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Buy erectile dysfunction treatment online

Erectile dysfunction (ED) is when you’re unable to get and keep an erection that’s strong enough for sex. Most men experience it, and often it’s just a one-time thing. But when it keeps happening, it’s something you may need treatment for.

And that’s where we come in. Talk to us to get expert advice. We’ll show you what treatments are safe, so you can pick the option that suits you best.

Here’s what's included in the price:

Consultation

Answer a few questions about your health so we can get to know you better.

Free 24h delivery

Your treatment delivered in secure packaging, the very next day.

Aftercare

We’ll check in with you regularly to see how your treatment is going.

View all prices

Erectile dysfunction: essential info

Causes

What are my options?

This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

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Erectile Dysfunction: Here's what we've got.

Silver blister pack containing 4 yellow oval tablets

Spedra

Avanafil

Tablet that works from just 15 minutes. Works in the same way as Viagra and lasts for 5 hours.

Starting from £30.00

See my options

Vitaros Cream

Alprostadil

Cream that you apply to the tip of the penis and works from 5 minutes.

Starting from £82.00

See my options

Vardenafil

Non-branded version of Levitra. Works in the same way, but cheaper.

Starting from £27.00

See my options

Cialis

Tadalafil

Comes as an on-demand pill that lasts for 36 hours, or as a daily dose that's active all the time.

Starting from £48.00

See my options

Viagra

Sildenafil

The one you've heard of. Works in 30-60 minutes and lasts for up to 5 hours.

Starting from £34.00

See my options

Caverject

Alprostadil

Injectable treatment that works from 5 minutes. Good option if tablets haven't worked for you.

Starting from £38.00

See my options

Silver blister pack containing 4 blue diamond shaped tablets

Viagra Connect

Sildenafil

Rebranded version of Viagra that comes in one dose (50mg) and doesn't need a prescription.

Starting from £32.00

See my options

Liberize

Sildenafil

Liberize is a tablet for ED. Same active ingredient as Viagra, but cheaper.

Starting from £31.00

See my options

Viridal Duo

Alprostadil

Injectable treatment that's very similar to Caverject. Works from 5 minutes and lasts up to 1 hour.

Starting from £18.67

Out of stock

Tadalafil

Like Cialis, but without the branding (so it's cheaper). 'Weekend' and daily options available.

Starting from £21.00

See my options

MUSE

Alprostadil

Small pellet you insert into the tip of the penis, that works from 10 minutes.

Starting from £41.00

See my options

Three different blister packs showing 4 Viagra tablets, 2 Cialis tablets and 2 Levitra tablets

ED Trial Pack

Sildenafil, Tadalafil, Vardenafil, Avanafil

A bit of everything. 3 different tablets you can try to see which one works best for you.

Starting from £113.00

See my options

Invicorp

Aviptadil + Phentolamine

Injection that's slightly different to Caverject. Recommended when other treatments haven't worked.

Starting from £95.00

See my options

Levitra

Vardenafil

Lower dose pill. Better option if you're older or have a pre-existing condition like diabetes.

Starting from £29.00

See my options

Sildenafil

Like Viagra, but cheaper and works in the same way. Non-branded version of the original ED drug.

Starting from £17.00

See my options

Dr Daniel Atkinson

GP Clinical Lead

Registered with GMC (No. 4624794)

Meet Daniel

Ms Sanjeda Chowdhury

Superintendent Pharmacist

Registered with GPhC (No. 2202465)

Meet Sanjeda

Mr Craig Marsh

Pharmacist Prescriber

Registered with GPhC (No. 2070724)

Meet Craig

Mr Ruaraidh Buckenham

Pharmacist Prescriber

Meet Ruaraidh

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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.

What is erectile dysfunction?

Sometimes known as impotence, erectile dysfunction is when a man has persistent problems getting and sustaining an erection. Sometimes, this may be:

difficulty getting hard enough for sex
or not staying hard for long enough for sex to happen.

How long it needs to be happening for it to be medically defined as ED is a subject pretty open to discussion. There’s actually a scale called The International Index of Erectile Function (IIEF) which gives men an ED ‘score’, based on their erection habits over the previous month.

