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Sexual health6 minute read

Erectile Dysfunction Medication Not Working: What to Do Next

Written by Hi Doctor editorial teamPublished 1 February 2026

Is your current ED medication not working? Get a new prescription for erectile dysfunction medication online from an EU-licensed doctor. Hi-Doctor offers discreet €35 online consultations, with a prescription issued in under 24.

Erectile Dysfunction Medication Not Working: What to Do Next —
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DIRECT ANSWER

An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue an electronic prescription; each pharmacy decides whether it can dispense it.

Doctor reply in under 2 hours

Average doctor reply under 2 hours; at night and on public holidays it can take longer, always within 24 hours. A prescription only if appropriate.

EU-licensed doctors

Every case is reviewed by an EU-licensed doctor.

Electronic prescription

Each pharmacy decides whether it can dispense an approved prescription; some do not accept PDF prescriptions.

Erectile Dysfunction Medication Not Working: What to Do Next

If your erectile dysfunction medication isn't giving you the results you expect, you're not alone. Many men find their initial treatment needs adjustment. The good news? You can get a new or adjusted prescription for erectile dysfunction medication online, quickly, and discreetly through an EU-licensed doctor. Hi-Doctor offers a €35 online consultation. If the doctor finds treatment appropriate, you receive a digital prescription in under 24 hours, valid at any pharmacy across the EU. No risk — if the doctor says no, you get your money back.

How it works: get your erectile dysfunction medication prescription in 4 steps

  1. Fill the online medical questionnaire (2–3 minutes) and pay the €35 consultation fee. This provides the doctor with your essential medical history.
  2. A licensed EU doctor reviews your case in private. If the doctor determines the treatment is NOT appropriate for you, your €35 fee is refunded automatically — no risk, you pay nothing.
  3. If approved, you receive a valid electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours. This is Spain's official digital private prescription standard.
  4. Print the PDF or show it on your phone and present it at any pharmacy in the EU (Spain, Portugal, Italy, France, Germany, Netherlands, Belgium, Austria, Ireland, etc.) to collect your medication.

Who qualifies for erectile dysfunction medication

Our EU-licensed doctors individually review each case. They look for several factors to ensure ED medication is safe and effective for you. Generally, you qualify if you are an adult male experiencing ED symptoms and have no contraindications. Conditions like uncontrolled high blood pressure, severe heart conditions, or certain liver or kidney diseases may mean ED medication is not appropriate. The doctor will assess your full medical history, including any other medications you take, to determine if a PDE5 inhibitor (like sildenafil or tadalafil) is safe for you. Your honest answers in the medical questionnaire are crucial.

What erectile dysfunction medication actually does (and doesn't do)

Erectile dysfunction medications, such as sildenafil (Viagra) and tadalafil (Cialis), belong to a class called PDE5 inhibitors. They work by increasing blood flow to the penis when you are sexually stimulated, making it easier to achieve and maintain an erection. These medications do not automatically cause an erection; sexual arousal is still required. They also do not treat the underlying causes of ED, though they effectively manage the symptoms. Realistic timelines mean these medications typically work within 30-60 minutes for sildenafil and can last up to 36 hours for tadalafil, offering you a window of opportunity for sexual activity.

Don't see your condition on Hi-Doctor yet?

Hi-Doctor is continuously onboarding EU-licensed specialists across new conditions. Register your interest and we'll notify you the moment a doctor is available for your case. In the meantime, see how the service works: €35 online consultation, reply within 24 h, full refund if the doctor decides the treatment isn't appropriate.

Discover Hi-Doctor →

Side effects and when to stop

Like all medications, ED drugs can have side effects. Common ones include headache, flushing, nasal congestion, indigestion, and visual disturbances (especially with sildenafil). These are usually mild and temporary. More serious, but rare, side effects include a sudden decrease or loss of vision or hearing, or an erection lasting longer than four hours (priapism). If you experience any severe side effects, or if your erection lasts too long, seek immediate medical attention. Always inform your doctor about all medications you are currently taking, especially nitrates, as combining them with ED drugs can lead to a dangerous drop in blood pressure. If you feel unwell or experience concerning symptoms, stop the medication and consult your doctor.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your erectile dysfunction medication offers significant advantages over traditional clinic visits:

  • Speed: Get your prescription in under 24 hours with Hi-Doctor, compared to weeks of waiting for an in-person appointment.
  • Price: A flat €35 online consultation fee with Hi-Doctor. Private clinic fees can vary significantly and often cost much more.
  • Privacy: Everything happens securely within our app — no waiting rooms, no reception desks, complete discretion. Your data is RGPD-compliant.
  • Convenience: Consult from anywhere, on your phone or computer. No travel, no time off work.
  • Trust: Join over 50,000 satisfied patients. We hold a 4.8 Trustpilot rating, reflecting our commitment to patient care and service.

Your interest guides which specialists we add next.

If your treatment isn't yet among Hi-Doctor's covered specialties, register at hi-doctor.ai so a doctor can notify you the moment we can handle your case. Our EU-licensed doctors issue electronic prescriptions as a PDF valid at any EU pharmacy, and if the doctor decides the treatment isn't appropriate, the €35 consultation fee is refunded automatically.

Register my interest · €35

COMMON QUESTIONS

Frequently asked questions

If the EU-licensed doctor determines that erectile dysfunction medication is not appropriate or safe for you, your €35 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.

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Written by the Hi Doctor editorial team. General information, not individually reviewed by a doctor.

If the doctor does not approve treatment, we refund the full amount. Every consultation is fully refundable. How refunds work