You have not previously used sildenafil
The doctor reviews symptoms, cardiovascular health, medicines and likely causes before discussing treatment options.

Already on stable treatment? Use the repeat route only for an unchanged medicine and dose. If another provider started it, bring a named prescription, report or dispensing record. See the complete process →
Sildenafil is prescription-only. It must not be taken with nitrates or riociguat, and assessment does not guarantee prescribing.The page answers the practical prescription question without treating sildenafil as an automatic purchase. New erectile dysfunction can be a cardiovascular or medicine-related signal and deserves a proper assessment.
The doctor reviews symptoms, cardiovascular health, medicines and likely causes before discussing treatment options.
Provide a named prescription, report or dispensing record and explain the dose, response and any side effects.
Choose the repeat route only when we have adequate records and there are no new symptoms, dose changes or safety concerns.
| Fråga | Nyckelpunkt |
|---|---|
| Sildenafil or Viagra? | Sildenafil is the active ingredient; Viagra is a brand. The prescribed and dispensed product should be clearly identified. |
| Does it create desire? | No. Sexual stimulation is still required and it does not treat low libido by itself. |
| What medicines are critical? | Nitrates and riociguat are contraindicated. Alpha-blockers, blood-pressure treatment and other ED medicines require review. |
| Can I combine ED medicines? | No. Do not combine sildenafil with tadalafil, vardenafil or extra doses without medical advice. |
Choose the route that matches your situation. New symptoms, a treatment change or a first request need a doctor consultation; a stable repeat needs an established record.
Choose a telephone or secure video appointment for a first assessment, new symptoms or treatment concerns.
Discuss your history, current medicines, symptoms and whether Sildenafil fits the clinical picture.
Receive a REMP e-prescription by email when the doctor confirms that treatment is clinically appropriate.
Present the REMP QR prescription at a participating pharmacy and check stock directly with the pharmacy.
Use this route only when the medicine and dose are already established and nothing important has changed.
If another provider started treatment, send a named prescription, report or dispensing record. See the complete document process →
Receive the e-prescription when the supporting record is satisfactory and continuation remains clinically appropriate.
Use the REMP QR prescription at a participating pharmacy; medicine availability and cost are controlled by the pharmacy.
Use a licensed Málaga pharmacy and avoid informal sellers. Bring the active ingredient and dose, not only a brand photo. This is a remote service with a physical clinic in Nerja, not a claimed Málaga city branch. Sudden chest pain, collapse or neurological symptoms require urgent local care.

You can request a medical assessment. An e-prescription is issued only when clinically appropriate.
Yes, with evidence of the named medicine and dose. The doctor still checks safety and response.
Viagra contains sildenafil, but brand and generic products should be identified correctly.
No. Sildenafil must not be used with nitrates.
Do not add doses or another ED medicine yourself. Arrange a review of timing, use, dose and other causes.
No. The consultation and pharmacy costs are separate.
Use the official provincial duty-pharmacy finder. Select the correct municipality and date; it does not guarantee medicine stock.
Öppna den officiella Málaga-apotekssökaren ↗Do not take sildenafil with nitrates or riociguat. Seek urgent care for chest pain, collapse, sudden vision or hearing loss, or an erection lasting four hours.