Normally, a clinician will be able to tell if you need treatment by asking you a few questions about your symptoms and general health.

Who gets ED?

About 50% of men over 40 (so it’s quite common). But you can get erectile dysfunction at any age.

You’ve probably seen the TV commercials for ED medication. Older men strolling with their partners across a sunset beach. These ads target men in this age group, and it figures. Because as men get older, they’re more likely to develop health problems like high blood pressure or poor circulation. And these conditions can make it harder to get an erection.

But ED affects young men too. As well as the physical side of it, there’s the psychological side. In a new relationship, you may feel pressure to satisfy your partner for example, and this can lead to ED. Or you may be stressed at work, which may also trigger it.

So in fact, the answer to the question ‘Who gets ED?’ is anyone (and in some way or another, at some time, probably everyone).

How common is erectile dysfunction?

It depends who you ask. Some health bodies have suggested that about 50% of men over 40 will experience erectile dysfunction. And a study of the condition in men under 40 estimates that a quarter in this group will get it at some point.

Unfortunately, the nature of ED means that many men won’t seek help for it. So it could well be more common than we think. But experts reckon that most men will get some form of ED at least once, even if it’s only short-term.

Medically reviewed by

Dr Daniel Atkinson

GP Clinical Lead

on August 02, 2022.

Meet Daniel

This page was medically reviewed by Dr Daniel Atkinson, GP Clinical Lead on August 02, 2022. Next review due on August 01, 2024.

What causes erectile dysfunction?

Lots of things can lead to ED. It can be down to physical problems (being overweight or having high blood pressure), psychological problems (anxiety or depression) or a combination of the two. Even tiredness can trigger ED.

ED can also be triggered by an underlying health condition, like diabetes, or it can be an early sign of heart disease. So if you keep getting erection problems, you should see a clinician, as these conditions need to be treated too.

In the body, ED is caused by loss of circulation to the penis, where the arteries at the base of the penis contract and don’t let blood through. An enzyme called PDE5 plays a part in this, and makes the arteries tighter.

Treatment for ED works by countering the effects of PDE5, so blood can flow into the penis, and help it to become erect when you’re aroused.

How we source info.

When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.

Does ED always need treatment?

No. Sometimes making lifestyle adjustments can make it go away. If you drink a lot of alcohol, smoke cigarettes, or take recreational drugs, curbing these habits can help with erections.

Being overweight can be a factor in ED too, so eating a healthy diet and exercising more is a good solution as well.

You might get erectile dysfunction if you’re anxious about sex. And talking to someone about it, whether it’s your partner, a friend or a therapist, can make all the difference. If you find that having conversations about it doesn’t help though, medication may be recommended.

Which erectile dysfunction pills are best?

It’s down to personal choice on your part really, and your health background.

Viagra is a household name and has been around the longest, and some would argue it’s the most successful treatment for ED.

The generic, Sildenafil, is less expensive, but has the same active ingredient in it, and functions in the same way in the body.

The benefit of Cialis is that you only have to take one and it stays active for up to 36 hours (other ED drugs average about 4 or 5 hours).

There’s also a smaller dose version of this designed to be taken every day, called Cialis Daily. With the everyday version, you’re ‘ready to go’ all the time, and you don’t have to wait around for the drug to take effect (it takes half an hour to an hour for most others). Tadalafil (generic Cialis), is cheaper and works in exactly the same way.

As well as being a licensed treatment for ED, Tadalafil is an approved option for BPH (or benign prostatic hyperplasia) which is when you have an enlarged prostate. So if you experience BPH and ED, Tadalafil can treat both conditions.

Spedra is an on-demand treatment that starts to work from 15 minutes after you take it. It’s a good option for men who want a quick-acting drug, but don’t want to take something every day.

And then there’s Levitra, which is said to be better for older men or men with pre-existing conditions, like high blood pressure or diabetes.

Erectile dysfunction creams

If you can’t take ED tablets because of their side effects or due to an existing health condition, or if you’d just prefer not to use them, there is a prescription cream available too called Vitaros.

