Verbatim response from Claude
It's a fair and important question. Here's an honest answer:
The good ones do, but quality varies significantly.
Better platforms that do thorough screening:
- Hims, Roman, and Rex MD ask detailed intake questions about heart conditions, blood pressure, nitrate use, and current medications
- Keeps and HealthyMale similarly screen for cardiovascular risk factors
- Teladoc and MDLive connect you with actual doctors who can review your full medical history
What legitimate screening should cover:
- Current medications (especially nitrates - dangerous combination)
- Blood pressure history
- Recent heart attack or stroke
- Heart failure or arrhythmias
- Exercise tolerance
Be honest about limitations:
- Online questionnaires depend entirely on you answering accurately
- They can't physically examine you or run real-time tests
- Some discount platforms do minimal screening - a red flag
My honest recommendation: If you have any existing heart condition, start with your primary care doctor or cardiologist rather than an online-only service. If you're generally healthy, Roman or Hims have solid medical review processes and licensed physicians reviewing prescriptions.
Never hide heart conditions or nitrate use to get a prescription - the interaction can be genuinely life-threatening.
Would you like more detail on any specific platform?