Frequently Asked Questions
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Next Level Telemed helps adult men who are experiencing erectile dysfunction. Also men who would prefer to have treatment direct from home.
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NO. You do not need a prescription before using Next Level Telemed. The physicians on the Next Level Telemed platform can write the prescription if they deem it safe after your online visit.
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American Urological Association states oral PDE-5 inhibitors should be offered as the “first line of therapy for Erectile Dysfunction” Next Level Telemed platform agrees and offers the most common PDE-5 oral medications. 1. Sildenafil (Viaga) 2. Tadalafil (Cialis) TriMix injections are an alternative to PDE5 Inhibitor tablets. Trimix Injections are a compound made of 3 drugs, which provides an effective treatment for erectile dysfunction. TriMix is administered as a self-injection applied directly into the penis. The 3 drugs are Papaverine, Prostaglandin, and Phentolamine.
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Physicians do not recommend mixing alcohol with these medications.
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If you choose the Next Level Telemed pharmacy network, we ship the medication in discreet packaging and offer 365 day a year customer service. Yes, you can use your own pharmacy but most of the time it is double the price.
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Service currently is only available to individuals in: Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York, Nevada, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming.
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A physician that is licensed in your state is required to write a prescription. Next Level Telemd is only available in the states where physicians on the Next Level Telemed Platform are licensed. If you would like your state to be added sooner please email us at Privacy@NextLevelTelemed.com. We will get back to you as soon as possible.
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All of the physicians on the Next Level platform are U.S. licensed physicians. Each doctor is specifically selected after an extensive background check.
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All account, user, and subscription information is 100% private and confidential. This is something we take very seriously and, as such, are fully HIPAA compliant.
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We do not process insurance. Next Level Telemed products are often available at 50-80% off retail cost, making them much more affordable and accessible to consumers.
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Yes, you will always have a right to a copy of your medical records and we definitely do recommend always keeping your regular primary care doctor in the loop on any new medicines you are taking, including the ones that an independent physician prescribes through the Next Level Telemed platform. If you would like a copy you can contact Customer Service and we will gladly get you a copy. For fastest results please email Privacy@NextLevelTelemed.com. Subject Line “Request For Medical Records”
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We do not physically mail your prescription to you. However, if you would like a copy you can contact Customer Service and we will gladly get you a copy. For fastest results please email Privacy@NextLevelTelemed.com. Subject Line “Copy OF RX”.
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No. Next Level Telemed does not replace your primary physician, but rather compliments your primary care physician. Please always keep your primary care physician in the loop about medications you are taking.
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It depends. Most of the time a simple phone call will do. However, some states require more. If a video chat is required we will let you know.
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Call 911. If the erections has lasted over 2.5 hours please go to an emergency room to have the erection brought down.
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Next Level Telemed does require payment information upfront. However keep in mind nothing is billed until after you are cleared by the doctor. If you are not cleared you will not owe anything for the consult or medication.

Sildenafil

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Sildenafil is the active ingredient in Viagra and is FDA approved to treat ED. It helps relax blood vessels & improves blood flow to your penis to allow for a harder and longer-lasting erection.
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Each tablet contains Sildenafil Citrate equivalent to either 55mg or 110mg of Sildenafil. In addition to the active ingredient, Sildenafil Citrate, each tablet contains the following inactive ingredients: Polyethylene glycol, Stevia Powder, Silica gel micronized, Acacia nf, Flavor(bubble gum), Acesulfame potassium, Bitter drug powder.
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This is a prescription medication and cannot be purchased without first speaking with a doctor and completing a medical assessment. Next Level Telemed sex products are only for men and recommended for patients aged 23 - 68.
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For all questions related to your rx prescription, please speak with your doctor during the telemed evaluation or by contact the pharmacy directly to speak to your pharmacist. You can find their contact information on your medication.
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Sildenafil tablets are formulated in either a rapid dissolving tablet or a troche. Either way let the tablet or troche dissolve completely under your tongue. Do not swallow the tablet as it is not a pill.
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Sildenafil, or Viagra, should be taken approximately 45-60 minutes before sexual activity. Most of the time, a standard dose of Sildenafil will begin to produce a noticeable effect between 30 and 60 minutes after it has dissolved under your tongue.
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The side effects most commonly associated with ED medication are headaches, dizziness, muscle aches, nasal congestion, facial flush, vision issues, and digestive issues.
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Since this treatment is a prescription medication, after you place your order you will be prompted to complete a medical questionnaire which will be reviewed by a doctor. Once completed you will schedule for a telemed doctor to give you a call. After selecting a good time for the doctor to call you will confirm your payment information for the medication and shipping charge. Your payment will be processed. If the doctor does NOT clear you for the medication your ENTIRE transaction will Be Voided/Refunded. If cleared for the medication the doctor’s office will collect payment information and charge a separate $49 one-time telemed visit. Your prescription comes with 2 refills - so the next 2 times you order (Within 1 Year), you only pay for the medication and shipping. After you’ve completed Your telemed visit and have been charged for both your evaluation and prescription, your package will be shipped by UPS within 1 business day. It will arrive within 2 business days.