You apply this cream to the opening of your urethra (the opening at the tip of your penis) and the active ingredient in it, alprostadil, helps to widen the blood vessels in your penis. Once the blood vessels are more dilated, more blood can flow into your penis, and this allows you to get an erection.

So using ED creams is a bit different to taking ED tablets. But Vitaros is faster acting than ED tablets (effective within 5-10 minutes of use, rather than between quarter of an hour and an hour). From a spontaneity point of view then, it’s a pretty strong option.

What about MUSE?

MUSE is a ‘urethral suppository’ – basically a very small pellet you insert into the opening at the end. You can use MUSE up to seven times in seven days, so there’s quite a lot of flexibility with it.

On that basis, if you’re looking to have sex frequently, MUSE might be one of the better options for you.

Applying the pellet takes a bit of getting used to. But because it’s a locally acting treatment, it works faster than pills – usually within 10 minutes of application.

Injections for erectile dysfunction

Another prescription medication for ED is injections. You may find that tablets or creams aren’t the right treatments for you, or that your body doesn’t tolerate them. Like Vitaros and MUSE, ED injections such as Caverject and Viridal Duo kick in very quickly (within five minutes) and they contain the same active ingredient (alprostadil) so if you’re looking for fast results, injections can give you that.

You inject these medications into the penis directly, and you don’t need to be aroused in the first place for them to take effect. If you’ve not used them before though, you should see your clinician or a pharmacist prescriber in the first instance, as they will need to show you how to do it.

You shouldn’t use injections any more than three times a week (and not more than once over any 24 hour period). If you find that the dose you’re on isn’t working the way you want it to, drop our clinician a message, and they can look into adjusting your dose with you.

Can you get erectile dysfunction pills over the counter?

Most are prescription only. The only licensed prescription-free ED treatments are Viagra Connect, Aronix and Liberize – all of which contain 50mg of sildenafil (then drug found in Viagra). As pharmacy medicines though, you’ll still need to have a consultation with a pharmacist before they can be given to you.

FAQ: Erectile dysfunction

Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.

How does Cialis work?

Answer:

The short version? The drug in Cialis, Tadalafil, relaxes blood vessels near the penis. This boosts circulation so blood can get into the penis more easily, meaning better erections that stick around for more time.

(And now for the slightly longer, biology teacher explanation): when a man gets aroused, the brain sends chemical transmitters into the body that tell blood vessels near the penis to open up. This lets blood flow into the penis - specifically a bit of tissue called the corpus cavernosum. This tissue soaks up the blood like a sponge and stiffens up, and it’s this that makes an erection.

When a man gets ED, it’s usually caused by a problem with signals being sent by the brain, or poor circulation. Tadalafil is a type of medicine called a PDE5 inhibitor. PDE5 is an enzyme in the body that tells blood vessels to close. By stopping this enzyme from working, Tadalafil allows blood vessels near the penis to dilate, so blood flows into the penis. It also helps to close other blood vessels to restrict blood flowing out of the penis, and this keeps blood in the corpus cavernosum, helping the penis stay hard.

How effective is Cialis?

Answer:

Cialis works well for most men on the first or second attempt. In a study of men taking Cialis, on average 81% of men using the 20mg dose found it improved erections. This included:

86% of men who had mild ED

83% of men who had moderate ED

and 72% of men who had severe ED.

So if you take Cialis, the chances are high that it'll work.

With a Treated subscription you’ve got the option to change your treatment if it isn’t right for you. So if you’ve tried Cialis and it hasn’t worked well for you, tell us and we’ll help you find something else.

How long does it take for Vitaros to work?

Answer:

It can vary depending on a few factors, but after applying Vitaros, you should achieve an erection within a maximum of 30 minutes. Some men can develop an erection much faster in about five minutes. If you find that it doesn’t produce an erection within this time, let our clinician know.

When you use Vitaros, you can expect your erection to last between one and two hours. Again, if you use Vitaros and find that the effects don’t last long enough for you to enjoy sex, tell us. Our clinician should be able to help you, or find a treatment that works better for you.

When might I be recommended Vitaros?

Answer:

There are lots of therapeutic options to treat erectile dysfunction. When your physician begins trying medications to treat your erectile dysfunction, they will normally start with prescription pills. They will most likely recommend Vitaros cream if pills and other treatments have failed, or if you have a medical condition that means pills aren’t right for you.

