Sexual health7 minute read
Prescription Sexual Health Treatments in Madrid: Your Options
Need Viagra or Cialis in Madrid? Get an online prescription from an EU-licensed doctor for €35. It arrives in under 24 hours; if approved, it goes through Spain's local prescription system, and the pharmacist reviews it and decides on di…

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.
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 €35. If the doctor approves, the prescription goes through the local prescription system in Spain, and pharmacists review it and decide whether to dispense; a pharmacist may dispense a locally marketed equivalent. No clinic visit, no waiting rooms, just discreet, fast service.
How it works: get your sexual health prescription in 4 steps
- Fill out our quick online medical questionnaire (2–3 minutes) and pay the €35 consultation fee.
- A licensed EU doctor privately reviews your case. If the doctor determines the treatment is not appropriate for you, your €35 is refunded automatically, so there is no risk.
- If approved, you receive a valid electronic prescription (PDF file) in your Hi-Doctor account and via email within 24 hours.
- Print the PDF or show it on your phone and present it at a pharmacy. Hi-Doctor connects with the local prescription system in Spain: if the doctor approves, the prescription goes through the country's own prescription system, and the pharmacist reviews it and decides whether to dispense; they may dispense a locally marketed equivalent.
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.
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.
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 €35 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.
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. If the doctor approves, the prescription goes through Spain's own prescription system, and the pharmacist reviews it and decides whether to dispense; they may dispense a locally marketed equivalent. If the doctor decides the treatment isn't appropriate, the €35 consultation fee is refunded automatically.
COMMON QUESTIONS
Frequently asked questions
If our EU-licensed doctor determines that the treatment is not appropriate for your specific case, your €35 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.



