Erectile dysfunction care at Sequel
Start the conversation online
Explore erectile dysfunction care with Sequel. Share your health history and the medications you take in an online assessment for review by a licensed clinician.
What Sequel offers
Sequel offers access to an online assessment for erectile function. The listed treatment is Epiq Quad, a compounded oral medication that contains sildenafil, tadalafil, vardenafil and apomorphine. Compounded medications are not FDA-approved.
What a clinician may consider
NIDDK outlines several paths. A clinician may review your current medicines, because a medicine you need for another condition may be causing ED, and may adjust a dose or suggest a switch. Do not stop any medicine on your own; talk with your clinician first.
Lifestyle changes or counseling may help in some situations. PDE5 inhibitors are oral medicines that improve blood flow to the penis and may help you get and keep an erection. Not every option NIDDK describes is a Sequel service.
Who should not take sildenafil
The Viagra prescribing information lists these exclusions: nitrates or nitrites in any form, even occasionally, because sildenafil strengthens their blood-pressure-lowering effect; riociguat or any other guanylate cyclase stimulator; and a known allergy to sildenafil or any ingredient in the tablet. It also states there is no known safe time for nitrates after a Viagra dose.
Those rules describe Viagra. A clinician needs your full medicine list to assess the product you would actually receive.
VIAGRA (sildenafil citrate) prescribing information, DailyMed
When to get help right away
NIDDK flags side effects that need prompt attention: an erection lasting longer than 4 hours, known as priapism, and vision or hearing loss after taking an oral ED medicine. Call your health care professional right away if either happens.
How care works at Sequel
Share your health history in an online assessment. A licensed clinician reviews it and prescribes treatment only when clinically appropriate. If prescribed, a partner pharmacy dispenses and ships your medication. You manage orders and ongoing care in the patient portal.
Sequel serves adults 18 and older in every state except Louisiana and Mississippi. Sequel is not emergency care. Call 911 for a medical emergency.
Common questions
Are combination pills more effective?
The cited evidence does not show that a combination is more effective. The Viagra prescribing information says combining Viagra with other PDE5 inhibitors or other ED treatments has not been studied, may further lower blood pressure and is not recommended. That is a concrete issue for a clinician to weigh when reviewing any combination, alongside the medicines you already take.
VIAGRA (sildenafil citrate) prescribing information, DailyMed
What's included, and how does billing work?
Your plan price covers your clinical assessment, your medication, customer support from both AI and real people, and the Sequel platform. You'll see the total at checkout before you pay.
You can choose a one-, two- or three-month plan. With Auto-Refill on, you're billed each cycle until you turn it off in Billing. You can cancel future renewals any time; to avoid the next charge, cancel at least 72 hours before your next billing date. If you cancel, payments you've already made aren't refunded.