Does Vitaros cream work better than ED pills?

Answer:

For some men it does. Men react differently to ED medications based on their health and severity of symptoms. Some men have better success with pills, while others find that topical treatments like Vitaros cream work better for them.

It’s hard to compare Vitaros Cream and, for example, Viagra directly in clinical terms. The way their performance has been measured differs slightly. Depending on the dose, the effectiveness rate for Viagra ranged from 62-82% in clinical trials , and for Vitaros it’s been recorded at ‘up to 83%’ in one study. So given these rates, the two seem comparable.

If we compare using the two in real life, you can take Viagra and other erectile dysfunction pills discreetly and without drawing much attention, whereas Vitaros administration is a bit more involved. However, some medical conditions prevent pills like Viagra from being safe. Vitaros cream works more quickly than Viagra, producing an erection in as little as 5 minutes while Viagra generally takes 30-60.

In short, what works best for you may not be the same as what works best for someone else. But our experts can help you to explore which treatment options are better for you.

Can you get generic Vitaros cream?

Answer:

While many erectile dysfunction medications are available with generic prescriptions, Vitaros is not. Vitaros is the only erectile dysfunction cream on the market and there isn’t an equivalent that goes by another name.

Do I need a prescription for Vitaros?

Answer:

Vitaros is a prescription only medicine. A doctor or prescribing clinician will need to consult with you and ask you a few questions about your health, before they can give you a prescription for Vitaros so you can buy it. It isn’t available over the counter because you need to be properly evaluated to make sure it’s a safe treatment for you.

Why should I buy Vitaros cream online with Treated?

Answer:

We know talking to someone about ED isn’t always easy. With the range of treatments available it can be difficult knowing where to begin. Consulting online with our experts means you’ll get a personalised, clinical opinion on which treatment is right for you. You’ll also get the option to choose from a selection of medications our clinician thinks is safe.

The subscription options we offer allow you to receive your Vitaros cream at an interval that works for you. That means you’ll never run out of treatment, and when your prescription is due to be renewed, we’ll get in touch to make sure Vitaros is still working well for you.

How effective is Sildenafil?

Answer:

For most men who take Sildenafil, it works at the first or second time of asking.

The effectiveness of Sildenafil has been reviewed in clinical studies. It helped to improve erections in:

63% of men using the 25mg dose
74% of men using the 50mg dose
and 82% of men using the 100mg dose.

If you take Sildenafil but it doesn’t work as well as you’d like it to, our clinician can either help you find a more suitable dose or recommend alternative treatments for you.

Is there any difference between Viagra and Sildenafil?

Answer:

Sildenafil is a generic medication, so it’s less expensive than Viagra. Some people call Sildenafil ‘cheap Viagra’ for this reason, but it does the same thing in the body and is usually just as effective.

Viagra is a branded medication marketed by just one company, and the tablets have a distinct blue appearance and come in a recognisable box. Sildenafil isn’t always made by the same company, so the appearance of Sildenafil pills can vary from one manufacturer to the next.

Some men prefer Viagra over the Sildenafil generic. But the two drugs are clinically bioequivalent, which means there’s little to no difference between them in how well they work.

Sildenafil vs Tadalafil: which is better?

Answer:

It depends on the person taking it and what their sexual habits are. Even though they work in a similar way, the two are quite different. Tadalafil, the generic version of Cialis, is available as an on-demand weekend pill (that lasts for up to 36 hours) or a low dose every day pill.

Sildenafil is an on-demand pill that lasts for up to five hours. It’s usually a bit cheaper than Tadalafil, and for some men who don’t want to take medication every day, the five hour window for sex on Sildenafil does the trick.

Can you get Sildenafil for women?

Answer:

No. Neither Sildenafil nor drugs in the same class are suitable or safe for women. There is a drug that’s often referred to as the ‘female Sildenafil’ called Addyi, but it’s for hypoactive sexual desire disorder (HSDD). So it’s in no way similar to any licensed erectile dysfunction drug.

Why should I buy Sildenafil online with Treated?

