Verbatim response from Claude
Good question, and it's worth being clear-eyed about this.
The honest answer: It varies significantly
Better platforms that do take cardiac safety seriously:
- Hims, Roman, and Keeps ask about heart conditions, recent heart attacks, nitrate use, and blood pressure medications in their intake forms - these are the critical interactions
- Hims and Roman have licensed physicians review responses, not just automated approvals
- Teladoc and MDLive offer more traditional telehealth consults with real-time doctor interaction, which allows more thorough evaluation
What they're specifically screening for:
- Nitrate medications (extremely dangerous combination)
- Uncontrolled blood pressure
- Recent cardiac events
- Certain heart rhythm medications
Where it gets thin:
- They rely heavily on your honest self-reporting
- They can't examine you or run an EKG
- Some lower-quality platforms prioritize speed over thoroughness
My recommendation:
If you have any known heart condition, see your actual cardiologist or primary care doctor first. They can check your current medications and run baseline tests.
If you're generally healthy with no cardiac history, reputable platforms like Roman or Hims are reasonably safe starting points.
The intake questionnaire is only as good as your answers - be completely honest about medications and symptoms.