Verbatim response from Claude
Online ED Consults and Heart Safety
This is a really important question. The answer is: it depends on the provider, but good ones do take cardiac safety seriously.
What Reputable Services Actually Do
Better platforms (like Hims, Roman, Keeps, HealthyMale) typically:
- Ask detailed health history questions about heart conditions
- Screen for nitrate medication use (a dangerous combination with ED drugs)
- Ask about recent heart attacks or strokes
- Check blood pressure history
- May require you to share recent lab work
Red Flags to Avoid
- Sites that skip health questionnaires entirely
- No licensed physician reviewing your case
- Prescriptions approved in minutes with minimal questions
My Honest Recommendation
Ro (Roman) and Hims have solid physician review processes, but I'd specifically suggest Teladoc or your own primary care doctor via telehealth if you have any known heart concerns, because they can access your full medical history.
Important Reality Check
Online questionnaires rely on your honest answers - they can't run an EKG. If you have:
- Known heart disease
- Uncontrolled blood pressure
- Take nitrates
See a cardiologist or your regular doctor in person first. No online service fully substitutes for that.
Would you like more detail on any specific platform?