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Erectile Dysfunction
Erectile Dysfunction
Price inclusive of doctor, pharmacy & delivery fees.
Our 50mg Sildenafil is the same ingredient and strength as Viagra Connect.
And it's much better value for money.
  • Sildenafil
  • Tadalafil
  • Viagra
  • Cialis
  • Spedra
  • Levitra
  • Cialis & Tadalafil Once Daily
Sildenafil 
Sildenafil
Sildenafil
  • £13.99
     
  • £19.99
     
  • £31.99
     
  • £49.99
     
  • £14.49
     
  • £21.99
     
  • £33.99
     
  • £54.99
     
  • £14.99
     
  • £23.99
     
  • £36.99
     
  • £62.99
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Sildenafil is the generic name for Viagra and is just as effective.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How To Take Sildenafil
    Sildenafil should be taken with water about 30-60 minutes before sex. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • Effectiveness
    Most men will achieve significant results with PDE-5 inhibitors such as Sildenafil. Some people will get better results at higher doses, whereas others may need to reduce the dose to 25mg if they are unable to tolerate some of the common side effects.
     
  • Effectiveness
    The medication is most effective taken 30-60 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Other options
    There are different options apart from Sildenafil, which might be better suited. See the comparison of different options within the main text.
     
  • Very common side effects (more than 1 in 10)
    Headache usually mild and self-resolving. If not tolerated you should not take this medication.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/sildenafilTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Tadafil 
Tadafil
Tadafil
  • £16.99
     
  • £27.99
     
  • £44.99
     
  • £68.99
     
  • £17.99
     
  • £29.99
     
  • £45.99
     
  • £67.99
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Tadalafil is a type of PDE-5 inhibitor which lasts longer in the body than others.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How To Take Tadalafil
    Tadalafil should be taken with water about 30-60 minutes before sex. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • How Long it Lasts
    Tadalafil will last up to 36 hours, which is the main difference between Tadafil and the other medications as it is the longest acting. For this reason it sometimes known as the weekender.
     
  • What Dose?
    If you have not used Tadalafil before, we would recommend starting at 10mg, and leaving at least an hour for it to work the first time you use it. If you find this dose is too strong or weak then you change your dose higher or lower.
     
  • Effectiveness
    Most men will achieve significant results with the use of this medication, and one dose will last up to 36 hours. You may find you need to reduce or increase the dose depending on the response, but we recommend starting at 10mg.
     
  • When To Take
    The medication is most effective taken 30-60 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Different Options
    There are different options apart from Tadalafil, which might be better suited. See the comparison of different options within the main text.
     
  • Very common side effects (more than 1 in 10)
    Headache usually mild and self-resolving. If not tolerated you should not take this medication.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/tadalafilTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Viagra 
Viagra
Viagra
  • £31.00
     
  • £51.00
     
  • £88.50
     
  • £180.00
     
  • £36.00
     
  • £66.00
     
  • £119.00
     
  • £200.00
     
  • £40.50
     
  • £71.00
     
  • £131.00
     
  • £250.00
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Viagra was the first PDE-5 inhibitor licensed to treat erectile dysfunction. The active ingredient is Sildenafil. Viagra is the brand name but you can also buy non-branded sildenafil from The Doctor Service too, which is cheaper.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How To Take Viagra
    Viagra should be taken with water about 30-60 minutes before sex. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • Effectiveness
    Most men will achieve significant results with PDE-5 inhibitors such as Sildenafil. Some people will get better results at higher doses, whereas others may need to reduce the dose to 25mg if they are unable to tolerate some of the common side effects.
     
  • When To Take
    The medication is most effective taken 30-60 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Different Options
    There are different options apart from Viagra, which might be better suited. See the comparison of different options within the main text.
     
  • Very common side effects (more than 1 in 10)
    Headache usually mild and self-resolving. If not tolerated you should not take this medication.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/sildenafilTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.x
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Cialis - 10mg 
Cialis - 10mg
Cialis - 10mg
  • £42.00
     
  • £74.00
     
  • £136.00
     
  • £219.99
     
 
Cialis - 20mg 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Cialis is the brand name of a medication called Tadalafil. It is a type of PDE-5 inhibitor which lasts longer in the body than others. Tadalafil is available as a non-branded medication with us, and is slightly cheaper, containing the same ingredients. Some people prefer to use the brand however.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How To Take Tadalafil
    Tadalafil should be taken with water about 30-60 minutes before sex. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • How Long it Lasts
    Tadalafil will last up to 36 hours, which is the main difference between Tadafil and the other medications as it is the longest acting. For this reason it sometimes known as the weekender
     
  • What Dose?
    If you have not used Tadalafil before, we would recommend starting at 10mg, and leaving at least an hour for it to work the first time you use it. If you find this dose is too strong or weak then you change your dose higher or lower.
     
