MENUMENU

Your Online Medical Consultation

ABOUT YOU AND YOUR SYMPTOMS

Are you male?

Have you seen a doctor or nurse about your erectile dysfunction?

Do you persistently have problems getting or keeping an erection when sexually aroused?

Are you currently experiencing any emotional or psychological problems?

Have you ever experienced any of the following?

  • Dizziness or light-headedness immediately after standing
  • Severe breathlessness, clamminess/sweatiness whilst exercising or doing a strenuous activity
  • Pain, heaviness or tightness in your chest that may have spread into your left shoulder/arm or into your neck

Have you ever been advised by a doctor or health care professional to avoid strenuous exercise or do you experiences shortness of breath and/or chest pain when walking for more than 5 minutes at a fast pace?

ABOUT YOUR HEALTH

Have you had your blood pressure checked in the last 6 months?

This can often be done in your GP waiting room or at the local pharmacy

Was your last blood pressure reading between 100/60-140/90?

If you are unsure, you can often check your blood pressure in a GP waiting room or at your local pharmacy.

Is your BMI over 25?

You can check your BMI here

Do you smoke?

Do you consume more than 14 units of alcohol per week?

If you drink alcohol, you can use the following values as a rough guide to help you work out how many units of alcohol you drink in a week

  • A small shot of spirit – 1 unit
  • A small glass of wine – 1.5 units
  • A can of beer/larger/cider – 2 units
  • A large class of wine – 3 units

Do you have any allergies to any medication or substances?

Answer ‘no’ if this does not apply to you

Are you taking any of the following medications?

  • GTN Glyceryl tri-nitrate
  • Nitrate spray, tablet, patches, gels, or creams
  • Nicorandil
  • Riociguat for pulmonary hypertension

Are you taking any other medication, or have you recently finished a course of medication?

This includes medication prescribed by your doctor, bought in the pharmacy or online, herbal supplements, recreations drugs

This includes tablets, patches, inhalers, injections, contraception and all other forms of medication

Answer ‘no’ if this does not apply to you

Have you ever had any of the following problems?

  • An erection that has lasted more than 4 hours
  • A physical condition affecting the shape of the penis (e.g. angulation, Peyronie’s disease, cavernosal fibrosis)
  • Diabetes
  • Eye problems such as degenerative retinal disorders or macular degeneration?
  • Heart problems such as angina, cardiomyopathy, uncontrolled blood pressure, irregular heart rhythm, heart attack, heart operation
  • Kidney disease
  • Liver disease
  • Stroke

Do you suffer from any other medical problems?

This also includes previous admissions to the hospital or any surgeries

Answer ‘no’ if this does not apply to you

Do you have a family history of any medical conditions?

Do any medical conditions run in the family? Such as heart problems, diabetes, blood disorders etc?

Answer ‘no’ if this does not apply to you

IMPORTANT INFORMATION TO KNOW

I am NOT taking any nitrate medication.

Nitrate medication is often taken for chest pain/angina. It an be administered as a spray, tablet or patch. Included glycerol-tri-nitrate, GTN, isosorbide mononitrate, isosorbide dinitrate, nicorandil etc.
This medication can cause a fatal interaction with treatment for erectile disfunction medication.

I am aware that I should not take any combination of erectile dysfunction medication at the same time

I understand that I should seek immediate medical advice of I have a continuous erection for 4 hours or more

AGREEMENT

We strongly recommend that you inform your GP of any treatment you receive. Would you like e-Surgery to do this in your behalf?

Please write the name of your GP surgery below if you want us to let them know.

This will ensure that any new medication started by your GP will not interact with this treatment.

Answer ‘no’ if you do not want us to inform your GP

I agree to the following

  • I am 18 years of age or older
  • This treatment is for my use only
  • I confirm that I have understood all the questions asked and have answered all questions to the best of my knowledge.
  • I have read the patient information leaflet supplied with this medication
  • I will contact e-Surgery and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have answered all questions truthfully and accurately.

I have read, understood and agree to abide by terms and conditions and privacy policy and cookie policy of e-Surgery

What is this?

Your answers form the basis of your medical consultation. It is important you are open and honest, so our doctors can ensure this medication safe and effective for you

Levitra

Levitra is a medication used to treat erectile dysfunction in men. It is in the same class of medicines as Viagra but with a slightly longer duration of action.

Onset of Action: 30min-1hr

Duration of Action: 5-7hrs

Read our Expert Insight on ED Tablets  to compare the different treatments on the market today.

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