Cardio Vascular Health

Viagra Connect is only intended for men 18 years and older who are experiencing erectile dysfunction (ED) (i.e. difficulty in getting and/or maintaining an erection satisfactory for sexual performance).

Are you currently experiencing erectile dysfunction? *

Yes
No

Has your doctor advised that you are not fit enough for any physical and/or sexual activity? *

Yes
No

Do you feel very breathless or experience chest pain with light or moderate physical activity, such as walking briskly for 20 minutes or climbing two flights of stairs? *

Yes
No

Have you had a heart attack or stroke within the last 6 months? *

Yes
No

Do you have any other heart problems or are you under a doctor’s care for low blood pressure or uncontrolled high blood pressure? *

Yes
No

Do you have any other heart problems or are you under a doctor’s care for unstable angina (chest pain), irregular heart beat or palpitations (arrhythmia)? *

Yes
No

Do you have any other heart problems or are you under a doctor’s care for a problem with one of the valves in your heart (valvular heart disease)? *

Yes
No

Do you have any other heart problems or are you under a doctor’s care for a problem where the heart muscle becomes inflamed and does not work as well as it should (cardiomyopathy)? *

Yes
No

Do you have any other heart problems or are you under a doctor’s care for Heart problems causing blood flow issues (e.g. left ventricular outflow obstruction, aortic narrowing) or severe cardiac failure? *

Yes
No

Email *

Eligibility Form

Cardio Vascular Health

Concomitant Medication Use

Thank you for submitting! You may now add the product to your cart. Our pharmacist will get in touch with you if we have any questions regarding your answers! Have a great day!

Thank you for submitting! You may now add the product to your cart. Our pharmacist will get in touch with you if we have any questions regarding your answers! Have a great day!

20% OFF ALL SKINCARE