Tratamentos de Erectile Dysfunction
Consulte os tratamentos de erectile dysfunction disponíveis. Todos incluem revisão por médico independente da UE, medicação genuína de farmácias licenciadas e entrega expresso discreta.
Erectile Dysfunction
Cialis
Cialis (tadalafil) is a prescription medication used to treat erectile dysfunction (ED) in men. It belongs to a class of drugs called PDE5 inhibitors and works by increasing blood flow to the penis during sexual stimulation. Cialis is known for its long duration of action - up to 36 hours - earning it the nickname "the weekend pill". It is also approved for treating benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension.
Generic Viagra (Sildenafil)
Generic sildenafil contains the same active ingredient as branded Viagra at a lower cost. It has the same effectiveness, safety profile, and mechanism of action as the original medication.
Levitra
Levitra (vardenafil) is a prescription medication for treating erectile dysfunction (ED) in men. It belongs to the PDE5 inhibitor class of drugs and helps achieve and maintain an erection during sexual activity. Levitra typically works faster than some other ED medications and may be effective in men who have not responded well to other treatments. It is taken as needed, approximately 25-60 minutes before sexual activity.
Viagra (Sildenafil Citrate)
Viagra (sildenafil) is the first and most well-known treatment for erectile dysfunction. Originally developed for heart conditions, it revolutionized ED treatment. Effective for 4-6 hours.
Interested in Erectile Dysfunction?
Complete a confidential health assessment reviewed by an independent EU-registered doctor.
Start AssessmentErectile dysfunction tratamentos in Europe
Erectile dysfunction (ED) — defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance — is one of the most prevalent male health conditions in Europe. Clinical studies estimate that ED affects approximately 19–52% of men between the ages of 40 and 70, with prevalence increasing markedly with age. Despite this, it remains significantly undertreated, with many men not seeking help due to embarrassment or a lack of accessible, confidential services.
ED can have both psychological and physiological causes, and in most cases the two are interrelated. Physiological factors include cardiovascular disease, diabetes, hypertension, hyperlipidaemia, hormonal imbalances, and neurological conditions. Lifestyle factors — including smoking, excessive alcohol consumption, obesity, and physical inactivity — are also established risk factors. Psychological contributors include performance anxiety, relationship difficulties, depression, and stress.
Critically, erectile dysfunction is recognised by European cardiovascular guidelines as a potential early marker of atherosclerosis and future cardiac events. Men presenting with new-onset ED should be evaluated for cardiovascular risk factors by a qualified clinician.
The first-line pharmacological tratamento for ED is the class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. These medications enhance the natural physiological pathway that produces an erection in response to sexual stimulation — they do not produce erections independently and are not effective without arousal. Four PDE5 inhibitors are currently EMA-approved: sildenafil, tadalafil, vardenafil, and avanafil.
Available tratamentos
The following EMA-approved receita médica medications are available for erectile dysfunction through EU-registered médicos. This comparison is provided for informational purposes only.
| Medication | Active Ingredient | Onset | Duration | Notes |
|---|---|---|---|---|
| Sildenafil | Sildenafil citrate | 30–60 min | 4–6 hours | Generic available; original Viagra |
| Tadalafil | Tadalafil | 30–60 min | Up to 36 hours | Also available as daily 5 mg dose |
| Vardenafil | Vardenafil HCl | 25–60 min | 4–6 hours | Also available as orodispersible comprimido |
| Avanafil | Avanafil | 15–30 min | 6–12 hours | Fastest onset; fewer food/alcohol interactions |
Key distinctions:
- Sildenafil: The most widely prescribed PDE5 inhibitor globally. Generic versions are available in most EU countries, making it typically the most cost-accessible option.
- Tadalafil: The longest duration of action, earning it the informal name “the weekend pill.” The daily low-dose formulation (5 mg) allows spontaneous sexual activity without planning around timing.
- Vardenafil: Similar efficacy profile to sildenafil. The orodispersible (dissolving comprimido) formulation provides a discreet and convenient alternative to standard comprimidos.
