Verbatim response from Claude
Good question, and it's worth being direct about this:
Yes, legitimate services do screen for cardiac safety, but quality varies
Reputable services that do thorough screening:
- Hims, Roman, and Keeps ask detailed questions about heart conditions, recent heart attacks, and medications like nitrates
- Teladoc and MDLive connect you with licensed physicians who can review your full medical history
- Your One Medical or similar primary care platforms may be the most thorough
What they specifically check for:
- Nitrate use (like nitroglycerin) - this combination can be dangerous
- Recent heart attack or stroke history
- Uncontrolled blood pressure
- Severe heart failure
- Certain arrhythmia medications
Honest caveats:
- Screening is only as good as what you disclose - they rely heavily on self-reporting
- Some lower-quality or overseas sites skip meaningful screening
- They can't examine you or run an EKG remotely
My recommendation:
If you have any known heart condition, see your actual cardiologist or primary care doctor in person first. Services like Teladoc with real physician consultations are safer than purely questionnaire-based platforms.
The FDA-approved medications (sildenafil, tadalafil) are generally safe for healthy hearts, but cardiac history genuinely matters here.