Sildenafil spray approved for erectile dysfunction in Germany, Ireland, and the Netherlands
It does not contain an active ingredient, so it has few side effects and helps 60% of people get an erection within 10 minutes.
Highlights of Prescribing Information
Instead, generic sildenafil tablets may be a suitable option if you are looking for an NHS erectile dysfunction treatment. Like all medications, Hezkue can cause side effects, although not everyone will get them. A full list of side effects can be found in the patient information leaflet that is provided with your medication. Most Hezkue side effects are often mild and only last a few hours sildenafil film tablet to a day. Most people find that once the effects of Hezkue have worn off, the side effects also go away.
More common
Mild Hezkue side effects can usually be managed at home by: getting plenty of rest until the effects have passed taking over the counter painkillers for headaches drinking plenty of water to stay hydrated and avoiding alcohol avoid driving or operating machinery if Hezkue makes you feel tired or causes you to faint If you experience any side effects that are difficult to manage or are causing you concern, speak to your doctor for more advice. If you experience any serious side effects, like chest pains, irregular heartbeat, sudden vision or hearing loss, allergic reaction or a prolonged erection, stop taking Hezkue and go to A&E or call 999. Hezkue may not be suitable for everyone, so it is important that you discuss your medical history, including any medications you are taking, with a doctor first. are allergic to any of its ingredients are taking any form of nitrates or nitric oxide donors Before taking Hezkue, let your doctor know if you have: recently had a stroke, heart attack, or heart problem a deformity of your penis or Peyronie’s disease Before taking Hezkue, it is important to let your doctor know if you are currently taking or plan to take any prescribed, over-the-counter, or herbal medications, particularly: any other PDE-5 inhibitors like Viagra to treat erectile dysfunction or pulmonary hypertension nitric oxide donors (including amyl nitrate, known as “poppers”) Hezkue spray is not the only erectile dysfunction medication available. We can provide tablets that last for longer than 4 hours or get to work within 15 minutes, or suggest over-the-counter alternatives to suit your needs.
Can I buy sildenafil spray online?
If you’re not sure if your symptoms are being caused by erectile dysfunction, you can order an at-home ED test kit. Here are some of the common erectile dysfunction medications available that can only be obtained with a prescription from a doctor. It is also available in a generic form, in 3 different doses (25mg, 50mg, and 100mg). Viagra 50mg tablets are effective in 74% of people compared to a placebo. Cialis contains the active ingredient tadalafil and is the longest-lasting ED medication, providing effective relief for up to 36 hours. Penis pump – A manually operated device that can increase blood flow to the penis to help you get and maintain an erection.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Soft Tabs | 100mg | 60 + 4 Pills | 180.59€ 171.99€ | |
| Kamagra Soft Tabs | 100mg | 84 + 4 Pills | 233.05€ 221.95€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ | |
| Viagra Generic | 100mg | 30 + 4 Pills | 60.91€ 58.01€ | |
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Viagra Generic | 100mg | 120 + 6 Pills | 149.50€ 142.38€ | |
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Viagra Generic | 150mg | 10 Pills | 36.73€ 34.98€ | |
| Kamagra | 100mg | 12 Pills | 55.64€ 52.99€ |
A penis pump does not contain any medication, so it may be a suitable alternative if you would prefer not to take drugs to treat erectile dysfunction.
17. Patient Counseling Information
Hold the dosing pump onto the neck of the bottle and screw clockwise until it is firmly attached. Turn the nozzle to the open position. Activate the pump 3 times to prime the pump, but discard any product that is released into absorbent material, like kitchen towel. The pump is now ready for use. Once the pump has been primed, it is ready to be used.
2. Sildenafil Oral Spray(Silfin)
If you do not prime it before each use, there is a chance that a lower dose will be given. To use the Hezkue spray, you should: Tilt your head back and open your mouth. Press the dosage pump sildenafil 12 5 mg as many times as prescribed so that the medication lands on your tongue. Turn the nozzle on the dosage pump to closed. Remove the dosage pump from the bottle by unscrewing it anticlockwise.
2.3 Reconstitution of the Powder for Oral Suspension
Replace the child-proof screw cap on the bottle and turn it clockwise to close it after use. Wash the dosage pump thoroughly with water and allow it to dry thoroughly before the next use. You should take Hezkue around 30 minutes to 1 hour before you want to have sex. Research by Hezkue’s manufacturer claims that absorption begins within as little as 5 minutes of being taken. However, most people will find that Hezkue is effective within 30 minutes of taking it. Although drinking a small amount of alcohol is generally considered safe while taking Hezkue, it is not recommended because it can reduce its effectiveness and make erectile dysfunction worse.
