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  • Our doctors will review your order information and issue the prescription online direct to our pharmacy.

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Erectile dysfunction

Confidential treatment for erectile dysfunction with Viagra/sildenafil, Cialis, Levitra, and Spedra tablets from Medicinesbymailbox
 online doctor.

Details

Viagra (sildenafil)

Generic Sildenafil

Cialis (tadalafil)

Levitra (vardenafil)

Spedra (avanafil)

Vitaros (alprostadil)

Medical information

Erectile dysfunction (ED) is a common condition in which men cannot get/ maintain an erection. For most men it may be temporary if you are tired or stressed. However, for some men it can be persistent. It becomes more common with increasing age. 

There are many causes that contribute to ED. One of them is physical health. The most common cause of ED is a reduced blood flow to the penis, due to narrowing of your blood vessels. The blood flow might not be enough to cause an erection. Some conditions that increase the chance of narrowing blood vessels are high blood pressure, high cholesterol and smoking. Hence, if you experience ED, you should tell your GP about it as it may be an early sign of heart diseases. Diabetes can also affect your blood vessels. Besides, certain medicines such as anti-depressants, medicines for heart condition called propranolol and atenolol etc may cause side effects such as ED, although not everyone gets them. Another cause may be mental health, such as stress, anxiety and depression.


ED treatments
Sometimes, treating the underlying cause, such as relieving stress and anxiety, or changing medication can help cure ED.

If you have heart diseases, you may have to look at lifestyle changes to help with your problem. Your GP may also prescribe some medications to help with your heart conditions.

If mental health is the cause of your ED, some people find couple counselling or sex therapy useful.

There also also different treatments available which work by increasing blood flow to the penis, thus maintainig erection. Vitaros cream, a non-tablet treatment for ED, is also available.


Six different medications are available to buy online from Medicinesbymailbox:


Please visit the individual treatment page for specific product information.


No combination of Viagra/sildenafil, Cialis, Levitra, Spedra or Vitaros should be used at the same time.

It is best to start with a lower strength tablet and build up as needed. You may need to try out different treatments to see which suits you best. The tablets should also be paired with sexual stimulation for them to work effectively.



Answer medical questions to order

You must read the important medical information for prescription tablets.

See medical information section

Have you read the erectile dysfunction medical information?

Please read the medical information.

!

Please read the important medical information before continuing. You can then change your answer and continue..

  • Yes
  • No

Do you sometimes or always have difficulty getting and keeping an erection?

!

We can not provide a treatment if you do not have erectile dysfunction.

  • Yes
  • No

Have you had difficulties with erections for more than a year?

Note: All men with erectile dysfunction should tell their GPs, particularly if symptoms have started recently or rapidly. Please continue.

  • Yes
  • No

Are your erections sometimes fine?

E.g. when waking in the morning, during masturbation or in some erotic situations.

Note: counselling may help when erectile dysfunction happens only in some situations. This should be discussed with a GP. Please continue.

  • Yes
  • No

Is your blood pressure high (over 160/90)?

You must have had a blood pressure check within the last year and know the result. Doctors, nurses and some pharmacist can check blood pressure. Answer 'Yes' if either figure is high, 160 or 90. A blood pressure measurement whilst taking blood pressure tablets qualifies.

!

Please consult your regular doctor before taking tablets for erectile dysfunction. We are unable to prescribe tablets for you.

  • Yes
  • No

Do you have low blood pressure?


This means any of the following:


  • Low blood pressure requiring investigation
  • Low blood pressure requiring treatment
  • Being prone to faint or feel light-headed for more than a few seconds when standing up quickly or standing for long periods


!

We are not able to supply treatment. ED medication may cause a drop in blood pressure. Please discuss with your GP whether erectile dysfunction medication would be suitable.

  • Yes
  • No

Are you over weight?

Use this BMI (Body Mass Index) calculator and answer 'yes' if the result is over 30.

Note: men who are overweight have more problems with erections. Your GP may be able to assist with investigation and treatment of weight loss. Please continue.

  • Yes
  • No

Do you smoke or drink more than 21 units of alcohol per week?

Note: smokers and heavy drinkers have more erectile dysfunction problems. Please continue.

  • Yes
  • No

Have you been diagnosed with any of the following?

Diabetes, migraine headaches, high blood pressure, liver disease, cancer, HIV.



!

Please consult your regular doctor before taking erectile dysfunction tablets. We are unable to prescribe tablets for you.

  • Yes
  • No

Are you taking any of the following?


    • Existing ED treatment apart from Viagra/sildenafil, Cialis, Levitra or Spedra
    • Nitrates for angina or heart failure, includes glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate, GTN spray or gel, or nicorandil
    • Ritonavir or Indinavir or medicine for HIV
    • Ketoconazole or itraconazole or other anti-fungal medication
    • The recreational drug amyl nitrate (Poppers)
    • Alpha-blockers (sometimes used to treat high blood pressure or prostate enlargement) includes alfuzosin, doxazosin, indoramin, prazosin, tamsulosin, terazosin






    !

