GPhC registered|Tracked Delivery
Discreet & clinician-led

Sexual health,delivered discreetly.

Short online consultation. UK pharmacist reviews your case in complete confidence. Licensed treatment shipped in plain packaging. No awkward phone calls.

  • UK-licensed, cardiovascular-checked
  • Plain, unbranded packaging
  • Message your pharmacist directly
Start your consultation
Pharmacist review
24h

Pharmacist review

Discreet packaging
Plain

Discreet packaging

Registered pharmacy
GPhC

Registered pharmacy

Where to start

Sexual health treatments suited to you

Tell us what you're experiencing. A UK pharmacist reviews in complete confidence.

  • Difficulty with erections

    Getting or keeping one during intimacy.

    Get started
  • Finishing too soon

    Before you'd like — for you or your partner.

    Get started
  • Prefer to discuss first

    Talk to a pharmacist before committing.

    Get started
Why Caremacy

Built around what patients actually need

UK-licensed treatments, cardiovascular review on every prescription, and plain unbranded packaging every time.

Verified authenticity

UK-licensed PDE5 inhibitors and SSRIs. Cardiovascular and interaction checks as standard before pharmacist supply or prescribing.

Side-effect support

Headache, timing or interaction questions — message a pharmacist directly, discreetly, fast.

Total control

Order on-demand or subscribe. Pause or cancel any time from your dashboard.

Progress & refills

See what works for you over time. One-tap refills in plain, unbranded packaging.

Your dashboard

Your digital health dashboard

Everything you need, in one place — the moment you sign in.

  • Chat

    Message a pharmacist directly

  • Track

    Log progress and symptoms

  • Report

    Instant side-effect logging

  • Manage

    Refills, pauses, cancellations

Treatments

Evidence-based treatments for sexual health

Treatments are prescription-only or pharmacist-supplied, depending on the product. Your pharmacist decides what, if anything, is clinically appropriate.

Sildenafil

On-demand PDE5 inhibitor

Taken 30–60 minutes before intimacy. One of the longest-established and best-studied treatments for erectile dysfunction.

From£19/ 4 tablets
  • Take on-demand, 30–60 min before
  • Active window of around 4 hours
  • 50 mg or 100 mg, in packs of 4 or 8
  • Pharmacist-reviewed before every supply request

Tadalafil daily

Daily PDE5 inhibitor

A low once-daily dose — suitable for patients who prefer not to plan treatment around intimacy.

From£29/ 28 tablets
  • Once-daily dose, same time each day
  • Steady-state treatment — no planning required
  • Low daily doses: 2.5 mg or 5 mg
  • Pharmacist-reviewed before every prescription

Dapoxetine

On-demand SSRI for premature ejaculation

Short-acting SSRI licensed specifically for premature ejaculation. Taken 1–3 hours before intimacy. Not a PDE5 inhibitor — not taken alongside ED treatment; your pharmacist advises which to start with when both co-exist.

From£29/ 3 tablets
  • Take on-demand, 1–3 hours before
  • Doses: 30 mg, or 60 mg once you have used 30 mg
  • Separate from ED treatment — one medicine at a time
  • Pharmacist-reviewed before every prescription
How it works

Four steps. No awkward calls.

From short online consultation to plain-packaged delivery — clinician-led, end to end.

  1. Share a few details

    Answer a short online questionnaire in complete confidence. Takes around three minutes.

  2. Pharmacist review

    A qualified clinician reviews your case individually before any medicine is supplied or prescribed.

  3. Treatment decision

    If treatment is clinically appropriate, your pharmacist supplies or prescribes it through the correct route and explains what to expect.

  4. Discreet delivery

    Treatment uses plain, unmarked packaging and tracked delivery. Available options and timings are confirmed before payment.

Eligibility

Is this right for you?

Usually suitable for

  • Adults (18+) experiencing persistent erectile dysfunction or premature ejaculation
  • Patients in stable general health with no contraindications
  • Patients able to disclose current medications (for drug-interaction safety)
  • Patients willing to see a GP for investigations if the pharmacist recommends it

Not suitable if you are / have

  • Patients taking nitrates (e.g. for angina) — serious interaction risk
  • Recent cardiovascular event (heart attack, stroke) within the past six months
  • Severe cardiovascular disease or unstable angina
  • Severe hepatic or renal impairment
  • Age under 18 years

This is a summary, not a complete assessment. A pharmacist reviews your full health history and current medications during consultation before any medicine is supplied or prescribed.

