Is it safer than other PDE5s?

All PDE5s are safe under medical supervision and without nitrates. Avanafil may produce fewer vasomotor effects in some profiles, but the choice is individualised in consultation.

What if there is no response to avanafil?

The doctor reassesses: dose adjustment, switch to another PDE5, or evaluation of underlying causes (cardiovascular, hormonal, psychological). The change is not self-prescribed.

Can I get a consultation for Stendra from Latvia?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Latvia 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; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

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 the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is 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 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.

How much does it cost and what does the price include?

The medical consultation costs €25 and includes a licensed doctor's review of your case and, if approved, the electronic prescription. If the doctor decides the treatment is not appropriate, the €25 is refunded. The medication price is separate and paid at the pharmacy; it varies by country, pharmacy and product across the EU. Because your electronic prescription is valid at any EU pharmacy, you can compare and choose where to fill it.

Stendra · LatviaPrescription only

Online medical consultation for Stendra in Latvia.

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Latvia. Consultation €25, refunded if the doctor decides it is not safe to prescribe.

Onset as fast as 15–30 minutes
The most recent PDE5 molecule
Narrower side-effect profile in some studies

€25Refund if treatment not approved

Start consultation · €25 See how it works

Medication, if prescribed, is dispensed and paid for separately at a pharmacy.

FormOral tablet

FrequencyOn demand

ResultsActs in ~15–30 minutes

StatusPrescription only

About

What is Stendra?

Active ingredient: Avanafil · Dosages: 50 / 100 / 200 mg on demand

Avanafil is the most recent PDE5 inhibitor, with fast onset (15–30 minutes) and a somewhat narrower side-effect profile in some studies. It's useful when timing flexibility matters.

It's prescribed at 50, 100 or 200 mg on demand, around 15–30 minutes before sexual activity. If there's no response, the doctor reassesses: dose adjustment, a switch to another PDE5, or evaluation of underlying causes — never a self-prescribed change.

How it works in the body

Avanafil inhibits the PDE5 enzyme, improving penile blood flow in response to sexual stimulation. Its rapid absorption gives it one of the fastest onsets in the class.

How it helps

How it helps.

Fastest onset

Can act in as little as 15–30 minutes.

Modern molecule

The newest PDE5, with fewer vasomotor effects in some profiles.

Doctor-screened

The dose is tailored to your response and current medication.

What to expect

How to take it.

On demand, shortly before sexual activity. The doctor tailors the dose to your response and current medication.

Take it about 15–30 minutes before sexual activity
The doctor starts from the dose that fits your case
Never combine with nitrates
If there's no response, the doctor reassesses — don't self-adjust

Doses your doctor can prescribe

Available doses50 / 100 / 200 mg
When~15–30 min before activity
Pharmacy price~€30–50 / pack

Your schedule is personal

These are typical steps only. Your doctor adjusts the plan to how you respond and tolerate it — and you can message them at any point.

Safety first

Safety, in full.

Stendra is an effective medicine — and like any medicine it carries risks. Your doctor screens for all of this before prescribing. Here's the honest picture, not just reassurance.

As with other PDE5 inhibitors, headache, flushing or nasal congestion can occur. In some studies avanafil showed somewhat fewer vasomotor effects — the doctor reviews your tolerance at follow-up.

Not suitable if you

Take nitrates for chest pain
Have unstable cardiovascular disease
Have been advised against sexual activity for cardiac reasons

When to seek urgent care

For severe, sudden or unexpected symptoms, call your local emergency number or go to the nearest emergency department. Then let your doctor know through your account chat.

PRICING

One price. No surprises.

€25 per online medical consultation. If the doctor does not approve treatment, we refund you in full within 48 hours.

SINGLE CONSULTATION

What our patients say.

Verified reviews from Hi-Doctor patients · names changed for privacy · individual results vary.

Discreet from start to finish. The questionnaire was thorough and the doctor adjusted my dose after feedback.

Daniel P.

3 months in treatment

They checked my heart medication before prescribing — that level of care is why I stayed.

Sergio L.

7 months in treatment

Asking questions through the private chat was easy, and the answers came from the actual doctor.

Andreas W.

4 months in treatment

FREQUENTLY ASKED QUESTIONS

Questions about Stendra.

Find out if it's right for you

See if Stendra is appropriate for you.

Answer a few questions and a licensed EU doctor reviews your case within 24 hours. Refunded in full if it's not right for you.

Start consultation · €25 See Sexual health

OTHER SEXUAL HEALTH TREATMENTS

Explore related treatments.

Sildenafil Viagrasildenafil Tadalafil Cialistadalafil Vardenafil Levitravardenafil Avanafil Spedraavanafil Alprostadil Vitarosalprostadil Caverjectalprostadil MUSEalprostadil

ALSO AVAILABLE IN

The Stendra consultation works the same way across the EU.

RigaLV DaugavpilsLV LiepājaLV JelgavaLV

AVAILABLE ACROSS SPAIN