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1. Choose your treatment
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2. Answer Our Doctor's Questions
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3. If suitable a prescription is issued


In stock
  • Heart problems (including angina, chest pain, heart failure, irregular heart beats, heart attack, left-ventricular outflow obstruction, cardiomyopathy or valvular heart disease)
  • Stroke
  • Sight loss due to poor circulation, sight loss because of non-arteritic anterior ischemic optic neuropathy (NAION)
  • Blood problems (such as haemophilia, sickle cell anaemia, leukaemia, multiple myeloma)
  • Stomach ulcers
  • Liver problems
  • Kidney problems
  • An erection that lasted more than 4 hours
  • Any physical condition affecting the shape of the penis (e.g. angulation, Peyronie's disease and cavernosal fibrosis)
  • Inherited eye disease - retinitis pigmentosa
  • Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • Any serious medical condition which may require immediate hospitalisation
  • Any treatment for erectile dysfunction apart from Viagra (Sildenafil), Levitra (Vardenafil), Cialis (Tadalafil), or Spedra (Avanafil)
  • Medicinal nitrates, such as Glyceryl trinitrate, Isosorbide mononitrate or isosorbide dinitrate (including oral, transdermal and sublingual)
  • Recreational drugs prohibited by law (Class A, B or C) - Recreational nitrates such as amylnitrate (also known as 'poppers'), Alpha blockers (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia, and including Doxazocin, Prazocin, Terazocin and Indoramin)
  • Medicines to treat high blood pressure
  • Warfarin - used to prvent heart attacks, strokes and blood clots
  • Anti-virals (including Atazanair, Etravirine, Fosamprenavir, Indinavir, Nelfinavir, Ritonavir, Saquinavir), Nicorandil anti-fungal medication (Ketoconazole, Itraconazole)
  • Quinidine/Procainamide/Amiodarone
  • Theophylline
  • Erythromycin/Clarithromycin/Cimetidine
  • Phenobarbital, Phenytoin, Carbamazepine (anticonvulsant medicines)
  • Please ensure a gap of 24 hours (26 hours Cialis)  between usage.
  • Please never exceed the prescribed dose. 
  • You will read the Patient Information Leaflet supplied with your medication
  • You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication, or if your medical conditions change during treatment
  • The treatment is solely for your own use
  • You are over the age of 18 and you have entered your own information for our identity verification checks
  • You have answered all the above questions accurately and truthfully
  • You understand our doctors take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
  • You will inform your own GP of this purchase if appropriate
  • You are happy for your consultation to be reviewed by a European doctor company, and as such it is not subject to CQC Registration or inspection in England. 
  • You have read our privacy policy, cookie policy, patient agreement, data sharing agreement and Terms & Conditions
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Dosage instructions
Recommended dose is 10mg taken as needed approximately 25 to 60 minutes before sexual activity. Based on efficacy and tolerability the dose may be increased to 20mg or decreased to 5mg. Maximum recommended dose is 20mg and maximum recommended dosing frequency is once per day.