Licensed Ontario healthcare professionals
Every assessment is reviewed by a healthcare professional licensed in Ontario, trained in health conditions prescribing.
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Care365
Ontario Virtual Care
Erectile Dysfunction (ED) Treatment Online
A confidential, judgment-free assessment for ED — with a licensed Ontario healthcare professional, online.
Erectile dysfunction is common and very treatable. A PDE5 inhibitor restores erections adequate for sexual activity for most men — but nitrate use (prescribed or recreational) is an absolute, never-overridden contraindication, since combining the two can cause severe, potentially fatal low blood pressure. ED can also be an early marker of cardiovascular disease, so vascular risk factors are checked too.
Licensed Ontario healthcare professionals
Same-day review
Prescriptions sent directly
CCare365
Care365 workflowComplete assessment → clinical review → prescription sent when appropriate.
Quick Self-Check
Answer a few quick questions. This isn't a diagnosis — a real clinical assessment is the next step either way.
How We Work
A Care365 healthcare professional screens for nitrate use first — this absolutely rules out every PDE5 inhibitor because of the risk of severe, potentially fatal low blood pressure, and is never a judgment call. Chest pain, fainting, or severe shortness of breath during sexual activity needs cardiac assessment before any medication, and a history of priapism or a penile structural change needs urology referral. With none of these, a PDE5 inhibitor (sildenafil or tadalafil) is offered, with attention to blood pressure control and vascular/psychological contributors, since ED is often an early marker of cardiovascular disease.
Complete a short online assessment
Answer real, condition-specific questions — takes a few minutes, no appointment needed to start.
A licensed clinical reviews your answers
A real healthcare professional licensed in Ontario reviews your case, typically the same day — not an automated approval.
Get your treatment plan
When appropriate, your prescription is sent directly to your preferred pharmacy, with clear next steps.
Why Choose Care365?
Fast, Real Assessments
No generic templates — your answers are reviewed by a real person, typically the same day.
Secure & Private
Your information is encrypted and only seen by the clinical reviewing your case.
Prescriptions Sent Directly
When appropriate, your prescription goes straight to your preferred pharmacy — no extra trip needed.
What Our healthcare professionals Can Assess
Nitrate Safety Check
This is checked first, every time — nitrate use (including recreational "poppers") rules out every PDE5 inhibitor, no exceptions.
Cardiac Symptom Screen
Chest pain, severe shortness of breath, or fainting during sexual activity needs cardiac assessment before any medication is considered.
PDE5 Inhibitor Options
As-needed sildenafil, as-needed tadalafil, or daily low-dose tadalafil, chosen based on your preference and frequency of sexual activity.
Underlying Contributors
Blood pressure control, cardiovascular risk factors, medications like SSRIs, and psychological factors are all reviewed as part of the full picture.
Treatment Options
These options may be prescribed by a Care365 healthcare professional after a real assessment — this is general information, not a recommendation to use any specific medication without one.
| Medication | Class | Route | Typical Duration |
|---|---|---|---|
| Sildenafil 50mg | PDE5 inhibitor | Oral | As needed, 30-60 min before sexual activity, max once daily |
| Tadalafil 10mg | PDE5 inhibitor | Oral | As needed or daily low-dose, max once daily |
Non-medication options
- Cardiovascular risk-factor management — Smoking, blood pressure, cholesterol, glucose, and weight.
- Reduce alcohol — Can worsen erectile function.
Everything in One Place
- Easy online scheduling — submit your assessment in minutes
- Real clinical review, not an automated approval
- Prescriptions sent directly to your preferred pharmacy when appropriate
- 100% virtual — no travel, no waiting room
Frequently Asked Questions
I take a nitrate for chest pain — can I still use ED medication?
No — this is an absolute contraindication that is never overridden. Combining a nitrate with any PDE5 inhibitor (sildenafil, tadalafil) can cause severe, potentially fatal low blood pressure. Your healthcare professional will discuss non-PDE5 options instead.
Is this confidential?
Yes — this is a confidential, judgment-free assessment reviewed only by the licensed healthcare professional handling your case.
Can ED be a sign of something else?
Yes — ED is a recognized early marker of cardiovascular disease. If you don't have known diabetes, high blood pressure, high cholesterol, or heart disease on record, basic screening bloodwork may be recommended since ED can be the first sign.
What if I've had chest pain or fainting during sex?
That needs a cardiac assessment before any PDE5 inhibitor is considered — this is a safety-first approach, not an inconvenience.
Which medication is right for me?
Sildenafil (as-needed) and tadalafil (as-needed or daily low-dose) are both options — the choice usually comes down to your preference and how often you're sexually active.
Erectile Dysfunction (ED) Can Be Treated
Complete a real assessment online — a licensed Ontario clinical reviews your case and arranges treatment and prescription support when appropriate.
Start My Free Assessment