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Totiva Health

Totiva vs ZAVA: How the Two ED Services Compare

A side-by-side look at Totiva and ZAVA for erectile dysfunction treatment, with standard pack prices checked on 3 November 2026 and tips for checking any UK online pharmacy.

Written by:

Medically reviewed by Callum Armstrong, MPharm, Independent Prescriber (IP)

Last updated:
8 min read

Key Takeaways

On 3 November 2026, Totiva was cheaper than ZAVA at all 24 ED packs we compared. Neither service charges a consultation fee or uses a subscription, and both only take payment once a clinician approves your order. Check any pharmacy on the GPhC register.

At Totiva, you pay one standard price with no subscription. The consultation is free, and you are only charged if a clinician approves your treatment. There is no introductory price that goes up later.

Among the packs we compared, Totiva's prices start at £6.99 for sildenafil, £7.49 for tadalafil, £14.99 for daily tadalafil and £19.49 for Viagra Connect®. ZAVA's start at £12 for sildenafil, £19 for tadalafil, £29 for daily tadalafil and £21.99 for Viagra Connect. On 3 November 2026, Totiva was cheaper at all 24 packs we compared.

Totiva is registered with the General Pharmaceutical Council (GPhC), the UK regulator for pharmacies, under number 9012997. You can check any UK pharmacy, including ZAVA, on the GPhC website.

Totiva vs ZAVA at a glance#

FeatureTotivaZAVA
Consultation feeFreeNone
When you are chargedOnly if approvedCard held pending, charged only when a doctor approves your order
SubscriptionNoneNone
SildenafilFrom £6.99From £12
TadalafilFrom £7.49From £19
Daily tadalafilFrom £14.99From £29
Viagra ConnectFrom £19.49From £21.99
SupportPeople, not botsNot confirmed in our check

Totiva and ZAVA prices checked 3 November 2026. Prices and terms can change, so confirm them on each pharmacy's website.

Price comparison: Totiva vs ZAVA, head to head#

These are standard pack prices, before any first-order offer.

Sildenafil 50mg#

PackTotivaZAVADifference
4 tablets£6.99£12£5.01 lower at Totiva
8 tablets£12.99£19£6.01 lower at Totiva
12 tablets£18.99£28£9.01 lower at Totiva
16 tablets£21.99£36£14.01 lower at Totiva

Sildenafil 100mg#

PackTotivaZAVADifference
4 tablets£7.99£17£9.01 lower at Totiva
8 tablets£14.99£26£11.01 lower at Totiva
12 tablets£21.99£35£13.01 lower at Totiva
16 tablets£24.50£45£20.50 lower at Totiva

Tadalafil 10mg#

PackTotivaZAVADifference
4 tablets£7.49£19£11.51 lower at Totiva
8 tablets£14.99£29£14.01 lower at Totiva
12 tablets£21.99£39£17.01 lower at Totiva
16 tablets£24.99£49£24.01 lower at Totiva

Tadalafil 20mg#

PackTotivaZAVADifference
4 tablets£8.49£19£10.51 lower at Totiva
8 tablets£14.99£29£14.01 lower at Totiva
12 tablets£22.99£39£16.01 lower at Totiva
16 tablets£27.99£49£21.01 lower at Totiva

Daily tadalafil 2.5mg#

PackTotivaZAVADifference
28 tablets£19£29£10 lower at Totiva
56 tablets£38£55£17 lower at Totiva

Daily tadalafil 5mg#

PackTotivaZAVADifference
28 tablets£14.99£29£14.01 lower at Totiva
56 tablets£29.98£55£25.02 lower at Totiva

Viagra Connect 50mg#

PackTotivaZAVADifference
4 tablets£19.49£21.99£2.50 lower at Totiva
8 tablets£32.99£34.99£2 lower at Totiva
12 tablets£49.99£51.99£2 lower at Totiva
16 tablets£63.99£79.99£16 lower at Totiva

Totiva and ZAVA prices checked 3 November 2026. Prices and terms can change, so confirm them on each pharmacy's website.

Treatment
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Not sure which treatment is right for you?

How the pricing works at each pharmacy#

Totiva#

You fill in a free online consultation. A UK clinician reviews your answers. If treatment is suitable, you choose your pack and pay then. If you are not approved, you pay nothing.

There is no subscription. You reorder when you need more, and you pay the same standard price from your first order onwards. You can see every pack on our ED page at /services/ed.

ZAVA#

ZAVA is not a subscription service, and there is no consultation fee. When you order, your card is held pending and you are only charged once a doctor approves your order.

The ZAVA figures in our tables are standard pack prices, taken on 3 November 2026. When you compare prices, compare the same pack at its standard price. A first-order offer can look cheaper than the price you will pay on your next order.

Which is cheaper, Totiva or ZAVA?#

On 3 November 2026, Totiva was cheaper at every pack we compared: 24 out of 24. The gap ranged from £2 on some Viagra Connect packs to £25.02 on 56 tablets of daily tadalafil 5mg.

A fair comparison means the same medicine, the same strength and the same pack size. Comparing a 4-tablet pack at one pharmacy with a 16-tablet pack at another will not tell you much.

Support and service#

ED is a personal topic, so it helps to know who you are talking to when you have a question.

At Totiva#

  • Support comes from real people, not bots.
  • Your consultation is reviewed by UK-registered clinicians.
  • You will not be asked for awkward consultation photos.
  • You may still need to do an identity face match, so we can confirm you are who you say you are.

