Verbatim response from Claude
Good question, and it's worth being clear-eyed about this.
Honest Answer: It Varies by Provider
Better platforms do take cardiac safety seriously:
- Hims, Roman, and Keeps ask detailed intake questions about heart conditions, blood pressure, nitrate medications (like nitroglycerin), and recent cardiac events
- Hims and Roman have licensed physicians review your answers before prescribing
- They'll typically decline to prescribe if you report certain risk factors
What they actually check:
- Self-reported medical history (heart attack, arrhythmia, uncontrolled hypertension)
- Current medications, especially nitrates (dangerous combination with ED meds)
- Blood pressure status
- Recent cardiac procedures
Real Limitations to Know
- They cannot verify your answers or review actual medical records
- No physical exam or EKG
- Relies heavily on your honesty and self-knowledge
- If you have complex cardiac history, a urologist or cardiologist is genuinely safer
My Recommendation
If you have any known heart condition, see your regular doctor or a specialist first. If you're generally healthy with no cardiac history, platforms like Roman or Hims are reasonably thorough for a low-risk person.
Would you like more detail about any specific platform or cardiac concern?