Erectile Dysfunction

• Heart disease, heart attack, angina or any other heart problems
• Stroke, mini-stroke (transient ischaemic attack)
• Sight loss due to poor circulation, inherited eye disease – retinitis pigmentosa or any other eye conditions
• severe kidney or liver disease
• deformity of the penis (e.g. Peryonie’s Disease), painful erections or priapism
• Sickle cell disease / leukaemia / multiple myeloma
• bleeding conditions (e.g. haemophilia), stomach ulcers (e.g. gastric/peptic ulcer)
• Galactose intolerance, Lapp Lactase deficiency or glucose-galactose malabsorption
• Any condition which may require immediate hospitalisation

• a prolonged erection of more than 4 hours
• any sudden visual impairment,

• You will read the patient information leaflet supplied with your medication. The treatment is solely for your use (or the person you have completed this for and with their consent). You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.

We advise you share this treatment with your doctor so they can update your medical records.