    Please consult your regular doctor before taking erectile dysfunction tablets. We are unable to prescribe tablets for you.

    • Yes
    • No

    Have you been advised to avoid vigorous exercise?

    E.g. severe heart failure or unstable angina.


    !

    Please see your regular doctor before taking erectile dysfunction tablets. We are unable to prescribe tablets for you.

    • Yes
    • No

    Are you aware if you have a continuous erection for 4 hours or more you should seek immediate medical advice?

    This is unlikely to happen and is rare. If it occurs you should seek medical advice straight away.

    !

    If you have a continuous erection for 4 hours or more, you should seek medical advice straight away. You can change your answer and continue.

    • Yes
    • No

    Are you aware you should not take any combination of Viagra/sildenafil, Cialis, Levitra or Spedra, or use Vitaros cream or any other ED treatment, at the same time?

    A break of up to 24 hours (36 hours for Levitra) should be left.

    !

    You should not take any combination of Viagra/sildenafil, Cialis, Levitra or Spedra, or use Vitaros cream or any other ED treatment, at the same time – a break of up to 24 hours (36 hours for Levitra) should be left. You can change your answer and continue.

    • Yes
    • No

    Do all the following apply to you?

    • I am over 18
    • The medication is for my own use
    • I will read the information leaflet supplied with the medication
    • I agree to the terms and conditions

    !

    The conditions must apply for you to use this service.

    • Yes
    • No

    Prices

    Erectile dysfunction Pils Quantity Cost
    Viagra 100mg x 16 16 tablets £124.50
    Viagra 100mg x 4 4 tablets £33.80
    Viagra 100mg x 8 8 tablets £64.45
    Viagra 25mg x 16 16 tablets £82.00
    Viagra 25mg x4 4 tablets £24.20
    Viagra 25mg x8 8 tablets £44.29
    Viagra 50mg x 16 16 tablets £112.60
    Viagra 50mg x 4 4 tablets £29.40
    Viagra 50mg x 8 8 tablets £44.30
    Sildenafil 100mg x 16 16 tablets £28.40
    Sildenafil 100mg x 32 32 tablets £54.00
    Sildenafil 100mg x 4 4 tablets £9.80
    Sildenafil 100mg x 8 8 tablets £17.80
    Sildenafil 25mg x 16 16 tablets £24.80
    Sildenafil 25mg x 32 32 tablets £48.80
    Sildenafil 25mg x 4 4 tablets £8.60
    Sildenafil 25mg x 8 8 tablets £14.80
    Sildenafil 50mg x 16 16 tablets £26.80
    Sildenafil 50mg x 32 32 tablets £52.00
    Sildenafil 50mg x 8 8 tablets £16.20
    Sildenafil 50mg x4 4 tablets £9.20
    Cialis 10mg x 16 x 16 £122.00
    Cialis 10mg x 8 x 8 £64.00
    Cialis 10mg x4 x 4 £33.00
    Cialis 2.5mg x 28 x 28 £63.00
    Cialis 2.5mg x 56 x 56 £121.00
    Cialis 20mg x 16 x 16 £124.00
    Cialis 20mg x 24 x 24 £174.00
    Cialis 20mg x 4 x 4 £34.00
    Cialis 20mg x 8 x 8 £65.00
    Cialis 5mg x 28 x 28 £64.00
    Cialis 5mg x 56 x 56 £124.00
    Levitra (vardenafil) 28 tablet (single dose) £30.40
    Spedra (avanafil) 10 tablet (single dose) £19.50
    Spedra 50mg 28 tabblets £16.50
    Vitaros (alprostadil) 4 x AccuDose containers £49.50
    Medicinesbymailbox prices are 25%-50% lower cost than other online clinics.

    Prescription fees

    Medicinesbymailbox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.Prescriptions are issued by our doctors online and sent electronically to our pharmacy.If you have your own private paper prescription please post to our pharmacy (details).Medicinesbymailbox prices are 25%–50% lower than other UK online clinics.

