Your health and safety are our top priorities. To ensure we provide you with the most effective and appropriate treatment, it is crucial that you provide accurate and complete information about your health during our online consultation process. Accurate information helps us understand your condition better, assess any potential risks, and recommend the best possible medication for your needs. Providing false or incomplete information can lead to inappropriate treatment, potential health risks, and delays in receiving the care you need. Thank you for your cooperation and trust in our services.

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Please select your option
Male
Female
Transmale (Born a female)
Transfemale (Born a male)


If yes, information message: You are eligible for treatment. However, be aware alcoholic drinks and/or smoking can make erection difficulties worse. Consult your doctor/Pharmacist for information on giving upm smoking.




Accurately describing your condition during our online consultation is essential for ensuring you receive the best possible care. Detailed and truthful information about your symptoms, their frequency, and their severity allows our healthcare professionals to make informed decisions about your treatment. Incomplete or incorrect descriptions can result in inappropriate medication, potential health risks, and delays in your care. Your honesty and thoroughness help us provide you with the most effective and safe treatment options. Thank you for your cooperation and trust in our services.

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  • Peyronie's disease
  • Scarring or bend of the penis
  • Trauma or injury to the penis
  • Being unable to retract the foreskin (phimosis)
  • Having the foreskin stuck behind the head/glans (paraphimosis)
  • Something else
  • Not sure
  • If Something else or not sure, please describe what caused your painful erection.

If Yes, Why did the doctor tell you to avoid these activities?



If yes, provide details (When was it diagnosed  by your GP? Are you on medicine? Do you regular checks with your GP to ensure it is under control?)


If yes, please provide details.


If yes, please provide details


If yes, please provide details



  • Any heart problems, including angina, chest pain, heart failure, irregular heartbeats, heart attack (myocardial
    infarction), left-ventricular outflow obstruction, cardiomyopathy or valvular heart disease (e.g. aortic stenosis).
  • 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 (an abnormality of red blood cells), leukaemia (cancer of blood cells)
  • Stomach ulcers (e.g. peptic/gastric ulcer)
  • 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
  • Multiple myeloma (cancer of the bone marrow)
  • Galactose intolerance, Lapp Lactase deficiency or glucose-galactose malabsorption
  • Any serious medical condition which may require immediate hospitalisation.

If No information sign: As you have not previously taken any erectile dysfunction medication, we will not be able to supply you with a high-strength treatment as you must try a standard strength first.


  • Nitrates are often taken for chest pain/angina.
  • Can be administered as a spray, tablet or patch.
  • Includes glyceryl trinitrate, isosorbide mononitrate or isosorbide dinitrate.





Please take the time to carefully read the Agreement and Consent statements during our online consultation process. Understanding these statements is essential for your safety and for ensuring that you are fully informed about the treatment you will receive. The Agreement and Consent sections outline important information about the risks, benefits, and responsibilities associated with your medication. By reading and agreeing to these terms, you help us ensure that you are aware of and comfortable with the treatment plan. Your informed consent is crucial for providing you with the best possible care. Thank you for your cooperation and trust in our services.

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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 have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.