Why Hi-Doctor doesn’t prescribe Addyi
Although Addyi is associated with sexual health, it is not the first-line medicine Hi-Doctor’s doctors prescribe. The alternatives offered instead carry robust clinical evidence and EMA authorisation.A licensed doctor decides case by case. Hi-Doctor never prescribes without an evaluation — and if none of the alternatives below is safe for a case, the doctor says so at no cost.
Available treatment options
The doctor reviews a case and chooses between the options below, ruling out cardiovascular and other contraindications first.Sildenafil (Viagra)
A phosphodiesterase-5 inhibitor. The doctor assesses it after ruling out cardiovascular contraindications.
Tadalafil 10/20mg
A long-acting PDE5 inhibitor, available in low doses for daily use or higher doses on demand. See the Tadalafil page for the full evidence and side-effect profile.
Vardenafil 5/10/20mg
An alternative within the same class, sometimes better tolerated depending on the patient’s profile.
Avanafil 50/100/200mg
A faster-acting PDE5 inhibitor. An option for selected patients based on medical judgement.
Alprostadil (Vitaros)
A topical option for patients who don’t respond to PDE5 inhibitors or have contraindications to them. The doctor assesses suitability.
Your path to treatment
1
Start the online questionnaire
A questionnaire about health and goal, answered online in a few minutes. No in-person appointment and no travel.
2
A doctor reviews the case
A licensed doctor reviews the answers personally within 24 hours. If they need clarification, they message through the private chat in the account.
3
Review and payment
If the doctor does not approve treatment, the consultation fee is refunded in full within 48 hours.
4
Prescription, if appropriate
If a treatment is appropriate, the doctor signs an electronic prescription, valid at any EU pharmacy under EU Directive 2011/24/EU.
5
Ongoing support
Private chat with the doctor for questions, a 4-week check-in, and renewal before the prescription expires.
Confidentiality
Follow-up happens through the private chat inside the account rather than WhatsApp or SMS, and medication is collected at the nearest pharmacy of the patient’s choice.Related reading
- How Hi-Doctor works
- Safety and eligibility
- Tadalafil — evidence and side effects
- Erectile dysfunction
- Sildenafil (Viagra)
Common questions
What is Addyi?
What is Addyi?
Addyi is a medicine associated with sexual health, but Hi-Doctor’s doctors do not prescribe it as a first-line option. The alternatives offered instead carry robust clinical evidence and EMA authorisation.
Why does Hi-Doctor not prescribe Addyi?
Why does Hi-Doctor not prescribe Addyi?
Although Addyi is associated with sexual health, it is not the first-line medicine Hi-Doctor’s doctors prescribe. The doctor reviews the questionnaire and offers EU-authorised sexual health alternatives — a decision made case by case, never automatically.
What alternatives does Hi-Doctor offer instead of Addyi?
What alternatives does Hi-Doctor offer instead of Addyi?
A licensed doctor reviews the case and chooses between PDE5 inhibitors such as sildenafil, tadalafil, vardenafil and avanafil, or a topical option called alprostadil. The doctor rules out cardiovascular and other contraindications first.
How does the consultation work for sexual health?
How does the consultation work for sexual health?
You fill in an online medical questionnaire in about 4 minutes. An EU-licensed doctor reviews your case in under 24 hours. If appropriate, the doctor issues an electronic prescription valid at any EU pharmacy. You collect the medication at your nearest pharmacy and follow up through the private chat in your account.
What if no treatment is safe for me?
What if no treatment is safe for me?
If none of the alternatives is safe for your case, the doctor says so at no extra cost and the consultation fee is refunded.
Start a consultation
Sexual health consultation
Answer the sexual health questionnaire and a registered doctor reviews it.
They decide whether treatment is appropriate, which one, and at what dose —
and declining is a normal outcome. See what it costs
and how the review works.