The science

How ED treatment actually works

Simple, well-understood pharmacology — worth knowing before you start.

  1. Relaxes blood vessels

    PDE5 inhibitors (sildenafil, tadalafil) relax smooth muscle in the blood vessel walls supplying the penis. This happens throughout the body, not just in one place.

  2. Supports a natural response

    The treatment only works when sexual arousal is present — it supports the body's normal response rather than causing an independent reaction.

  3. Timing matters

    On-demand options work 30–60 minutes after taking. Daily options build up to a steady level and maintain effect around the clock. Your pharmacist will explain which fits your situation.

Compare treatments

On-demand or daily?

Your pharmacist recommends based on how you actually want to use treatment — not which has the higher margin.

Side-by-side comparison of Sildenafil and Tadalafil (daily)
 SildenafilTadalafil (daily)
ClassPDE5 inhibitorPDE5 inhibitor
Timing30–60 min beforeOnce daily, any time
DurationAround 4 hours24-hour readiness
Best suited toOccasional or planned usePatients who want no planning
Clinical evidence

What the trial data shows

Peer-reviewed evidence for PDE5 inhibitors — cited and attributed, not reframed as a personal promise.

Randomised controlled trial

Sildenafil efficacy (Goldstein et al.)

Goldstein I et al., N Engl J Med 1998;338:1397–404

Participants
861
Duration
24 weeks
Comparator
Sildenafil 25, 50, 100 mg vs. placebo

Sildenafil significantly improved erectile function scores and completed-intercourse rates versus placebo across doses. The trial established the PDE5 inhibitor class for ED treatment.

Read the full paper

Randomised controlled trial

Tadalafil once-daily (Porst et al.)

Porst H et al., J Urol 2006;175:1071–1077

Participants
268
Duration
12 weeks
Comparator
Tadalafil 2.5 mg and 5 mg daily vs. placebo

Once-daily tadalafil significantly improved erectile function scores versus placebo at both 2.5 mg and 5 mg daily doses. The trial supported the licensing of tadalafil for daily use.

Read the full paper

Trial results do not predict individual outcomes. Your pharmacist will discuss realistic expectations during consultation.

UK Registered Pharmacists

Meet Your Clinical Team

Every prescription is reviewed by our UK-registered pharmacists who genuinely care about your wellbeing.

Younes Mekhalfia

Younes Mekhalfia

Independent Prescribing Pharmacist

MPharm, IP10+ years experience
GPhC: 2085251
Aans Memon

Aans Memon

Prescribing Pharmacist

MPharm, IP10+ years experience
GPhC: 2085817

Video Message Reviews

Receive personalized video explanations with every prescription

Proactive Check-ins

We follow up to ensure your treatment is working for you

Side-effect Management

Direct pharmacist support if you experience any concerns

GPhC
All pharmacists registered with the General Pharmaceutical Council
Frequently asked questions

Everything you need to know about sexual health treatment

Common patient questions — grouped by category and answered with clinically reviewed guidance.

What treatments are used for erectile dysfunction?

The first-line UK treatments are PDE5 inhibitors — sildenafil (on-demand), tadalafil (on-demand or once-daily), and vardenafil (on-demand). They relax the blood vessels supplying the penis, supporting a natural response to arousal. Non-drug options include lifestyle changes and, for some patients, specialist referral.

How do PDE5 inhibitors work?

They block phosphodiesterase type 5, the enzyme that reverses the relaxation of blood vessel smooth muscle. This supports the natural arousal response — sexual stimulation is still required; treatment does not work independently.

Should I choose on-demand or daily treatment?

On-demand (sildenafil, or tadalafil as-needed) is taken 30–60 minutes before intimacy. Daily tadalafil (2.5 mg or 5 mg) gives round-the-clock readiness without needing to plan. Your pharmacist will discuss which fits your situation.

How long does treatment take to work?

Sildenafil and vardenafil typically work within 30–60 minutes. Tadalafil on-demand works within 30–60 minutes but lasts up to 36 hours. Daily tadalafil builds to a steady state after a few days and then maintains effect.

What causes erectile dysfunction?

ED can be vascular (most common, related to cardiovascular health), hormonal, psychological, neurological, or medication-related. It can also be an early warning sign of undiagnosed cardiovascular disease — your pharmacist may recommend a GP check-up alongside treatment.

Your health shouldn’t wait.

Free consultation, pharmacist-reviewed, discreet delivery.

Start your consultation