe cardiovascular conditions that could be worsened by ED medication.
• No current use of nitrate medications (e.g., nitroglycerin) for chest pain, as combining these can cause a dangerous drop in blood pressure.
• No severe liver or kidney disease.
• No history of non-arteritic anterior ischemic optic neuropathy (NAION), a condition that can cause vision loss.

During your online consultation, you will provide all necessary medical information to help the doctor make an informed decision.

What Erectile Dysfunction medication actually does (and doesn't do)

Erectile Dysfunction medications like sildenafil and tadalafil work by increasing blood flow to the penis during sexual stimulation. They are phosphodiesterase-5 (PDE5) inhibitors. This means they relax the blood vessels in your penis, allowing more blood to flow in, which helps you achieve and maintain an erection. They do not work without sexual stimulation; they are not aphrodisiacs.

Key differences:

• Sildenafil (Viagra) and Vardenafil (Levitra): Typically taken 30-60 minutes before sexual activity, effects last about 4-5 hours.
• Tadalafil (Cialis): Available as an as-needed dose (effects last up to 36 hours, earning it the nickname 'the weekend pill') or a daily low dose for continuous effect.
• Avanafil (Spedra): Works quickly, often within 15-30 minutes, with effects lasting up to 6 hours.

These medications are effective for most men with ED, but they do not cure the underlying cause of ED. They treat the symptoms, allowing for improved sexual function.

Side effects and when to stop

Like all medications, ED treatments can have side effects. Most are mild and temporary. Common side effects include:

• Headache
• Flushing (redness of the face)
• Nasal congestion
• Indigestion
• Back pain (more common with tadalafil)

Serious side effects are rare but require immediate medical attention:

• Sudden decrease or loss of vision in one or both eyes.
• Sudden decrease or loss of hearing.
• Priapism (an erection lasting more than 4 hours).
• Symptoms of a heart attack (chest pain, shortness of breath, dizziness).

Always inform your doctor about all medications you are taking, especially nitrates, alpha-blockers, and certain antifungal or antibiotic drugs, as interactions can be dangerous. If you experience any severe or concerning side effects, stop taking the medication and consult a doctor immediately.

Why Hi-Doctor vs. walking into a clinic

Getting your Erectile Dysfunction medication prescription through Hi-Doctor offers distinct advantages over traditional clinic visits:

• Speed: Receive your prescription in under 24 hours, compared to weeks of waiting for an in-person appointment.
• Price: A flat €25 online consultation fee, with a money-back guarantee if treatment is not appropriate. Clinic fees can be variable and higher.
• Privacy: Everything happens in your secure, RGPD-compliant Hi-Doctor account. No awkward reception desk conversations or waiting rooms.
• Convenience: Complete your consultation from your phone or computer, anywhere in the EU. No travel to a city-centre clinic.
• Trust: Over 50,000 patients served with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Frequently asked questions

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

If the EU-licensed doctor determines that Erectile Dysfunction medication is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved, ensuring a no-risk assessment.

Is the REMPE prescription valid outside Spain?

Yes, the REMPE electronic prescription is Spain's official private digital prescription standard, and it is valid at any pharmacy across the EU. Under EU Directive 2011/24/EU, pharmacies in countries like France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, and Ireland are obliged to dispense from it. You receive a downloadable PDF you can print or show on your phone.

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 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 Erectile Dysfunction medication online in my country?

Yes, obtaining Erectile Dysfunction medication online is legal in any EU country, provided it's prescribed by an EU-licensed doctor using a valid EU-recognised prescription like the REMPE standard. Hi-Doctor connects you with EU-licensed medical professionals who operate within these legal frameworks.

How long does the prescription take?

After you complete your medical questionnaire, an EU-licensed doctor reviews your case. If approved, your REMPE electronic prescription is issued within 24 hours.

Is my data private?

Absolutely. Hi-Doctor is fully RGPD-compliant. All your medical information and personal data are handled with the strictest confidentiality and privacy within your secure account.

How much does it cost?

The online consultation with an EU-licensed doctor costs a flat €25. This fee includes the medical review and, if appropriate, the issuance of your REMPE electronic prescription. There are no hidden costs, and you get a refund if no prescription is issued.