1. Consultation & Diagnosis

Our expert pharmacists can provide guidance on managing ED and recommend suitable treatments. We advise consulting a GP for a full diagnosis, as ED can sometimes indicate underlying health conditions such as high blood pressure, diabetes, or heart disease.

During a consultation, you may be asked about:

• Your general lifestyle and medical history
• Any medications you’re taking
• Possible psychological factors (e.g., stress, anxiety)
• Your diet, exercise, and smoking or alcohol consumption
• A physical examination by your doctor may also be recommended

2. Treatment Options Available at McCabes Pharmacy

We offer a range of over-the-counter and prescription ED treatments, including:

a) Medications for Erectile Dysfunction

Certain medications help increase blood flow to the penis and improve erectile function. Some common options include:

• Viagra Connect / Sidena (Sildenafil) – Available over the counter in Ireland (In-store or online)
• Cialis (Tadalafil) – Available over the counter in Ireland (In-store or online)
• Blood Pressure & Cholesterol Medication – If ED is linked to high cholesterol or hypertension, statins or blood pressure medication may help
• Testosterone Therapy – For men with low testosterone levels, hormone replacement therapy may be an option

How Does Viagra Connect / Sidena Work?

Viagra Connect / Sidena helps improve blood flow to the penis, allowing an erection when aroused. It should be taken about one hour before planned sexual activity. Effects can last up to four hours, but an erection will only occur with sexual stimulation.

Important Notes:

• Avoid excessive alcohol consumption, as it can reduce effectiveness.
• Fatty meals may slow absorption.
• Do not take with ‘poppers’ (amyl nitrate), as this may cause a dangerous drop in blood pressure.
• If an erection lasts longer than four hours, seek urgent medical attention.

How Does Cialis Work?

Cialis helps improve blood flow to the penis, allowing an erection when aroused. It can be taken at least 30 minutes before sexual activity, and effects can last up to 36 hours. However, an erection will only occur with sexual stimulation.

Important Notes:
• Avoid excessive alcohol consumption, as it can reduce effectiveness.
• Fatty meals do not significantly affect absorption, but moderation is recommended.
• Do not take with ‘poppers’ (amyl nitrate), as this may cause a dangerous drop in blood pressure.
• If an erection lasts longer than four hours, seek urgent medical attention.

b) Psychological Support & Therapy

If stress, anxiety, or depression is contributing to ED, counselling or therapy may be beneficial. Cognitive Behavioural Therapy (CBT) or sex therapy can help address performance anxiety and other emotional concerns.

c) Lifestyle Changes to Improve Erectile Function

Making small changes to your lifestyle can have a big impact on ED.

Recommendations:

✔ Healthy Diet – A diet rich in fruits, vegetables, whole grains, and healthy fats can support better circulation and sexual health.
✔ Regular Exercise - Improves blood flow and helps maintain a healthy weight.
✔ Weight Management – Obesity is linked to ED, so maintaining a healthy weight is crucial.
✔ Quit Smoking – Smoking narrows blood vessels and reduces circulation.
✔ Limit Alcohol Intake – Excessive alcohol consumption can contribute to ED.
✔ Stress Management – Mindfulness, meditation, or yoga can help manage stress-related ED.

d) Vacuum Pumps & Penile Implants

For some men, vacuum pumps or penile implants may be recommended when other treatments are ineffective. These solutions can help men achieve an erection mechanically or surgically.