  • Effectiveness
    Most men will achieve significant results with the use of this medication, and one dose will last up to 36 hours. You may find you need to reduce or increase the dose depending on the response, but we recommend starting at 10mg.
     
  • When To Take
    The medication is most effective taken 30-60 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Different Options
    There are different options apart from Cialis, which might be better suited. See the comparison of different options within the main text.
     
  • Very common side effects (more than 1 in 10)
    Headache usually mild and self-resolving. If not tolerated you should not take this medication.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/tadalafilTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Spedra 
Spedra
Spedra
  • £21.00
     
  • £34.50
     
  • £56.00
     
  • £99.99
     
  • £24.00
     
  • £43.50
     
  • £74.50
     
  • £140.00
     
  • £36.00
     
  • £61.00
     
  • £104.50
     
  • £199.99
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Spedra is a newer medication available, containing the ingredient Avanafil.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How To Take Spedra
    Spedra should be taken with water about 15-30 minutes before sex. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • Time of Onset
    It has been found to have the quickest time of onset. It takes 15-30 minutes to work, with a maximum effect reached by 45 minutes.
     
  • Effectiveness
    Most men will achieve significant results with PDE-5 inhibitors such as Spedra. Some people will get better results at higher doses, whereas others may need to reduce the dose if they are unable to tolerate some of the common side effects.
     
  • Effectiveness
    The medication is most effective taken 15-30 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Different Options
    There are different options apart from Spedra, which might be better suited to you. See the comparison of different options within the main text.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/spedraTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Levitra 
Levitra
Levitra
  • £22.50
     
  • £36.50
     
  • £62.50
     
  • £119.99
     
  • £30.50
     
  • £49.50
     
  • £81.50
     
  • £149.99
     
  • £34.50
     
  • £59.50
     
  • £111.50
     
  • £219.99
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Levitra is the brand name for a medication called Vardenafil, which is another type of PDE-5 inhibitor.
     
  • Key Information
    Levitra is a similar medication to Viagra with very similar results. The main difference is Levitra has been found to have a faster time of onset in some people compared to Viagra (Sildenafil)
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • How to Take Levitra
    Levitra should be taken with water about 30-60 minutes before sex. Some people find an onset within 15 minutes. Having a large meal can slow down the absorption time, so taking longer for it work, and sometimes reducing its effectiveness.
     
  • Effectiveness
    Most men will achieve significant results with PDE-5 inhibitors such as Levitra. Some people will get better results at higher doses, whereas others may need to reduce the dose if they are unable to tolerate some of the common side effects.
     
  • Effectiveness
    The medication is most effective taken 30-60 minutes before sex. Having a large meal may slow down the absorption so it could take more time to have an effect. Its effects usually last up to 4 hours.
     
  • Other options
    There are different options to Levitra, which might be better suited. See the comparison of different options within the main text.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/vardenafilTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Cialis 
Cialis
Cialis
  • £73.00
     
  • £135.00
     
  • £74.00
     
  • £139.00
     
 
Tadalafil 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Cialis Daily is a medication that is taken once daily, which allows men to have sex without needing to remember to take medication around the time of having sex. It is a lower dose than if taking cialis (tadalafil) just when required.
     
  • How it works
    It works by blocking the action of a chemical called phosophodiesterase-5 which helps to widen blood vessels flowing to the penis to increase the blood flow helping to maintain an erection.
     
  • Why use Cialis Daily
    Cialis Daily may be better suited for men who have frequent sex, for example, more than 3 times per week, and allows for spontaneous sex not planned around medication.
     
  • How To Take Tadalafil Once Daily
    You should take one tablet daily with water at the same time of day. If you miss the medication you should take it when you next remember, but do not take higher than the stated dose.
     
  • What Dose?
    If you have not used Tadalafil once daily before, we would recommend starting at 2.5mg and increasing to the 5mg tablet if the 2.5mg tablet is not effective for you.
     
  • Effectiveness
    Most men will achieve good results with PDE-5 inhibitors such as this one. The dose can be increased or decreased if required.
     
  • How Much To Take
    We recommend starting at 2.5mg daily for at least 2 weeks to see if the treatment is effective. If not then you may need to consider increasing the dose to 5mg.
     
  • Time of onset
    When you first start the medication it can take up to 5 days to be fully effective. Following this you should not require any time
     
  • Different Options
    There are different options apart from Cialis Daily, which could be better suited. See the comparison of different options within the main text.
     
