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 €25 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 €25 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 €25 fee is **refunded automatically** — no risk, you pay nothing.
3. If approved, you receive a REMPE 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 — 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.

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 €25 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.

Frequently asked questions

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

If the EU-licensed doctor determines that erectile dysfunction medication is not appropriate or safe for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.

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 legally recognised and valid at any pharmacy across the European Union (France, Germany, Italy, Portugal, Netherlands, Belgium, etc.). 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 out or show it on your phone at any EU pharmacy. The pharmacist will read the unique QR code/digital signature on the document and dispense your medication.

Is it legal to get erectile dysfunction medication online in my country?

Yes, it is legal to obtain erectile dysfunction medication online via a consultation with an EU-licensed doctor. Hi-Doctor provides a legitimate REMPE prescription that is valid for dispensing at pharmacies throughout the European Union, including your country.

How long does the prescription take?

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

Is my data private?

Yes, your privacy is our top priority. All your information and communication with our doctors are handled through your secure, RGPD-compliant Hi-Doctor account. We do not use WhatsApp or SMS for sensitive medical discussions, ensuring your data remains confidential and auditable.

How much does it cost?

The online consultation fee is a flat €25. This covers the doctor's review of your case. If the doctor determines the treatment is not appropriate, this fee is fully refunded.