Can I use Hezkue spray every day?
Not all ED treatments require a prescription. Here are some of the options available over the counter or without a prescription: Viagra Connect – A non-prescription version of Viagra that contains 50mg of sildenafil. Superdrug sildenafil – A generic version of Viagra Connect that’s cheaper, but just as effective. Cialis Together – An over-the-counter version of Cialis that contains 10mg of tadalafil, which improves erections in 81% of people and can last for up to 36 hours. Eroxon gel – A topical gel that’s applied directly to the head of the penis to stimulate the nerve endings, resulting in an erection. Alcohol may also enhance the side effects of Hezkue spray, such as feeling sick or lightheadedness.
Impotence Spray vs. Other ED Treatments
Hezkue is a sildenafil suspension oral spray that is used to treat erectile dysfunction (ED). It contains the same active ingredient as Viagra, called sildenafil, but Hezkue can be used in place of ED pills. Hezkue spray is a prescription-only medication, which means you will need approval from a doctor before you can obtain it. The biggest difference between sildenafil spray and tablets, like Viagra, is the way they are administered. Hezkue spray is a faster and more convenient alternative to traditional ED pills.
Benefits :
Some of the key benefits of Hezkue spray over sildenafil tablets include: no need to take it with water easier for anyone who finds it difficult to take tablets Hezkue works the same in the same way as other sildenafil products like Viagra and phosphodiesterase type 5 (PDE-5) inhibitors in that it increases blood flow to the penis, helping you to get and maintain an erection. It does this by relaxing the smooth muscle cells in the blood vessels in the penis, allowing the blood flow in your penis to increase. Unlike tablets, Hezkue spray is absorbed directly into your bloodstream through your mouth. Studies show it’s as effective as tablets for treating erectile dysfunction. Clinical trials have shown that a 50mg dose of sildenafil was effective in 74% of people, while a lower 25mg dose was 62% effective, and the highest 100mg dose was 82% effective compared to a placebo.
What should I know about sildenafil before taking it?
A study investigating the effects of a sildenafil oral spray in people with type 2 diabetes and prediabetes found that it reduced body weight, waist circumference, insulin, and HbA1c levels in those with type 2 diabetes and effectively improved erectile dysfunction in both groups. Before using Hezkue, perform 3 practice pumps away from your mouth to prime the pump and ensure it is working properly. To do this, you will need to: Shake the bottle for 20 seconds to help mix the suspension. Remove the screw cap by pushing it down firmly and turning it anticlockwise. Place the dosage pump on top of the bottle, sliding the plastic tube carefully into the liquid in the bottle. No, you must not use Hezkue with any other erectile dysfunction medications, as this can increase the chance of side effects.
- Sildenafil spray is a topical form used for erectile dysfunction treatment.
- It offers quick absorption due to its spray formulation.
- Typically, sildenafil spray acts faster than oral tablets.
- The spray is applied under the tongue for rapid effect.
- Dosage varies depending on individual health and response.
- It is important to follow prescribed instructions for safety.
- Sildenafil spray may cause side effects like headache or flushing.
- It should not be used with nitrates or certain medications.
- Long-term safety data on sildenafil spray is limited.
- It is prescribed by a healthcare professional.
- Always store sildenafil spray in a cool, dry place.
If you do not think that Hezkue is working for you, contact your doctor for advice, as they may recommend an alternative ED treatment.
| Condition | Risk | Recommendation |
|---|---|---|
| Use of Nitrates | Severe hypotension | Do not use |
| Cardiovascular Diseases | Increased risk of adverse effects | Consult a doctor |
| Allergy to Sildenafil or components | Allergic reaction | Avoid use |
| Severe Liver or Kidney Impairment | Altered drug metabolism | Medical clearance required |
There are no special storage instructions for Hezkue, but it must be kept out of sight and reach of children and pets.
- Sildenafil spray is considered a fast-acting erectile aid.
- It can provide a discreet option for intimacy enhancement.
- The spray typically contains a small dose of sildenafil.
- Users should measure the spray dose carefully.
- Side effects are similar to other sildenafil forms.
- The spray may improve confidence in men with ED.
- Potential interactions include alcohol and certain medications.
