Screening – Maxym

Medical History

How confident are you in getting/keeping an erection?

Not confident Low confidence Somewhat confident Mostly confident Very confident

Medical History

How often are your erections firm enough for intercourse?

Rarely or never A few times Sometimes Most times Almost always or always

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Medical History

How often are you able to keep an erection after beginning intercourse?

Rarely or never A few times Sometimes Most times Almost always or always

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Medical History

How difficult is it to keep an erection to the finish of intercourse?

Extremely difficult Very difficult Somewhat difficult Slightly difficult Not difficult

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Medical History

How often are you satisfied when attempting intercourse?

Rarely or never A few times Sometimes Most times Almost always or always

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Medical History

Do you sometimes experience Premature Ejaculation or you ejactulate too quickly?

Yes No

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Medical History

Are you currently using ED medication?

No, not yet Yes, I am

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Medical History

Have you ever taken ED medication before?

No, I have not Yes, I am

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Medical History

When did your symptoms start?

In the last month In the last 6 months 6 months ago or longer Not Sure

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Medical History

Do you get erections at night and/or when you wake up in the morning? This helps us understand whether your ED could be caused by psychological factors.

Yes I do Sometimes Rarely or never

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Medical History

How often do you desire to have sex? This will help determine the best dosage for you.

One a month or less A few times per month 1-2 times per week 2-4 times per week Almost every day or more

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Medical History

Click Any that Apply

For health reasons or any reason, I have been advised not to have sex I have had an allergic reaction to sildenafil, tadalafil or apomorphine I have had a serious liver problem I have had a stroke or heart attack in the last 6 months I have low blood pressure (hypotension) I have sickle cell anaemia (an abnormality of red blood cells), leukemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow) I have a deformity of my penis or Peyronie's disease (curved penis) I have a stomach ulcer I have a bleeding problem like hemophilia None of the above applies to me

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Medical History

Sorry due to your medical history, we can not help you.

We suggest you speak with your family doctor or visit a local walk-in clinic to explore treatment options.

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Medical History

Have you ever had any of the following medical conditions?

Heart or cardiovascular conditions Stroke or paralysis Lung or pulmonary disease Genital diseases or urinary symptoms Hormonal Dysfunction Cancer Have had a stroke or heart attack longer than 6 months ago(currently stable) None of the above applies to me

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Medical History

What heart or cardiovascular conditions have you had?

Abnoraml heart rate or arrhythmia Long QT syndrome Heart attack Angina or chest pain Heart valve disease Hypertension Cardiomyopathy Using nitroglycerin, isosorbide, or any other nitrate medication Other

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Medical History

Due to your medical condition, we can not help you, visit your family doctor.

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Medical History

Please tell us about any other heart or cardiovascular conditions

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Medical History

What diseases of the genitals or urinary symptoms have you had?

Prostate Disease Pelvic Surgery Prostate or pelvic radiation Penis or genital scarring or injury Other

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Medical History

What other urinary diseases have you had?

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Medical History

Have you had blood work and medical exam done in the last 2 years for ED?

Yes I have No I haven't

We recommend organizing blood work and a physical exam with your family doctor or a walk-in clinic to rule out other causes of erectile dysfunction like diabetes or low testosterone.

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Medical History

We recommend organizing blood work and a physical exam with your family doctor or a walk-in clinic to rule out other causes of erectile dysfunction like diabetes or low testosterone.

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Medical History

Was there anything abnormal about your blood work or medical exam? Abnormalities might include high blood sugar, kidney disease, low testosterone, or anything else you think we should know about.

Everything was normal There were some abnormalities Not sure

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Medical History

We recommend organizing blood work and a physical exam with your family doctor or a walk-in clinic to rule out other causes of erectile dysfunction like diabetes or low testosterone.

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Medical History

Tell us about the abnormalities?

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Medical History

What was your most recent blood pressure reading? Your blood pressure helps us determine if it's safe for you to use certain types of ED medications.

Normal or low 120/80 or lower Above Normal 121/80 to 129/80 High 130/81 to 139/89 Higher 140/90 or higher

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Medical History

Your blood pressure is too high for us to recommend treatment We suggest you speak with your family doctor or visit a local walk-in clinic to explore medications and discuss treatment options

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Medical History

Your blood pressure is too high for us to recommend treatment We suggest you speak with your family doctor or visit a local walk-in clinic to explore medications and discuss treatment options

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Medical History

We suggest you speak with your family doctor or visit a local walk-in clinic to explore treatment options

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Medical History

How would you feel after walking up two flights of stairs or 20 city blocks? This helps us understand your general fitness.

I feel fine I feel shortness of breath or chest pain

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Medical History

How would you feel after walking up two flights of stairs or 20 city blocks?
This helps us understand your general fitness.

I feel fine I feel shortness of breath or chest pain

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Medical History

How much do you weight?

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Medical History

Create your account to see your personalized treatment recommendation.
Your information will be kept strictly confidential.

Email*

Password*

Looks good!

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Medical History

Put your verification code

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Medical History

Create your account to see your personalized treatment recommendation.
Your information will be kept strictly confidential.