    Order value Prescription fee
    Any Order Value £25.00
    Items Medicinesbymailbox Dr. Fox Pharmacy2U Superdrug Express Pharmacy Lloyds Med Express
    Viagra 100mg x 16 £124.50 £ 124.50 £ 123.50 £ 34.00 £ 159.99 £ 34.00 £ 139.99
    Viagra 100mg x 4 £33.80 £ 33.80 £ 434.00 £ 34.00 £ 46.99 £ 34.00 £ 34.99
    Viagra 100mg x 8 £64.45 £ 64.45 £ 65.00 £ 34.00 £ 79.99 £ 34.00 £ 69.99
    Viagra 25mg x 16 £82.00 £ 82.00 £ 95.00 £ 34.00 £ 129.99 £ 34.00 £ 119.99
    Viagra 25mg x4 £24.20 £ 24.20 £ 32.50 £ 34.00 £ 44.99 £ 34.00 £ 29.99
    Viagra 25mg x8 £44.29 £ 44.29 £ 534.00 £ 34.00 £ 69.99 £ 34.00 £ 59.99
    Viagra 50mg x 16 £112.60 £ 112.60 £ 114.00 £ 34.00 £ 149.99 £ 34.00 £ 139.99
    Viagra 50mg x 4 £29.40 £ 29.40 £ 37.50 £ 34.00 £ 44.99 £ 34.00 £ 34.99
    Viagra 50mg x 8 £44.30 £ 44.30 £ 534.00 £ 34.00 £ 69.99 £ 34.00 £ 59.99
    Sildenafil 100mg x 16 £28.40 £ 28.40 £ 76.00 £ 34.00 £ 49.99 £ 34.00 £ 49.99
    Sildenafil 100mg x 32 £54.00 £ 34.00 £ 136.00 £ 34.00 £ 34.00 £ 34.00 £ 89.99
    Sildenafil 100mg x 4 £9.80 £ 9.80 £ 25.00 £ 34.00 £ 19.99 £ 34.00 £ 19.99
    Sildenafil 100mg x 8 £17.80 £ 17.80 £ 434.00 £ 34.00 £ 29.99 £ 34.00 £ 29.99
    Sildenafil 25mg x 16 £24.80 £ 24.80 £ 76.00 £ 13.00 £ 49.99 £ 34.00 £ 49.99
    Sildenafil 25mg x 32 £48.80 £ 34.00 £ 76.00 £ 34.00 £ 49.99 £ 34.00 £ 49.99
    Sildenafil 25mg x 4 £8.60 NA NA NA NA NA NA
    Sildenafil 25mg x 8 £14.80 £ 14.80 £ 434.00 £ 34.00 £ 29.99 £ 34.00 £ 29.99
    Sildenafil 50mg x 16 £26.80 £ 34.00 £ 434.00 £ 34.00 £ 29.99 £ 34.00 £ 29.99
    Sildenafil 50mg x 32 £52.00 £ 52.00 £ 94.99 £ 34.00 £ 34.00 £ 34.00 £ 89.99
    Sildenafil 50mg x 8 £16.20 NA NA NA NA NA NA
    Sildenafil 50mg x4 £9.20 £ 9.20 £ 25.00 £ 34.00 £ 19.99 £ 34.00 £ 19.99
    Cialis 10mg x 16 £122.00 £ 122.00 £ 1534.00 £ 152.00 £ 169.99 £ 158.00 £ 159.99
    Cialis 10mg x 8 £64.00 £ 64.00 £ 82.00 £ 84.00 £ 89.99 £ 85.00 £ 79.99
    Cialis 10mg x4 £33.00 £ 33.00 £ 43.00 £ 44.00 £ 45.99 £ 46.00 £ 39.99
    Cialis 2.5mg x 28 £63.00 £ 63.00 £ 75.00 £ 34.00 £ 89.99 £ 34.00 £ 69.99
    Cialis 2.5mg x 56 £121.00 NA NA NA NA NA NA
    Cialis 20mg x 16 £124.00 £ 124.00 £ 155.00 £ 1634.00 £ 169.99 £ 1634.00 £ 159.99
    Cialis 20mg x 24 £174.00 £ 174.00 £ 2334.00 £ 34.00 £ 34.00 £ 34.00 £ 229.99
    Cialis 20mg x 4 £34.00 £ 34.00 £ 45.00 £ 46.00 £ 45.99 £ 49.00 £ 39.99
    Cialis 20mg x 8 £65.00 NA NA NA NA NA NA
    Cialis 5mg x 28 £64.00 NA NA NA NA NA NA
    Cialis 5mg x 56 £124.00 NA NA NA NA NA NA
    Levitra (vardenafil) £30.40 NA NA NA NA NA NA
    Spedra (avanafil) £19.50 NA NA NA NA NA NA
    Spedra 50mg £16.50 NA NA NA NA NA NA
    Vitaros (alprostadil) £49.50 NA NA NA NA NA NA
    *Medicinesbymailbox adds a small prescription fee not included in table above.

    Delivery charges

    UK delivery £2.90 per consultation via Royal Mail 24 Signed For (1-4 working days).

    Standard international delivery £5.90 flat rate via Royal Mail International Tracked & Signed (2-5 working days).

    Express international delivery £32.00 flat rate via DHL Express (2-8 days depending on destination, with tracking in transit).