LET'S TALK ABOUT YOUR HEALTH

Medical Questions

Tell your doctor about your symptoms and overall health. Your doctor needs this information to determine the most appropriate treatment for you. It's important that you are honest and respond as accurately as possible.

Have you ever been formally treated for ED or tried any medicines, vitamins, or supplements to treat it?

Have you had your blood pressure measured in the past 6 months?

Have you had your blood pressure measured in the past 6 months?

What’s the top number?

What’s the bottom number?

Do you have any allergies?

PLEASE TELL US MORE

Tell us more about your high cholesterol

Do you have any of the following cardiovascular symptoms?

PLEASE TELL US MORE

Tell us more about the pain in your legs.

Do you currently use, or have an active prescription for, any of the following?

Which of the following apply to you?

ALMOST DONE

Have you used any of the following recreational drugs in the past 6 months?

Please update the list below to include all medicines, vitamins, and supplements you’re currently taking.

Include any medicines (e.g., Lipitor, Zyrtec, ibuprofen), herbs, vitamins, or dietary supplements that you have taken in the past 2 weeks, even if you are not taking them today.

BEFORE WE WRAP UP

MAKE YOUR REQUEST

Treatment Preference

If you have a preferred treatment, you can let your doctor know here. While your preference will be taken into consideration, your doctor will prescribe the treatment option best suited for you.

NUMBER OF USES

DRUG

You preference will be shared with a physician, who will use their medical judgement to determine the best treatment plan.

Prices listed are from the Ro Pharmacy Network for the recommended starting dose for a healthy patient. Most prescription comes in non-childproof, single-close packaging, though you may request childproof packaging for your medications.

DOSAGE

Do you have a dosage preference for Silenafil?

* A starting dose of 60mg (typically $6.00) is the most common for members who are new to the medication. Based on the information you provide, a physician will determine if this dose (or another) is appropriate.

If you know what works for you:

If you used the medication before, and it worked without side effects, you should choose the same dose.