Enjoy intimacy
with confidence
Effective ED treatments prescribed by GPhC-registered pharmacists. Discreet delivery.
How often do you experience erectile difficulty?
Have you tried ED treatment before?
What matters most to you?
Good news, treatment could be right for you
Proven treatments
Access clinically proven treatments, assessed and dispensed by GPhC-registered pharmacists.
Tailored to you
Your health history and goals are reviewed by a clinician to find the right treatment plan.
Pharmacist-led care
Every prescription is reviewed and dispensed by a registered pharmacist — not an algorithm.
Ongoing support
Track your progress, manage your plan, and message your care team — all from your phone.
How ED treatments work
Stimulation increases blood flow
Arousal triggers cGMP, a molecule that boosts blood flow to the penis and helps you get an erection.
Limited blood flow stops an erection
In people with ED, an enzyme called PDE5 breaks down cGMP too quickly, reducing blood flow and causing the erection to fade.
Medication promotes a firmer erection
ED treatments block PDE5, helping more blood reach the penis. This leads to firmer, longer-lasting erections.
How Totiva works
Online health consultation
Complete a secure online consultation covering your medical history and eligibility for treatment.
Clinical review & prescribing
Your clinician carefully reviews your consultation. If treatment is appropriate, a prescription is issued and dispatched discreetly.
Ongoing clinical support
You'll have continued access to clinical support for follow-ups, treatment reviews, and questions as your care continues.
No upfront payment,
No hidden fees
- Only pay if approved by a pharmacist
- Free, personalised consultation - no commitment
- No cancellation fees
- Clear pricing with no waiting for refunds
Evidence-based treatments
Prescription treatments chosen using clinical evidence and tailored to your needs
Clinically led
Every service is built and overseen by UK-registered healthcare professionals
Ongoing support
Support before, during, and after treatment — not just a one-off prescription
Trusted by patients
Thousands of consultations delivered with a strong focus on safety and trust
ED treatment
through Totiva
- Clinically proven treatments (sildenafil & tadalafil)
- Prescribed by licensed clinicians
- Dispensed by GPhC-registered pharmacists
- 100% discreet packaging and delivery
- On-demand or daily options available
Ready to start your journey?
Complete your free consultation. Only pay if approved by our pharmacists.