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Personalized Erectile Dysfunction Treatment Plans: What to Know

Struggling with erectile dysfunction? Get a prescription for sildenafil (Viagra) or tadalafil (Cialis) online from an EU-licensed doctor. €25 consultation, prescription in under 24 hours, valid at any EU pharmacy.

1 February 2026
Personalized Erectile Dysfunction Treatment Plans: What to Know —

DIRECT ANSWER

An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.

Less than 4 hours on average

Prescription issued in less than 4 hours on average if approved.

EU-licensed doctors

Every case is reviewed by a licensed clinician.

Valid across the EU

Approved prescriptions can be used at any EU pharmacy.

In this article

Looking to get a sildenafil (Viagra) or tadalafil (Cialis) prescription online in the EU? You've come to the right place. Hi-Doctor connects you with EU-licensed doctors who can review your case for erectile dysfunction (ED) medication. The process is fast, discreet, and entirely online. For just €25, you can get a prescription in under 24 hours, valid at any pharmacy across the EU. If the doctor determines treatment is not appropriate, you get your money back — no risk.

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, you pay nothing.
  3. If approved, you receive a REMPE electronic prescription (a downloadable 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 (sildenafil, tadalafil)

Our EU-licensed doctors individually review every case to ensure your safety and treatment effectiveness. They look for specific criteria to determine if sildenafil (Viagra), tadalafil (Cialis), or another ED medication is appropriate for you. Generally, you may qualify if you are an adult male experiencing consistent difficulty achieving or maintaining an erection firm enough for satisfactory sexual intercourse.

However, contraindications exist. The doctor will assess your medical history for conditions such as:

  • Severe heart or liver problems.
  • Recent stroke or heart attack.
  • Low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension).
  • Certain eye conditions (e.g., retinitis pigmentosa).
  • Using nitrate medications for chest pain (e.g., nitroglycerin), as combining them with ED meds can cause a dangerous drop in blood pressure.

The online medical questionnaire is designed to gather all necessary information for the doctor to make a safe and informed decision.

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

Medications like sildenafil (Viagra) and tadalafil (Cialis) belong to a class called PDE5 inhibitors. They work by relaxing the blood vessels in the penis, allowing for increased blood flow when you are sexually stimulated. This makes it easier to achieve and maintain an erection.

  • Sildenafil (Viagra) typically acts within 30-60 minutes and its effects last for about 4-6 hours.
  • Tadalafil (Cialis) is known for its longer duration, lasting up to 36 hours, offering more spontaneity.

It's important to understand that these medications do not create sexual arousal. You still need sexual stimulation for them to work. They also don't cure the underlying cause of ED, but they effectively manage its symptoms. Realistic timelines for results vary; some men respond quickly, while others may need a few attempts to find the optimal medication or dosage.

Side effects and when to stop

Like all medications, ED drugs can have side effects. Common ones include headache, flushing, nasal congestion, indigestion, and temporary visual disturbances (especially with sildenafil). These are usually mild and temporary.

More serious side effects are rare but require immediate medical attention:

  • An erection lasting longer than 4 hours (priapism).
  • Sudden loss of vision or hearing.
  • Chest pain or severe dizziness.

Always inform your doctor about all existing health conditions and any other medications you are taking, especially nitrates, alpha-blockers, or other ED treatments. If you experience any severe or concerning side effects, stop taking the medication and seek medical advice.

Why Hi-Doctor vs. walking into a clinic

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

  • Speed: Get your prescription in under 24 hours from an EU-licensed doctor, compared to weeks for a traditional appointment.
  • Price: A flat €25 online consultation fee, with a money-back guarantee. Private clinic fees can be variable and much higher.
  • Privacy: Everything happens securely within our app – no waiting rooms, no reception desks, no awkward conversations. Your data is RGPD-compliant and private.
  • Convenience: Complete your consultation from your phone or computer, anywhere in the EU. No travel to a city-centre clinic required.
  • Trust: Join over 50,000 satisfied patients with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

COMMON QUESTIONS

Frequently asked questions

If the doctor determines 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.

Licensed EU doctors
Doctor review in less than 2 hours on average
50,000+ patients served
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