Is ZAVA legit?#

The simplest way to answer this for any online pharmacy is to check the regulator yourself. Search the GPhC register for the pharmacy's name or registration number. Then look up its latest inspection report on the GPhC inspections site.

The register tells you a pharmacy is allowed to operate in the UK. The inspection report shows how it performed when the GPhC last visited.

Totiva is registered under GPhC number 9012997, operated by ZapMeds Limited. Totiva passed its most recent GPhC inspection. You can check both on the GPhC website.

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Reading reviews of online pharmacies#

Reviews can help, as long as you read them carefully. We do not quote scores here, because they change often. Instead, here is what to look for:

  • Recent reviews. A pharmacy can change a lot in a year. Focus on the last few months.
  • The negative ones, and the replies. A clear, helpful reply to a complaint says a lot about how a service treats people.
  • Patterns. One late parcel is bad luck. Dozens of reviews about the same problem are worth noting.
  • Pharmacy complaint or side effect? A headache from a medicine is a side effect, not a service failure. Keep the two separate when you weigh up reviews.

Who each service may suit#

ZAVA may suit you if:#

  • You want to use a regulated UK online pharmacy and you have checked its GPhC registration.
  • You want a service with no subscription, no consultation fee and no charge until a doctor approves your order.
  • You have read its current price for the exact medicine, strength and pack you need.

Totiva may suit you if:#

  • You want the lower price: Totiva was cheaper at every pack we compared.
  • You want one standard price from your first order onwards, with no introductory price that goes up later.
  • You would rather talk to people, not bots.

Whichever service you use, the right medicine for you depends on your health, other medicines you take and what suits your routine. That is a decision for you and a clinician.

Checking any online pharmacy in the UK#

Sildenafil and tadalafil for ED are prescription-only medicines. That means you need a consultation with a prescriber before you can get them. Viagra Connect is a pharmacy medicine, so you do not need a prescription. A pharmacist still has to check it is safe for you.

Before you order from any website, check these points:

  • The pharmacy is on the GPhC register.
  • It has a recent inspection report you can read.
  • It will not supply a prescription medicine without a consultation.
  • It is not a seller on social media or a marketplace. These sources are not regulated and the tablets may be fake.

A consultation does not guarantee you will get a medicine. If treatment is not safe for you, a good pharmacy will say so and explain why. Totiva's ED consultation is for men aged 18 to 75.

Treatment
100% online

Take the next step — privately and discreetly

When to speak to a clinician#

Talk to a GP or pharmacist before using ED medicine if any of these apply:

  • You take nitrates (often used for chest pain) or riociguat.
  • You get chest pain, especially when you are active.
  • You have had a stroke or heart attack recently.
  • You have had an erection that would not go away.
  • You notice a sudden change in your vision or hearing.

An erection that lasts more than 4 hours needs urgent medical help. So does chest pain during sex. Call 999 or go to A&E.

If you are ready to see what might suit you, you can start a free consultation at /start/ed. A UK clinician will review your answers, and you only pay if treatment is approved.

Treatment
Discreet & confidential

Not sure which treatment is right for you?

Medical Information: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any treatment.

Written by

Chris Armstrong

Superintendent Pharmacist

Chris Armstrong is a GPhC-registered pharmacist with over 40 years of experience in community pharmacy. Having founded and operated his own pharmacy business for four decades, Chris brings an unrivalled depth of knowledge in dispensing practice, pharmacy operations, and patient-centred service delivery. His career on the front line of community pharmacy makes him a trusted voice on medication management, regulatory compliance, and the practical realities of healthcare access.

Credentials:MPharmPharmacy DispensingPharmacy OperationsCommunity Pharmacy Management

Medically reviewed by

Callum Armstrong

Callum Armstrong

MPharm Independent Prescriber (IP)

Superintendent Pharmacist & Independent Prescriber

Callum Armstrong is a GPhC-registered pharmacist and independent prescriber with over 8 years of clinical experience. Specialising in weight management, hair loss, erectile dysfunction, and dermatology, he combines clinical expertise with a background in digital health and pharmacy software to deliver evidence-based, patient-centred care. As Superintendent Pharmacist at Totiva Health, Callum oversees the clinical governance and quality standards that underpin every service.

Credentials:MPharmIndependent Prescriber (IP)Weight LossHair LossErectile DysfunctionDermatologyDigital Health & Pharmacy Software

Treatments we offer

Clinically proven treatments from our GPhC-registered pharmacy

Daily Tadalafil

From£14.99

Daily ED treatment

One low-dose tablet a day, so you're ready whenever the moment comes. From 54p a day, with no subscription.

Sildenafil

From£6.99

Generic equivalent to Viagra®

The same active ingredient as Viagra®, from £1.37 a tablet. Works in 30 to 60 minutes and lasts up to 4 hours, with no subscription.

As-Needed Tadalafil

From£7.49

Generic equivalent to Cialis®

The same active ingredient as Cialis®, from £1.56 a tablet. Lasts up to 36 hours, so there's less need to plan, with no subscription.

Viagra Connect®

From£19.49

OTC sildenafil 50mg

The original branded sildenafil 50mg, from £4.00 a tablet. Works in 30 to 60 minutes and lasts up to 4 hours.

Cialis Together®

From£19.99

OTC tadalafil 10mg

The original branded tadalafil 10mg, from £4.17 a tablet. Lasts up to 36 hours, with no subscription.