Stop dreading it. Start enjoying it.
From £12.98 / month
Based on Tadalafil. Your price depends on the treatment and dose a clinician prescribes.
- Two routes — sildenafil or tadalafil
- Improved erections for 82% of men in trials1
- Delivered free, in plain packaging
All content on this page has been medically reviewed by Naeem Teni, Clinical Lead. GPhC 2215591.
Medication options
More than one route.
Sildenafil
From £13.98 / month
When you need it
The most established of the two, and the one most prescribers start with.
- Taken shortly before sex, not daily
- The most widely prescribed of the two
- Reviewed by a registered clinician
Tadalafil
From £12.98 / month
Daily or when you need it
A longer-acting option a clinician may consider depending on your health and history.
- Longer-acting than sildenafil
- Taken daily or only when you need it
- Reviewed by a registered clinician
There isn’t a single “best” treatment, the right one depends on you. Here’s what a clinician may consider, though the final choice, and whether treatment is suitable at all, is always theirs to make with you.
The whole programme
Your treatment journey
Your assessment
- A four-minute online assessment
- Prescribed only if it's right for you
- Your wider health, not just the symptom
Getting started
- A starting dose your clinician sets
- First time isn't always the one
- Free delivery, in plain packaging
Finding what works
- Your dose reviewed and adjusted
- A clinician can switch the option
- Refills arrive automatically
Ongoing support
- Regular check-ins, support when things change
- Cancel anytime, month to month
- A care team a message away
The people behind your care
Clinicians, not chatbots.
Medical Director
Clinical Lead
Head of Clinical Operations
The bit that isn't marketing.
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FAQs
Awkward, answered.
How quickly does it work, and how long does it last?
Depends which one. Sildenafil takes about 30 to 60 minutes and works for roughly four to six hours — a heavy or fatty meal slows it down noticeably. Tadalafil takes a similar time to start but stays active for up to 36 hours, which is why it suits people who would rather not plan an evening around a tablet. It also comes as a low daily dose.
Neither does anything on its own. You still need arousal — these restore the plumbing, not the interest.
What if the first tablet doesn't work?
Try it properly before writing it off. A great many men who say a tablet failed took it once, on a full stomach, after a few drinks, under pressure. Guidance is to try it on at least four to eight separate occasions, at an adequate dose, before concluding it does not suit you.
If it genuinely does not, there are routes forward: a higher dose, a different tablet — they are not interchangeable and people respond differently to each — or a different form of treatment entirely. Tell us rather than giving up quietly.
Does it still work if the cause is in my head?
Yes. Performance anxiety and stress are among the most common causes, particularly under 40, and the tablets work regardless of what started it — arousal signals are arousal signals.
What a tablet cannot do is break the cycle on its own. Often its real value is removing the fear of failure for long enough that the anxiety loses its grip, which is why for many men it is a bridge rather than a permanent fixture.
Is there anything I absolutely can't take it with?
Yes, and this one matters more than the rest of this page put together: nitrates. If you take GTN spray or tablets, isosorbide, or any nitrate for chest pain, ED tablets are dangerous alongside them — the combination can drop your blood pressure to a life-threatening level. The same applies to nicorandil, and to recreational “poppers” (amyl nitrite).
There are other interactions too, including some blood pressure medicines, alpha-blockers used for the prostate, and certain antifungals and HIV medicines. This is exactly why the assessment asks for everything you take, prescribed or not — including anything you would rather not mention.
Do I have to talk to anyone about it?
Will a real clinician actually review me?
What if it's not right for me?
Guides
More on erectile dysfunction.
What actually causes erectile dysfunction
For most men it is not primarily psychological, and the assumption that it is delays the investigation that matters.…
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How erectile dysfunction tablets work, and how they differ
Four medicines, one mechanism, and a set of contraindications that are misquoted more often than almost anything in this field.…
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Erectile dysfunction treatments compared: tablets, pumps, injections and more
Tablets are the usual starting point, not the only option. What sits behind them when they don’t work, and what to avoid.…
Read →References
- Viagra (sildenafil) Summary of Product Characteristics, section 5.1, European Medicines Agency. Figures are the proportion of men reporting that treatment improved their erections, in fixed-dose placebo-controlled studies. Results are from clinical trial populations; individual results will vary.
- Cialis (tadalafil) Summary of Product Characteristics, section 5.1, electronic Medicines Compendium; integrated analysis of five randomised, double-blind, placebo-controlled trials (Brock et al., Journal of Urology, 2002 — DOI: 10.1016/S0022-5347(05)64442-4). Figure shown is for the 20mg dose.
- Porst H, Padma-Nathan H, Giuliano F, et al. Efficacy of tadalafil for the treatment of erectile dysfunction at 24 and 36 hours after dosing: a randomized controlled trial. Urology, 2003;62(1):121–125 — DOI: 10.1016/s0090-4295(03)00359-5. Thirty-six hours was the longest interval assessed in the trial.