What's your name?*

Please enter your name

Please enter Last Name

What's your date of birth?*

Please Select month

Please enter your day

Where do you live?*

Please Select location

What was your sex assigned at birth?* Male Female Intersex

Please Select identify

What gender do you identify with?* Male Female Transgender or non-binary

Please Select Gender

Phone *

Please Enter your number

City *

Please Enter your number

Shipping Address Street*

Please Enter your address

Unit # if applicable

Postal code *

Please Enter your zipcode

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Medical History

Which performance enhancement is most compatible with your intimate expectation? This will help determine the best medication for you.

Take a unique, Custom-tailored Medication for me that works in 15 minutes and last up to 2 days. Our Best Seller

Take a tablet that will boost my performance for around 24 hours. Takes around 45 minutes to work.

Take a tablet that will boost my performance for around 2 days. Takes around 45 minutes to work.

Take a tablet everyday so i can have sex anytime I want

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Medical History

Tell us about your lifestyle Understanding your lifestyle helps us provide you with the highest possible level of care.
Medication can help with ED symptoms, but we also suggest lifestyle changes like regular exercise, a healthy diet, adequate sleep, limited drug and alcohol use, and therapy. Temporary variation in sexual performance is normal, especially with a new partner.

I smoke tobacco, vape nicotine, and/or use other tobacco products I drink more than 10 alcoholic drinks per week I use recreational drugs I get less than 2 hours exercise per week I do not eat as healthy as I would like I get less than 7 hours of sleep per night I am frequently under a lot of stress

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Medical History

What recreational drugs do you use? Select all that apply

Amyl Nitrate or Butyl Nitrate Cannabis Cocaine Crack Ecstacy (MDMA, Molly) Fentanyl Heroin LSD Methamphetamines or Amphetamines (Crystal Meth) Mushrooms (Psilocybin) or Mescaline Poppers or Rush Prescription Opioids or Pain Relievers Steroids or hormones Tranquilizers or Sedatives Other

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Medical History

What others drugs do you use?

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Medical History

How often do you use it and when did you use it last?

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Medical History

Do you have kidney or liver problems? We ask because most medications are metabolized by the kidney and liver.

I have kidney problems I have liver problems No Problems

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Medical History

Tell us about your kidney problems.

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Medical History

Tell us about your liver problems.

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Medical History

A few final questions about your medical history Do you have any allergies?

Yes No

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Medical History

Please list your allergies

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Medical History

Are you taking any medications, vitamins, herbals, or supplements?

Yes No

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Medical History

Please list your medications, vitamins, herbals, or supplements

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Medical History

Have you had past surgeries or hospitalizations?

Yes No

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Medical History

Please list what surgeries you have had, and the year you had them

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Medical History

How did you hear about us?

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Medical History

Do you have any other medical condition you haven't shared with us already?

Be sure to include any medical condition that you treat with medications.

Yes No

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Medical History

Please list any other medical conditions.

This helps us to personalize your Treatment.

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Medical History

Complete your profile, by adding your government ID Upload a valid driver's license, health card, or passport Tips on uploading your ID

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Here's what we recommend

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Sildenafil 60mg, Tadalafil 18mg, Apomorphine 2mg

Dissolve 1 melting tablet 15 minutes before sex, lasts 48 hours.
Faster onset of action than a regular tablet.
It does not interact with food and/or alcohol for absorption of active ingredients.

Helps achieve and maintain erections.
Combines three ingredients for synergistic effect:
- Sildenafil, Same active ingredient as Viagra®
- Tadalafil, Same active ingredient as Cialis®
- Apomorphine, It has been approved for the treatment of erectile dysfunction in Europe. Currently offered in our formulation for our Canadian clients.

Quantity

2 Packs | 12 Doses

Same Active Ingredient in Viagra ®

Sildenafil 100mg

Take 1 tab right before sex, lasts 24 hours.
Helps achieve and maintain erections.
Health Canada approved, clinically proven.
Same active ingredient as Viagra®, more affordable than the branded option.

Quantity

2 Packs | 8 Doses

Same Active Ingredient in Cialis ®

Tadalafil 20mg

Take 1 tab right before sex, lasts 36 hours.
Helps achieve and maintain erections.
Health Canada approved, clinically proven.
Same active ingredient as Cialis®, more affordable than the branded option.

Quantity

2 Packs | 8 Doses

Same Active Ingredient in Cialis ®

Tadalafil 5mg

Take 1 tablet once every day.
Helps achieve and maintain erections.
Health Canada approved, clinically proven.
Same active ingredient as Cialis®, more affordable than the branded option.

Quantity

2 Packs | 60 Tablets

We Also recommend

Lidocaine 8% Benzocaine 2% spray

Helps in delaying ejaculation.
Last longer with your partner.
Spray on the penis shortly before intercourse.

Quantity

20 ML

Your healthcare practitioner will review your treatment before it's finalized.

Medication Information

Sildenafil

The active ingredient in Viagra. Kicks in Quickly and Peacks early. lasting for 4-6 hours.

