Hezkue Sildenafil Oral Spray

How does Sildenafil spray work?

Hezkue is a PDE5 inhibitor and works the same way as other sildenafil medicines. It helps relax blood vessels in the penis, allowing more blood to flow in during sexual stimulation (1). This increased blood flow is what helps you get and maintain an erection.

Unlike tablets, the spray delivers sildenafil through the lining of the mouth (the oromucosal route), where it is absorbed directly into the bloodstream rather than passing through the digestive system. It should start working 30 to 60 minutes after use, which is similar to sildenafil tablets. 

As with all sildenafil treatments, the Hezkue spray doesn’t cause an automatic erection. Sexual stimulation is required for the medicine to work.

Benefits of the spray format

Hezkue Sildenafil spray may be suitable if you have difficulty getting or keeping an erection. The benefits are:

• Fast absorption detected within 5 minutes vs. Viagra® tablets (2)*

• Spray format for people who prefer not to swallow tablets or find tablets uncomfortable or difficult

• Allows precise dose control using measured sprays (each spray delivers exactly 12.5 mg, so you can match standard sildenafil tablet strengths)

• Discreet, portable and doesn't require water

*In a pharmacokinetic study of 52 fasted healthy male volunteers comparing 100 mg Hezkue spray with 100 mg Viagra tablets (Kaplan et al. 2024). The clinical significance of earlier absorption has not been evaluated.

It can be a helpful alternative if you are already familiar with sildenafil and want a different way to take it.

Who can and cannot use this medicine

The Hezkue Sildenafil spray is suitable for most adult men aged 18 or over with erectile dysfunction. However, you should not use this medicine if you (6):

• Take nitrates or nicorandil for chest pain

• Use poppers (combining these with sildenafil can cause a dangerous drop in blood pressure)

• Have severe heart or blood pressure problems

• Have had a recent heart attack or stroke

• Have severe liver impairment

• Have loss of vision in one eye

• Have low blood pressure (below 90/50 mmHg)

• Take riociguat, a medicine used for pulmonary arterial hypertension

You may need extra medical advice before using this treatment if you take alpha-blockers or medicines that affect how sildenafil is broken down in the body, have certain eye conditions or visual disorders, or have Peyronie’s disease or another condition that affects the shape of the penis.

Drinking alcohol can temporarily impair your ability to get an erection. You are advised not to drink excessive amounts of alcohol before taking this medicine (5). 

This is why an online consultation is required. A doctor will be able to check your health, current medicines, and symptoms to make sure Hezkue is safe and appropriate for you.