Tadalafil

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Tadalafil is the active ingredient in Cialis and is FDA approved to treat ED. Tadalafil like Sildenafil is a PDE-5 inhibitor. Cialis is sometimes called “The weekender pill” because it lasts up to 36 hours. Some people prefer Cialis because it lasts longer than Viagra (Sildenafil) which typically last up to 8 hours.
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Each tablet contains Tadalafil equivalent to 20mg of Tadalafil. In addition to the active ingredient, Tadalafil, each tablet contains the following inactive ingredients: Cherry Powder, Acesulfame Potassium, Food color (orange), Base PCCA rapid dissolving tablet powder.
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This is a prescription medication and cannot be purchased without first speaking with a doctor and completing a medical assessment. Next Level Telemed sex products are only for men and recommended for patients aged 23 - 68.
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For all questions related to your rx prescription, please speak with your doctor during the telemed evaluation or by contact the pharmacy directly to speak to your pharmacist. You can find their contact information on your medication.
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Tadalafil tablets are formulated in a rapid dissolving tablet called a RDT. You should let the RDT dissolve completely under your tongue. Do not swallow the RDT as it is not a pill.
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Tadalafil or Cialis should be taken approximately 45-60 minutes before sexual activity. Most of the time, a standard dose of Tadalafil will begin to produce a noticeable effect between as fast as 30 minutes or as long as an 90 minutes after it has dissolved under your tongue.
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The side effects most commonly associated with ED medication are headaches, dizziness, muscle aches, nasal congestion, facial flush, vision issues, and digestive issues.
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Since this treatment is a prescription medication, after you place your order you will be prompted to complete a medical questionnaire which will be reviewed by a doctor. Once completed you will schedule for a telemed doctor to give you a call. After selecting a good time for the doctor to call you will confirm your payment information for the medication and shipping charge. Your payment will be processed. If the doctor does NOT clear you for the medication your ENTIRE transaction will Be Voided/Refunded. If cleared for the medication the doctor’s office will collect payment information and charge a separate $49 one-time telemed visit. Your prescription comes with 2 refills - so the next 2 times you order (Within 1 Year), you only pay for the medication and shipping. After you’ve completed Your telemed visit and have been charged for both your evaluation and prescription, your package will be shipped by UPS within 1 business day. It will arrive within 2 business days.

Trimix

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TriMix injections are an alternative to PDE5 Inhibitor tablets. Trimix Injections are a compound made of 3 drugs, which provides an effective treatment for erectile dysfunction. TriMix is administered as a self-injection applied directly into the penis. The 3 drugs are Papaverine, Prostaglandin, and Phentolamine. These three compounds work by dilating the blood vessels in the penis, and the success rate is very high.
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The 3 drugs are Papaverine, Prostaglandin, and Phentolamine
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This is a prescription medication and cannot be purchased without first speaking with a doctor and completing a medical assessment. Next Level Telemed sex products are only for men and recommended for patients aged 23 - 68.
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Per DR Consult - A small starting dosage will be prescribed. A common initial dosage might look like this: * Papaverine 30mg/mL * Phentolamine Mesylate 1mg/mL * Prostaglandin E1 10mcg/mL per vial. The initial dose should be 0.05 cc to 0.2 cc, depending on the patient’s level of ED. Wait 48 hours before increasing dosage. Increase by 0.025 cc to 0.050 cc until a satisfactory dose is reached. The maximum dose is 0.50 cc
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Please email Privacy@NextLevelTelemed.com to request more detailed information about preparing and administering TriMix * First, ensure that you have washed your hands and penis to ensure proper hygiene before the injection. * Once you’ve properly assembled the medication, find the proper location on the shaft of the penis to inject, which is located between the base and the mid-portion of the penis. Avoid any visible veins as well as the midline of the penis. You want to aim slightly to the left or right of the midline in order to prevent potential damage to the urethra or penile arteries. * Grasp and pull the head of the penis toward the side of your leg with the index finger and thumb (use the left hand, if right-handed). While maintaining light tension, select a site for injection. * With a steady and continuous motion, penetrate the skin with the needle at a 90-degree angle. The needle should then be advanced to the hub. Slight resistance is encountered as the needle passes into the proper position within the erectile tissue (corporeal body). * Inject the TriMix medication into the corpus cavernosum for approximately 4 seconds. Once the needle is in, you should pull it back a little until a small amount of blood flows back into the syringe. When injecting, you should feel the same amount of pressure as you would by simply injecting it into the air (minimal resistance). If there’s greater pressure than that, it’s being applied to the wrong spot. * Withdraw the needle from the penis and apply compression to the injection site for approximately 1 minute. Several minutes of compression may be required to avoid bleeding, especially if you use aspirin. * Replace the cap on the needle and dispose of properly.
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When injected into the penis, TriMix’s blend of three vasodilators causes the corpus cavernosum to relax, expand and fill with blood. This causes a powerful erection in 5 minutes or less.
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TriMix injections are localized (injected to only one part of the body), there are no generalized side effects associated with this type of medication. Although infrequent, a more serious side effect of the injection may include priapism (an erection lasting more than four hours) and must be treated immediately to prevent further complications if diagnosed. The same risk, however, is involved with using other ED medication alternatives.