Understanding Sexual Health: Information and Treatment Options

If you're looking to get a prescription for Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil, or Avanafil (Spedra) online in Spain or any EU country, you've come to the right place. Hi-Doctor connects you with EU-licensed doctors who can review your case and issue a prescription, often within 24 hours. The entire process is online, discreet, and costs just €25. Your prescription, issued as a REMPE electronic PDF, is valid at any pharmacy across the EU.

How it works — get your ED medication prescription in 4 steps

1. Fill out our quick online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. An EU-licensed 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 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 your medication.

Who qualifies for ED medication?

Our EU-licensed doctors assess each case individually to ensure your safety and treatment effectiveness. They look for specific criteria, including your medical history and current health status. Generally, you may be a candidate for Sildenafil, Tadalafil, Vardenafil, or Avanafil if you experience erectile dysfunction (ED) and have no contraindications. Key factors considered include:

• Your overall cardiovascular health.
• Any existing conditions such as heart disease, high blood pressure, or diabetes.
• Current medications you are taking, especially nitrates, alpha-blockers, or other ED treatments.
• Your age and general physical condition.

The doctor's review ensures the medication is safe and appropriate for your specific health profile.

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

Sildenafil, Tadalafil, Vardenafil, and Avanafil are phosphodiesterase-5 (PDE5) inhibitors. They work by increasing blood flow to the penis when you are sexually stimulated, helping you achieve and maintain an erection. They do not create sexual desire or cause an erection without stimulation.

• Sildenafil (Viagra): Typically works within 30-60 minutes and lasts for about 4-6 hours. Available in 25mg, 50mg, and 100mg dosages.
• Tadalafil (Cialis): Known for its longer duration, lasting up to 36 hours. It can also be taken daily in lower doses (2.5mg or 5mg) for continuous effect. Higher doses like 10mg and 20mg are also available.
• Vardenafil: Similar to Sildenafil, it generally works within 25-60 minutes. Available in 5mg, 10mg, and 20mg dosages.
• Avanafil (Spedra): Often acts faster, in as little as 15-30 minutes, and lasts several hours. Dosages include 50mg, 100mg, and 200mg.

These medications are effective for many men, but they are not a cure for ED. They address the symptoms, allowing for improved sexual function. Realistic timelines for effect and duration vary by individual and medication type.

Side effects and when to stop

Like all medications, PDE5 inhibitors can cause side effects. Most are mild and temporary. Common side effects include headache, flushing, upset stomach, nasal congestion, and visual disturbances (especially with Sildenafil). More serious, but rare, side effects can include a sudden decrease or loss of vision or hearing, or an erection lasting more than four hours (priapism). If you experience any severe or persistent side effects, stop taking the medication and seek immediate medical attention.

Always inform your doctor of any pre-existing conditions or other medications you are taking, especially nitrates used for chest pain, as combining them with ED medications can cause a dangerous drop in blood pressure. Your Hi-Doctor EU-licensed doctor will discuss these risks during your consultation.

Why Hi-Doctor vs. walking into a clinic

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

• Speed: Get your electronic prescription in under 24 hours, compared to weeks of waiting for a clinic appointment.
• Price: A flat €25 consultation fee, with a money-back guarantee if no prescription is issued. Private clinic fees can vary widely and often cost much more.
• Privacy: Everything happens securely within our app. No waiting rooms, no reception desks, just discreet, RGPD-compliant chat with your doctor.
• Convenience: Complete your consultation from anywhere, anytime, using your phone or computer. No need to travel to a city-centre clinic.

With over 50,000 patients served and a 4.8 Trustpilot rating, Hi-Doctor provides a trusted, efficient, and private way to access essential medical care.

Frequently asked questions

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

If the EU-licensed doctor determines that the treatment 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 on cross-border healthcare, any EU pharmacy (including those in France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to dispense from it. You receive a downloadable PDF you can print or show on your phone.

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

Simply print the PDF prescription or show it on your phone to the pharmacist at any EU pharmacy. The pharmacist will scan the QR code or verify the digital signature, then dispense your medication.

Is it legal to get ED medication online in my EU country?

Yes, it is legal when obtained through a licensed EU doctor via an online consultation, leading to a valid REMPE electronic prescription. This process complies with EU cross-border healthcare directives.

How long does the prescription take?

Once you complete your medical questionnaire, an EU-licensed doctor reviews your case. If approved, your REMPE electronic prescription is issued within 24 hours.

Is my data private?

Yes. Hi-Doctor is fully RGPD-compliant. All your medical information and communications with the doctor are private, secure, and auditable within your Hi-Doctor account.

How much does it cost?

The online consultation fee is a flat €25. This fee includes the doctor's review and the prescription if approved. If the doctor finds the treatment inappropriate, you get your money back.