- Avanafil: The newest approved PDE5 inhibitor. Its faster onset and more selective mechanism may result in fewer efeito secundários in some men, though individual response varies.
Como obter erectile dysfunction tratamento online
Prescrivia operates as a technology intermediary. We do not prescribe medications, employ médicos, or sell medicamentos. Our platform connects pacientes across Europe with independent EU-registered médicos and licensed pharmacies.
The process:
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Complete uma avaliação de saúde — Answer a structured set of medical questions covering the nature and duration of your ED, cardiovascular health, diabetes status, current medications (particularly nitrates or alpha-blockers), blood pressure, and lifestyle factors.
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Independent médico review — An independent EU-registered médico reviews your assessment. If a PDE5 inhibitor is clinically appropriate, the médico may issue a receita médica. If contraindications are identified, the médico will explain and may suggest in-person follow-up.
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Dispensa na farmácia — If a receita médica is issued, it is passed to a licensed EU farmácia partner. Medication is dispensed and delivered discreetly to your address.
Important: A Prescrivia não garante that a receita médica will be issued. Prescribing decisions are made entirely by independent medical professionals.
How we compare
| Through Prescrivia | In-person GP appointment | |
|---|---|---|
| Availability | 24/7 online assessment | Subject to appointment availability |
| Wait time | Assessment reviewed within hours | Days to weeks depending on location |
| Travel required | No | Yes |
| Confidentiality | Full RGPD-compliant data protection | Standard clinical confidentiality |
| Prescribing decision | Made by independent EU-registered médico | Made by your GP |
| Cost | Transparent pricing displayed upfront | Varies by country and healthcare system |
Note: ED associated with chest pain, severe cardiovascular disease, recent heart attack or stroke, or other complex comorbidities requires in-person specialist evaluation before any pharmacological tratamento is considered. Prescrivia’s platform is designed for adults whose ED profile is suitable for remote assessment.
Fontes
Medical information on this page is based on the following sources:
- Agência Europeia de Medicamentos (EMA). Viagra/sildenafil — Summary of Product Characteristics. Available at: ema.europa.eu
- Feldman HA, et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. Journal of Urology. 1994;151(1):54-61.
- Vlachopoulos CV, et al. Erectile dysfunction as a cardiovascular risk factor. European Heart Journal. 2013.
This content is reviewed periodically to reflect updated clinical guidance. It is provided for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for advice relevant to your individual health circumstances.
Frequently asked questions
- Posso obter erectile dysfunction medication online na Europa?
- Yes. Prescrivia connects pacientes with independent EU-registered médicos who can review your health profile and, where clinically appropriate, issue a receita médica for erectile dysfunction medication. The entire process is completed online with full confidentiality.
- O que é the difference between sildenafil and tadalafil?
- Both are PDE5 inhibitors that work by the same mechanism, but they differ primarily in duration of action. Sildenafil works for approximately 4–6 hours and is typically taken 30–60 minutes before activity. Tadalafil lasts up to 36 hours and is also available as a once-daily low-dose formulation for spontaneous use.
- Are there newer ED medications beyond sildenafil?
- Yes. Vardenafil and avanafil are also EMA-approved PDE5 inhibitors. Avanafil has a faster onset than sildenafil — effects can begin within 15 minutes for some men. The most appropriate choice depends on individual health factors and preference, which the reviewing médico will assess.
- Is it safe to take ED medication with other medications?
- PDE5 inhibitors are contraindicated with nitrate medications (commonly utilizado para chest pain and heart conditions), as the combination can cause a dangerous drop in blood pressure. Other drug interactions also exist. This is why a medical assessment is required before any receita médica is issued.
- Can erectile dysfunction indicate a more serious health problem?
- ED can be an early warning sign of cardiovascular disease, diabetes, hypertension, or hormonal imbalances. The health assessment includes questions to screen for relevant risk factors. If warranted, the reviewing médico may recommend further investigation before or alongside tratamento.
Pronto para começar?
Complete uma avaliação de saúde confidencial em cerca de 3 minutos.