Answer:

We’re keeping it easy. Tell us about your health and get expert advice from our clinicians. We’ll suggest suitable treatments and then we’ll leave the choosing to you.

All that’s left to do is decide on how often you’d like us to ship your medication to you, and how much of it you want to receive each time.

If there’s anything that you want to ask our clinicians about your treatment, you can. Anytime. Just log in to your Treated account and send them a message. They’ll get in touch with you on a regular basis to see how you’re getting on with your prescription. If you’d like to make any adjustments to your treatment or switch to something else, no problem.

Change, pause or cancel your subscription whenever you want.

Can you get side effects from ED treatment?

Answer:

Yes. Some mild side effects are quite common, don’t cause any problems, and go away after the first couple of uses. Headaches, a stuffy nose or mild aches and pains in the muscles are examples.

There are other possible side effects that can be a bit more uncomfortable, such as stomach pain or dizziness. You should talk to our clinician if you notice these. They might suggest a different drug or lowering your dose.

It’s rare, but some men experience serious side effects from ED drugs. This includes getting an erection that won’t go down, loss of hearing, problems with vision, or chest pain. If you notice anything like this, you should go to hospital immediately.

Is there a link between erectile dysfunction and alcohol?

Answer:

Drinking too much alcohol can cause temporary ED, or make existing erection problems worse. There are a couple of reasons for this. One is that alcohol dulls the senses and desensitizes us, meaning the nerve signals that transmit arousal messages in the body don’t work as well. Another reason is that drinking alcohol increases blood pressure, making the arteries tighter (including those at the base of your penis).

The best way to avoid alcohol induced ED is to limit how much you drink.

What about natural remedies for erectile dysfunction?

Answer:

There are some herbs and homeopathy therapies that have been claimed to effectively treat ED, but the scientific evidence that they work is thin.

Some natural or alternative treatments for ED can have serious side effects, and because they aren’t on prescription, you won’t go through any health checks before taking them. So in some cases, herbal ED remedies can be dangerous.

For this reason, it’s better to consult with a clinician before taking any kind of treatment for ED, be it prescription, non-prescription or otherwise.

Why should I buy ED medication online with Treated?

Answer:

It can be tricky to know where to start with ED treatments. But with a Treated subscription, we’ll help you to find just the right medication for you. Let our clinicians know about your health, and we’ll recommend options that are safe and suitable. And from there, the choice is yours.

We’re flexible too. Once you’ve chosen your medication, you can choose how often you’d like to receive it, and the quantity of it as well. So you can control your own delivery schedule.

You may have questions about your treatment once you’ve started using it, or you might find that you’re not getting what you want from it. You can reach out to our clinical team anytime. They’ll also get in touch with you regularly to see how everything’s going. If you’d like to switch to a different ED treatment, or adjust your dose, you can.

And if you want to change, pause or cancel your treatment at any point, that’s in your hands too.

Who is Viridal Duo for?

Answer:

If you’re tried oral treatments for ED and these haven’t worked, or if you can’t take Viagra or Cialis because you’ve got a medical condition or are taking something that could interfere with them, a clinician will normally suggest an alternative.

Viridal Duo is a treatment that’s more often used when other medications have failed. It’s an injection so is a little more invasive than a tablet, but it can help men who’ve had no success with tablets.

Which Viridal injection pack do I need?

Answer:

Viridal Duo comes in several injection pack sizes:

1 Viridal cartridge, 1 injection needle

2 Viridal cartridges, 2 injection needles

6 Viridal cartridges, 6 injection needles

The packs with one or two cartridges can come with or without the Easy-Duo injector. The six cartridge doesn’t come with the Easy-Duo. If you’re just starting Viridal Duo, you’ll need the one or two cartridge starter pack that contains the Easy-Duo plunger. The packs without the Easy-Duo are called continuation packs.

The Viridal Duo continuation pack with six doses is intended for men who have found the right dose and have some practice at using the injection

How do I store Viridal Duo injections?

Answer:

You should keep Viridal Duo out of direct sunlight. Storing it in the packaging until you are ready to use it will help protect it from the sun. You don’t have to keep it in your refrigerator as long as you keep it below 25°C.

Want to know something else?

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