  • Very common side effects (more than 1 in 10)
    Headache usually mild and self-resolving. If not tolerated you should not take this medication.
     
  • Common side effects (less than 1 in 10)
    These are for the most part quite well tolerated. These milder side effects include mild headache, facial flushing, nasal congestion, indigestion and occasional dizziness.
     
  • Uncommon Side Effects (less than 1 in 100)
    Vomiting, skin rash, eye problems including irritation, blood shot eyes, bleeding at the back of the eye, double vision, watery eyes and further other rare available to read in the Patient Information Leaflet http://bit.ly/tadalafilODTDS
     
  • Rare but Important Side Effects to be aware of (less than 1 in 1,000 affected)
    There are certain side effects much rarer, but if you experience them you should stop taking this medication. These include chest pain, and erection that won't subside after 4 hours (priapism), loss of vision, seizures or severe allergic reaction - including wheezing or breathing problems. A full list is available at http://bit.ly/sildenafilTDS
     
  • Priapism
    If you experience priapism, which is when an erection will not subside after 4 hours, then this is seen as a medical emergency, and you must attend an emergency department for further management. It is very rare, but an important side effect to be aware of.
     
  • When Not To Use
    You should not use the medication if you have certain other medical conditions. This includes the use of medications including GTN spray, tamsulosin or doxazosin. please read about these in the information provided on this page.
     
  • Maximum Dose
    You should not exceed the stated dose as you could be putting yourself at risk of serious side effects.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Erectile Dysfunction (ED)

Erectile dysfunction is very common, and if you have problems maintaining an erection then you are not alone. There are different treatments available to help, but the most commonly used are treatments such as Viagra. These treatments are known as Phosphodiesterase (PDE-5) inhibitors.

If you're experiencing erectile dysfunction for the first time it would be useful to get advice from a health professional if you've not done so already. It may be useful to check your cardiovascular risk and for diabetes.

Causes & Symptoms of Erectile Dysfunction
Some men are not able to get an erection at all, and other men find they can get an erection, but it does not last long enough or is not firm enough.

Physical causes are due to reduced blood flow to the penis, preventing an erection from being sustained. Problems with blood vessels can be caused from a variety of conditions including diabetes, cardiovascular disease or physical injuries. Smoking and excess alcohol intake can affect the integrity of the blood vessels.

Nervous System disorders due to conditions such as Parkinsons, multiple sclerosis or a stroke. Most commonly, stress, depression and anxiety contribute to nervous system causes. Previous surgery, e.g. to the prostate gland may also cause problems.

Prevention of Erectile Dysfunction
Generally, prevention of physical causes of ED come down to ensuring a healthy diet and lifestyle which help to maintain the integrity of the blood vessels to the penis. This includes regular exercise, avoiding smoking and reducing alcohol intake if you drink over the recommended limits. If you are diabetic, you should make sure this is at optimal control. 

Reducing stress and ensuring emotional wellbeing will also help to reduce the risk of developing ED and help to improve symptoms of ED.
Treatments with The Doctor Service
Our Viagra is cheaper than Viagra Connect at the Pharmacy. 

The Doctor Service is able to offer different options to help with ED. The table below helps to summarise the main differences. Each branded drug has a generic name. Medications work by widening blood vessels to initiate and maintain an erection. A common misconception is that using the drug will cause a constant erection. You must be sexually stimulated for the drug to work. Side-effects sometimes occur with the treatments, some more common than others.

Common side effects are usually well tolerated and do not prevent men from using the treatments. This includes a mild headache or noticing facial flushing of cheeks. You should check the patient information leaflets before using the medication.
Information about the different medications


ED comparison of treatment table
When you should not take this medication
It is not safe to use this medication if you have had a heart attack in the last 90 days, a stroke within the last 6 months or have been diagnosed with heart failure in the last 6 months. If you have unstable angina or develop angina during sexual intercourse you should not use this medication, and also if you use nitrates.

If you have a very low blood pressure, or a very high blood pressure, you should not use the medication, or if you have a condition called Retinitis Pigmentosa. If you have a history of priapism (sustained intractable erections) then you should also not use this medication.
Alternative Treatments Available
There are many different options for erectile dysfunction treatments apart from the use of PDE-5 inhibitors (the medications available with The Doctor Service) although they may be more or less suitable depending on people’s specific situations. Psychosexual therapy should be considered as an adjunctive option along with PDE-5 inhibitors.

Alternative options include suppositories placed within the penis to stimulate an erection, or doing a small injection of medication into the base of the penis. Vacuum devices are a possibility too.
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