- It’s important to avoid overuse or high doses.
- A healthcare professional should approve its use.
- Sildenafil spray can be part of a broader erectile health plan.
- Always read the packaging and leaflet before use.
Do not use the Hezkue spray after the expiry date.
Related/similar drugs
It is available in tablet form and is effective in more than 80% of people who take it. Cialis is also available as generic tadalafil. Spedra (avanafil) is a fast-acting erectile dysfunction tablet that gets to work in just 15 to 30 minutes. The effectiveness of the different Spedra doses is as follows: Vardenafil is a generic ED medication that is similar to sildenafil and is 80% effective. Vardenafil is more potent than Viagra, lasts longer, and is suitable for people with diabetes. Once you have opened the bottle, it must be used within 10 months.
| Country/Region | Approval Status | Notes |
|---|---|---|
| United States | Not FDA approved for spray form | Available through clinical trials |
| European Union | Under investigation | Not yet commercialized |
| Australia | Restricted to research purposes | Not available commercially |
| Asia (e.g., India) | Limited approval for sildenafil formulations | Regulatory pathway ongoing |
Hezkue has a mint flavour which helps to cover up the naturally bitter taste of sildenafil.
- Sildenafil spray is a modern alternative for ED therapy.
- It reduces the waiting time before sexual activity.
- The spray is generally well-tolerated with proper use.
- It might be prescribed for specific health conditions.
- The method of administration differs from oral tablets.
- Use of the spray should be coordinated with a doctor.
- It can be used alongside other treatments under supervision.
- The spray dose can be adjusted for optimal response.
- Patients should report any unusual symptoms promptly.
- Sildenafil spray offers privacy compared to other methods.
- Read all warnings and precautions on product packaging.
Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction, PubMed [accessed 16 August 2025] Efficacy and Treatment Satisfaction with On-Demand Tadalafil (Cialis®) in Men with Erectile Dysfunction, European Urology [accessed 16 August 2025] Efficacy of Sildenafil oral spray for the treatment of erectile dysfunction in patients with type 2 diabetes mellitus and prediabetes, PubMed [accessed 15 August 2025] Hezkue
Quick Summary
When taken as prescribed, Hezkue can last for up to 5 hours. However, the effects can vary between individuals. The usual dose is 4 pumps, which is equivalent to 50mg, but the spray allows for easy, flexible dosing if you find the effects are too strong or not strong enough. Hezkue spray is a prescription-only medication, which means you will need a doctor’s approval to get it, either privately from a clinic or from a trusted online doctor service. Yes, you can request Hezkue sildenafil oral suspension spray from Superdrug Online Doctor, by: Filling in a brief questionnaire about your health and lifestyle.
When should Silfin Oral Spray be taken?
Order your preferred choice of treatment and make payment. One of our doctors will review your order and questionnaire answers. If your order is approved, your treatment will be posted directly to your address or made available for collection at a Superdrug Pharmacy. If your order is not right for you, one of our doctors will contact you via your account with other suitable options. By ordering your medication from us, you will receive a fully confidential service, and your medication will be delivered in discreet packaging.
5.2 Worsening Pulmonary Vascular Occlusive Disease
And, there’s no need for awkward face-to-face conversations, just fill out our questionnaire and our doctor will do the rest. No, you cannot buy Hezkue over the counter because it is a prescription-only medication. This means you need a doctor’s approval before you can get it. If you’re looking for an over-the-counter erectile dysfunction medication, Viagra Connect may be more suitable. No, Hezkue is not currently available on the NHS. Sildenafil Suspension, Aspargo Labs [accessed 15 August 2025] PD52-07 EFFICACY AND SAFETY OF MED3000, A NOVEL TOPICAL THERAPY FOR THE TREATMENT OF ERECTILE DYSFUNCTION, The Journal of Urology [accessed 16 August 2025] Sildenafil 50 mg film-coated tablets, emc [accessed 15 August 2025] Spedra 200 mg tablets, emc [accessed 16 August 2025] Who can and cannot take sildenafil, NHS [accessed 16 August 2025]
| Dosage Level | Number of Sprays | Recommended Use Frequency | Precautions |
|---|---|---|---|
| Low | 1-2 sprays | Once per day | Start with lowest dose; assess response |
| Moderate | 3-4 sprays | Once or twice daily | Avoid alcohol to reduce side effects |
| High | 5+ sprays | As prescribed by doctor | Not recommended without medical advice |