Tadalafil

The active ingredient in Cialis. Known for extended action, with effects lasting up to 36 hours.

Apomorphine

A dopamine promter that primes the brain for sexual arousal. Proven to be safe and effective, commonly prescibed in Europe foe ED

Got It

Recommended add-ons

Hand-picked by our pharmacy team to support your treatment and overall health

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Erectile Dysfunction

A couple times per week

For men under 50
3 Packs | 12 doses

$ 18.00 per dose More details

+ Add to treatment ✓ Added

Several times per week

For men under 50
4 Packs | 24 doses

$ 17.00 per dose More details

+ Add to treatment ✓ Added

A couple times per month

For men under 50
1 Pack | 6 doses

$ 21.00 per dose More details

+ Add to treatment ✓ Added

Premature ejaculation

Lidocaine 8% Benzocaine 2% spray

Helps in delaying ejaculation.
Last longer with your partner.
Spray on the penis shortly before intercourse
20 ML

$ 79.00 per dose More details

+ Add to treatment ✓ Added

Request treatment

You won't be charged until one of our healthcare practitioner reviews your treatment.

Shipping details

Phone Number

Address

Apartment, suite etc. (optional)

City

Country

Postal code

I'm hearing impaired and need special accommodations.

Treatment summary

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$19.00

Recommended add-ons

Lidocaine 8% Benzocaine 2% spray

Subtotal $

Shipping FREE

Total per shipment $

Your visit is free!

I have read and accept Maxym Health’s consent to participate in telemedicine.

Medical History

How can we help today?

I want to get a refill of the same medication. I want a new medication based on my medical history.

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Medical History

Please list name and strength of ED medication you have used

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Medical History

Treatment Requested

A Maxym Healthcare Practitioner will review your request, you won't be charged until its been approved.

Medical History

How confident are you in getting/keeping an erection?

Medical History

How often are your erections firm enough for intercourse?

Medical History

How often are you able to keep an erection after beginning intercourse?

Medical History

How difficult is it to keep an erection to the finish of intercourse?

Medical History

How often are you satisfied when attempting intercourse?

Medical History

Do you sometimes experience Premature Ejaculation or you ejactulate too quickly?

Medical History

Are you currently using ED medication?

Medical History

Have you ever taken ED medication before?

Medical History

When did your symptoms start?

Medical History

Do you get erections at night and/or when you wake up in the morning? This helps us understand whether your ED could be caused by psychological factors.

Medical History

How often do you desire to have sex? This will help determine the best dosage for you.

Medical History

Click Any that Apply

Medical History

Sorry due to your medical history, we can not help you.

Medical History

Have you ever had any of the following medical conditions?

Medical History

What heart or cardiovascular conditions have you had?

Medical History

Due to your medical condition, we can not help you, visit your family doctor.

Medical History

Please tell us about any other heart or cardiovascular conditions

Medical History

What diseases of the genitals or urinary symptoms have you had?

Medical History

What other urinary diseases have you had?

Medical History

Have you had blood work and medical exam done in the last 2 years for ED?

Medical History

We recommend organizing blood work and a physical exam with your family doctor or a walk-in clinic to rule out other causes of erectile dysfunction like diabetes or low testosterone.

Medical History

Was there anything abnormal about your blood work or medical exam? Abnormalities might include high blood sugar, kidney disease, low testosterone, or anything else you think we should know about.

Medical History

We recommend organizing blood work and a physical exam with your family doctor or a walk-in clinic to rule out other causes of erectile dysfunction like diabetes or low testosterone.

Medical History

Tell us about the abnormalities?

Medical History

What was your most recent blood pressure reading? Your blood pressure helps us determine if it's safe for you to use certain types of ED medications.

Medical History

Medical History

Your blood pressure is too high for us to recommend treatment We suggest you speak with your family doctor or visit a local walk-in clinic to explore medications and discuss treatment options

Medical History

We suggest you speak with your family doctor or visit a local walk-in clinic to explore treatment options

Medical History

How would you feel after walking up two flights of stairs or 20 city blocks? This helps us understand your general fitness.

Medical History

How would you feel after walking up two flights of stairs or 20 city blocks? This helps us understand your general fitness.

Medical History

How much do you weight?

Medical History

Create your account to see your personalized treatment recommendation. Your information will be kept strictly confidential.

Medical History

Put your verification code

Medical History

Create your account to see your personalized treatment recommendation. Your information will be kept strictly confidential.

Medical History

Which performance enhancement is most compatible with your intimate expectation? This will help determine the best medication for you.

Medical History

Medical History

What recreational drugs do you use? Select all that apply

Medical History

What others drugs do you use?

Medical History

How often do you use it and when did you use it last?

Medical History

Do you have kidney or liver problems? We ask because most medications are metabolized by the kidney and liver.

Medical History

Tell us about your kidney problems.

How would you feel after walking up two flights of stairs or 20 city blocks?
This helps us understand your general fitness.

Create your account to see your personalized treatment recommendation.
Your information will be kept strictly confidential.

Create your account to see your personalized treatment recommendation.
Your information will be kept strictly confidential.