Telemedicine for ED in the Netherlands: A Quick Guide

If you're in the Netherlands and looking to get an ED medication prescription online, you've come to the right place. Hi-Doctor connects you with EU-licensed doctors who can assess your case discreetly and efficiently. You can get a valid electronic prescription for medications like sildenafil (Viagra) or tadalafil (Cialis) in under 24 hours, all for a flat €25 consultation fee. This prescription is valid at any pharmacy across the EU, including the Netherlands. Plus, it's risk-free: if the doctor determines treatment isn't appropriate, you get your money back.

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

1. Fill the online medical questionnaire: Complete a short (2–3 minutes) medical questionnaire in your Hi-Doctor account. Then, pay the €25 online consultation fee.
2. Doctor review and approval: An EU-licensed doctor reviews your medical information in private. If the doctor determines the treatment is not appropriate for you, your €25 fee is refunded automatically — you pay nothing.
3. Receive your electronic prescription: If approved, you receive a REMPE electronic prescription (a downloadable PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Collect your medication: Print the PDF or show it on your phone — present it at any pharmacy in the EU (including the Netherlands) to collect your prescribed ED medication.

Who qualifies for ED medication

Our EU-licensed doctors look for specific criteria to ensure ED treatment is safe and effective for you. Generally, ED medications like sildenafil and tadalafil are for adult men experiencing erectile dysfunction. Key factors the doctor considers include:

• Your medical history: Conditions like heart disease, stroke, severe liver or kidney problems, or certain eye conditions may contraindicate ED medication.
• Current medications: It's crucial to disclose all medications you are taking, especially nitrates (often prescribed for chest pain), alpha-blockers, or other ED treatments, as these can interact dangerously with PDE5 inhibitors.
• Overall health: The doctor assesses your general health to ensure there are no underlying issues that would make ED treatment unsafe.

The online medical questionnaire is designed to gather this essential information, allowing the doctor to make an informed and safe decision tailored to your individual case.

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

ED medications like sildenafil (Viagra) and tadalafil (Cialis) are part of a class called PDE5 inhibitors. They work by relaxing the blood vessels in your penis, which increases blood flow when you are sexually aroused. This makes it easier to achieve and maintain an erection firm enough for sexual activity.

What they do:

• Help you get and keep an erection when you are sexually stimulated.
• Improve the quality of your erections.
• Offer a flexible solution, with options for on-demand use (e.g., sildenafil for 4-6 hours) or daily low-dose use (e.g., tadalafil for up to 36 hours).

What they don't do:

• Cause an erection automatically without sexual stimulation.
• Increase your libido or sexual desire.
• Prevent sexually transmitted infections.
• Cure the underlying cause of ED (though they effectively manage the symptoms).

It's important to have realistic expectations. These medications are effective for many men, but they are not a magic bullet and require sexual stimulation to work.

Side effects and when to stop

Like all medications, ED treatments can have side effects. Most are mild and temporary. Common side effects of PDE5 inhibitors include:

• Headache
• Flushing (redness and warmth in your face)
• Nasal congestion
• Indigestion
• Back pain or muscle aches (more common with tadalafil)
• Visual disturbances (e.g., blurred vision, a blue tinge to vision, more common with sildenafil)

When to stop and seek immediate medical attention:

• An erection lasting longer than 4 hours (priapism).
• Sudden decrease or loss of vision in one or both eyes.
• Sudden decrease or loss of hearing.
• Chest pain, dizziness, or nausea during sexual activity.
• Severe allergic reaction (rash, swelling of the face/lips/tongue/throat, difficulty breathing).

Always follow your doctor's instructions for dosage and usage. If you experience any severe or concerning side effects, stop the medication and consult a doctor immediately. Our EU-licensed doctors will review your medical history thoroughly to minimise risks, but it's vital to be aware of these potential issues.

Why Hi-Doctor vs. walking into a clinic

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

• Speed: Get your electronic prescription in under 24 hours. A clinic appointment can take weeks to secure, plus travel and waiting times.
• Price: A flat €25 for the online consultation. If the doctor doesn't approve treatment, your fee is refunded — no risk. Private clinic fees can vary widely and are often much higher, with no refund if treatment isn't prescribed.
• Privacy: Everything happens securely within your Hi-Doctor account. No awkward waiting rooms, no explaining your condition at a reception desk. Your information is RGPD-compliant and confidential.
• Convenience: Consult from anywhere, anytime, using your phone or computer. No need to travel to a city-centre clinic or take time off work.
• Trust: Join over 50,000 satisfied patients. We hold a 4.8-star rating on Trustpilot, reflecting our commitment to patient care and service.
• EU-wide validity: Your REMPE prescription is valid at any pharmacy in the EU, giving you flexibility no matter where you are.

Frequently asked questions

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

If our EU-licensed doctor determines that ED 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, this prescription is recognised and can be dispensed from at any pharmacy in the EU, including France, Germany, Italy, Portugal, the Netherlands, Belgium, and Ireland. 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?

Once you receive your REMPE PDF prescription, simply print it out or show the PDF on your smartphone at the counter of any EU pharmacy. The pharmacist will scan the QR code or verify the electronic signature and dispense your medication.

Is it legal to get ED medication online in the Netherlands?

Yes, it is legal to obtain an ED medication prescription online in the Netherlands when issued by an EU-licensed doctor through a regulated telemedicine service like Hi-Doctor. The REMPE prescription is legally recognised across the EU under cross-border prescription directives.

How long does the prescription take?

After you complete your medical questionnaire and payment, an EU-licensed doctor reviews your case. If approved, your electronic prescription (PDF) is issued to your Hi-Doctor account and email within 24 hours.

Is my data private?

Yes, your privacy is paramount. Hi-Doctor is fully RGPD-compliant, ensuring all your medical and personal data is handled with the strictest confidentiality and security. All communication with the doctor occurs in a private, auditable chat within your account.

How much does it cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case and the issuance of a prescription if deemed appropriate. If the doctor decides the treatment is not suitable, your €25 is fully refunded.