What is alprostadil and when is it used?

It is a prostaglandin E1 that directly dilates the penile vessels. It is considered when oral PDE5s are ineffective or contraindicated.

How is alprostadil administered?

As a urethral cream (applied into the urethra) or an intracavernous injection, under medical instruction. Each route has its own efficacy and tolerability profile.

What precautions apply?

Correct administration technique, risk of local pain, priapism (prolonged erection) and, rarely, fibrosis. The doctor explains the protocol and warning signs.

Can it be combined with other ED treatments?

Combination with PDE5 is considered only under medical supervision. It is never paired without explicit indication due to priapism risk.

Can I get a consultation for Alprostadil from Madrid?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Madrid you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; in Spain it is dispensed directly from the prescription QR.

Is my sexual health consultation fully confidential?

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.

What is a electronic prescription and why is it valid across the EU?

prescription is the Spanish electronic private medical prescription issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) An EU-licensed doctor reviews your case and replies in under 24 h through the private chat in your account. 3) If eligible, the doctor issues an electronic electronic prescription. 4) You collect it at any EU pharmacy. The consultation costs €25 and, if the doctor decides it is not safe to prescribe, the full amount is refunded.

ALPROSTADIL

Online medical consultation for Alprostadil.

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid at any EU pharmacy under Directive 2011/24/EU.

electronic prescription valid at pharmacies across all 27 EU countries under Directive 2011/24/EU.
€25 consultation · full refund if the doctor decides it is not safe to prescribe.

Start consultation · €25 See Sexual health

4.4 · Trustpilot

Licensed EU doctors

Prescription in <24 h

50,000+ patients served

Trustpilot · 4.4 ★

Alprostadil is prescribed on Hi-Doctor when the licensed doctor considers it appropriate within sexual health.

Active ingredient: alprostadilArea: sexual healthPrescription-only

WHAT TO KNOW

Alprostadil in context.

Alprostadil is among the options a licensed EU doctor may consider for sexual health. The decision is made case by case after reviewing your questionnaire, history and current medication.

The doctor reviews your questionnaire, rules out contraindications and explains the available options clearly. If your case is not eligible, the doctor tells you at no extra cost and the €25 consultation is refunded.

HOW HI-DOCTOR WORKS

Your consultation step by step.

1) You fill in the online medical questionnaire in about 4 minutes.

2) An EU-licensed doctor reviews your case in under 24 hours.

3) If appropriate, the doctor issues a prescription electronic prescription valid at any EU pharmacy under EU Directive 2011/24/EU.

4) You collect the medication at your nearest pharmacy and follow up through the private chat in your account — no WhatsApp, no SMS.

REVIEWED BY HI-DOCTOR LICENSED PHYSICIANS · EDUCATIONAL CONTENT, NOT A SUBSTITUTE FOR A CONSULTATION

TREATMENTS

Three categories, one process.

Choose what fits. The journey is identical.

Weight-management consultation — illustrative format

Weight loss

A medical consultation on your weight goal. Treatment if appropriate.

Start

Sexual health

An absolutely discreet consultation for intimate concerns.

Start

Hair growth

Medical assessment and tailored treatment for hair loss.

Start

HOW IT WORKS

Your consultation, in four steps.

Simple, private, entirely online.

~4 min
Step 01
Questionnaire
4 minutes. Clear questions about your health and goal.
< 24 h
Step 02
Medical review
A licensed doctor reviews your case in under 24 hours.
prescription
Step 03
Prescription
If appropriate, you receive an EU-valid prescription.
EU
Step 04
EU pharmacy
Fill it at any pharmacy in the European Union.

FREQUENTLY ASKED QUESTIONS

Questions about Alprostadil.

OTHER SEXUAL HEALTH TREATMENTS

Explore related treatments.

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ALSO AVAILABLE IN

The Alprostadil consultation works the same way across the EU.

AVAILABLE ACROSS SPAIN

Online medical consultation for Alprostadil.

Alprostadil in context.

Your consultation step by step.

Three categories, one process.

Weight loss

Sexual health

Hair growth

Your consultation, in four steps.

Questionnaire

Medical review

Prescription

EU pharmacy

Questions about Alprostadil.

What is alprostadil and when is it used?

How is alprostadil administered?

What precautions apply?

Can it be combined with other ED treatments?

Can I get a consultation for Alprostadil from Madrid?

Is my sexual health consultation fully confidential?

What is a electronic prescription and why is it valid across the EU?

How does Hi-Doctor work step by step?

Explore related treatments.

The Alprostadil consultation works the same way across the EU.

We'll tell you when we add new treatments.