Skip to content
Hi-Doctor
All articles

Prescription Sexual Health Treatments in Madrid: Your Options

Need a prescription for sexual health treatments like Viagra or Cialis in Madrid? Get it online from an EU-licensed doctor for just €25. Receive your digital prescription in under 24 hours, valid at any pharmacy in Spain and.

26 January 2026
Prescription Sexual Health Treatments in Madrid: Your Options

Prescription Sexual Health Treatments in Madrid: Your Options

Searching for a prescription for sexual health treatments like Viagra (sildenafil) or Cialis (tadalafil) online in Madrid? You've found the solution. Hi-Doctor connects you with EU-licensed doctors who can review your case online. If appropriate, you receive a valid digital prescription in under 24 hours. The consultation fee is just €25, and your prescription is valid at any pharmacy in Spain and across the entire EU. No clinic visit, no waiting rooms, just discreet, fast service.

How it works — get your sexual health prescription in 4 steps

  1. Fill out our quick online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
  2. A licensed EU doctor privately reviews your case. If the doctor determines the treatment is not appropriate for you, your €25 is refunded automatically — no risk.
  3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and via email within 24 hours.
  4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect your medication.

Who qualifies for sexual health treatments

Our EU-licensed doctors assess each case individually to ensure your safety and treatment effectiveness. They look for specific criteria to determine if medications like sildenafil or tadalafil are appropriate for you. Generally, these treatments are for adult men experiencing erectile dysfunction (ED). Key factors the doctor considers include:

  • Your medical history, including heart conditions, high blood pressure, diabetes, or stroke.
  • Current medications, particularly nitrates or alpha-blockers, which can interact dangerously with ED drugs.
  • Any allergies to active ingredients (sildenafil, tadalafil, etc.).
  • Overall health status to ensure the treatment is safe for you.

The doctor will identify any contraindications during your confidential review. Be honest and thorough in your medical questionnaire.

What sexual health treatments actually do (and don't do)

Prescription sexual health treatments like sildenafil (Viagra) and tadalafil (Cialis) are primarily designed to treat erectile dysfunction. They work by increasing blood flow to the penis when you are sexually stimulated. This makes it easier to achieve and maintain an erection firm enough for satisfactory sexual intercourse.

  • Sildenafil (Viagra): Typically takes effect within 30-60 minutes and lasts for about 4-6 hours. It's taken as needed before sexual activity.
  • Tadalafil (Cialis): Known for its longer duration, lasting up to 36 hours. This allows for more spontaneity. It can be taken as needed or in a lower daily dose.

These medications do not create sexual desire; they only assist with the physical aspect of achieving an erection in response to stimulation. They are not a cure for underlying causes of ED but manage the symptoms effectively. They do not protect against sexually transmitted infections.

Side effects and when to stop

Like all medications, sexual health treatments can have side effects. Most are mild and temporary. Common side effects include headache, flushing, nasal congestion, indigestion, and temporary visual disturbances (especially with sildenafil). Less common but more serious side effects can include:

  • A sudden decrease or loss of vision or hearing.
  • An erection that lasts more than 4 hours (priapism) — seek immediate medical attention if this occurs.
  • Chest pain or heart attack symptoms.

Always read the patient information leaflet provided with your medication. If you experience any severe or persistent side effects, stop taking the medication and consult a doctor immediately. Your Hi-Doctor physician can advise you on managing side effects or discontinuing treatment if necessary.

Why Hi-Doctor vs. walking into a clinic

Getting a prescription for sexual health treatments in Madrid has never been easier or more discreet. Here's how Hi-Doctor compares to a traditional clinic visit:

  • Speed: Get your prescription in under 24 hours with Hi-Doctor. A clinic visit often means weeks of waiting for an appointment.
  • Price: A flat €25 consultation fee with Hi-Doctor, with a money-back guarantee if treatment isn't approved. Private clinic fees can vary significantly and are often much higher.
  • Privacy: Everything happens in your secure Hi-Doctor account – no awkward conversations at a reception desk or in-person visits.
  • Convenience: Complete your consultation from your phone, wherever you are. No need to travel to a city-centre clinic.
  • Trust: Join over 50,000 satisfied patients. We boast a 4.8 Trustpilot rating.

Frequently asked questions

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

If our EU-licensed doctor determines that the treatment is not appropriate for your specific case, 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. Any pharmacy across the EU (including France, Germany, Italy, Portugal, Netherlands, Belgium, and others) can dispense medication from it. You receive a downloadable PDF you can print and present.

How do I actually collect the medication once I have the prescription?

Once you receive your REMPE prescription as a PDF, you can either print it out or show 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 sexual health medication online in Spain?

Yes, it is perfectly legal to obtain sexual health medication online in Spain if it's prescribed by an EU-licensed doctor via a compliant telemedicine service like Hi-Doctor, using an official REMPE prescription.

How long does the prescription take?

Our EU-licensed doctors review your case and issue a REMPE prescription within 24 hours of your consultation, provided the treatment is deemed appropriate for you.

Is my data private?

Yes, your privacy is paramount. All consultations and data handling are fully RGPD-compliant, encrypted, and kept strictly confidential within your private Hi-Doctor account. We use auditable chat for all communication.

How much does it cost?

The online consultation fee is a flat €25. If the doctor determines the treatment is not appropriate, this fee is fully refunded. The cost of the medication itself is paid directly to the pharmacy when you collect it.

HI-DOCTOR NEWSLETTER

We'll tell you when we add new treatments.

At most 2 emails a month. No spam. Updates on online health, EU telemedicine, and clinical guides signed by licensed doctors.