Men's health · €25 GP review
Erectile dysfunction treatment online in Ireland
Sildenafil, tadalafil or similar, with a cardiovascular safety check. Reviewed by an Irish-registered GP — no appointment needed. A prescription is issued only if clinically appropriate.
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Erectile dysfunction is common and treatable. Answer a confidential questionnaire, including a heart safety check, and an Irish-registered GP decides whether sildenafil, tadalafil or a similar medicine is safe for you.
What it costs
€25 per request, refunded in full if the GP decides it is not safe to prescribe online.
How quickly
Reviewed the same working day for requests submitted before 5pm, Monday to Friday. Weekend requests are reviewed the next working day.
Who this is suitable for
- You are a man aged 18 or over living in Ireland
- You have difficulty getting or keeping an erection
- You are not taking nitrate medicines
- You take nitrates (GTN spray, isosorbide) or nicorandil
- Chest pain on exertion or during sex, or a heart attack or stroke recently
- Sudden loss of vision in one eye
- An erection lasting more than 4 hours in the past, or sickle cell disease
What your €25 covers
- Short clinical questionnaire you can finish on your phone
- Review by an Irish-registered, IMC-listed GP
- Prescription sent securely to the pharmacy you choose
- A written note in your patient record you can download any time
What we'll ask you
14 short questions, most of them yes or no. Your answers go straight to the reviewing GP.
- How long have you had difficulty with erections, and did it start gradually or suddenly?
- Do you still get morning erections?
- Have you tried any ED medicine before? Which, what dose, and how well did it work?
- Which treatment would you prefer?
- Do you take nitrates (GTN spray, isosorbide) or nicorandil?
- Any chest pain on exertion or during sex, breathlessness, or a heart attack or stroke in the last 6 months?
- Most recent blood pressure reading, if known
- Do you have diabetes, high blood pressure or high cholesterol?
- Any sudden loss of vision in one eye, or a diagnosis of retinitis pigmentosa?
- Any history of an erection lasting more than 4 hours, sickle cell disease, leukaemia or myeloma?
- Is stress, anxiety, low mood or relationship difficulty a factor?
- Do you have any of: high fever, severe pain, breathlessness, confusion, or symptoms getting rapidly worse?
- List any drug allergies (or type 'none')
- Medicines you currently take (or type 'none')
When we'll say no
These answers stop the request and route you to a consultation instead.
- Nitrates with ED medicines can cause a dangerous drop in blood pressure — absolutely contraindicated.
- Cardiac symptoms need assessment before ED treatment.
- These make PDE5 inhibitors unsuitable.
- Increased risk of priapism — needs review.
- These symptoms need to be assessed by a doctor directly.
When to get seen in person or urgently
- Never take sildenafil or tadalafil if you use nitrates (such as GTN spray or isosorbide) or 'poppers' — the combination can cause a dangerous drop in blood pressure.
- Get seen in person if you have chest pain, breathlessness or palpitations during sex or exercise, or have had a heart attack or stroke in the last 6 months.
- Seek urgent care if an erection lasts more than 4 hours, or if you notice sudden loss of vision or hearing after taking a tablet.
- Erection problems can be an early sign of diabetes, high blood pressure or heart disease — a GP check of blood pressure, sugar and cholesterol is worthwhile.
- Call 112 or 999 if you collapse, have severe difficulty breathing, or think it is an emergency.
Common questions
- Is ED treatment online confidential?
- Yes. Your request is seen only by the reviewing GP and sent directly to your chosen pharmacy.
- What is the difference between sildenafil and tadalafil?
- Sildenafil lasts a few hours; tadalafil can last up to 36 hours. The GP helps you choose.
- How much does an online erectile dysfunction prescription cost in Ireland?
- €25 for the GP review and prescription. Your pharmacy charges separately for the medicine. If the GP decides it is not safe to prescribe, the €25 is refunded in full.
- What happens if the GP cannot prescribe from my answers?
- You get a full refund of the €25, and the GP explains why. If a conversation would help, you can book a €39 video or phone consultation with an Irish-registered GP, usually the same day.
- Can I buy Viagra or Cialis online in Ireland?
- NOVAGP offers a GP assessment and, if suitable, a prescription sent securely to your chosen Irish pharmacy. Tadalafil needs a prescription; some sildenafil products can also be supplied without a prescription by a pharmacist after a suitability assessment, as the HSE explains. Avoid unregulated online sellers — their medicines may be fake or unsafe.
- Can I drink alcohol with ED tablets?
- A small amount is usually fine, but heavy drinking makes erection problems worse and increases dizziness and low blood pressure with these medicines.
- Why do you ask about my heart and blood pressure?
- Sex is physical exercise, and ED medicines lower blood pressure. The GP checks your heart history, current medicines and blood pressure to make sure treatment is safe for you.
- What if the tablets do not work?
- Most men need several attempts with sexual stimulation before judging a medicine. If it still does not help, book a €39 consultation to review the dose, the medicine choice and any underlying causes.
Related guides and treatments
Sources
- Erectile dysfunction (impotence)HSE (Health Service Executive) — HSE health A–Z
- Erectile dysfunction — Clinical Knowledge SummaryNICE (National Institute for Health and Care Excellence) — NICE CKS
Start your erectile dysfunction request
€25, reviewed by an Irish-registered GP. If it isn't clinically appropriate, the GP declines and you are refunded in full.