Authored on 24 January 2024 by Adeel Arshad,
Reviewed 24 January 2024 by Dr Ruch Karunadasa.
Hezkue / Sildenafil Spray
Hezkue is an oral spray for erectile dysfunction (ED) that can be used as an alternative to a pill like Viagra. Both Viagra and Hezkue have the same active ingredient, sildenafil. It works by increasing blood flow to your penis by relaxing your muscle cells. If effective, it allows you to have firmer and longer-lasting erections when you’re sexually aroused.
Hezkue is the first and only liquid sildenafil suspension spray for ED. Spray drug delivery provides flexible dosing, allowing you to reduce your dose, if you're having side effects and increase it if the lower dose is not effective enough.
Tests have shown that, once applied orally, Hezkue starts absorbing into the bloodstream within five minutes. It's important to remember, Hezkue / sildenafil doesn't create an erection on its own, you still need that spark of interest. While the active ingredient stays in your system for a few hours, its effectiveness does taper off.
How much does Hezkue cost?
How do I take Hezkue?
- Shake the bottle well.
- Replace the lid with the pump and nozzle and turn on.
- Prime the spray bottle with 3 pumps away from your mouth.
- Once primed, spray required dose directly into your mouth, usually onto your tongue (each spray delivers 12.5mg and your prescriber will advise what dose to take).
- Swallow gently with saliva.
- Remove the pump and nozzle and replace with the lid.
- Wash the pump with water and allow to dry completely.
- Remember to prime and wash after each use.
How long does Hezkue take to work?
Hezkue absorption into the bloodstream begins within 5 minutes of taking it, which is much faster than tablets. However, the effects of treatment can vary in individuals, with most noticing the benefits within 5–20 minutes and lasting up to 4–5 hours.
Get StartedIf I use more pumps, do I get better results?
As a spray, this drug offers flexible dosing, allowing you to reduce your dose if you're having side effects and increase if you're not finding the lower dose effective enough.
The recommended dose is typically 50 mg (4 sprays). If that doesn't work after trying it at least 6 times, clinicians may increase up to a max of 100 mg (8 sprays). If 50mg is too strong, then the dose can be reduced to 25mg (2 sprays). We recommend always sticking to the prescribed dose. If you think you need to be on a higher dose, speak to your clinician before increasing. The maximum safe daily dosage is 8 sprays (100mg).
Special considerations when taking this medicine
Do not take Hezkue if:
- You are allergic to sildenafil (or any of the ingredients in Hezkue)
- You are taking medicines like nitrates or Riociguat as this may affect how they work
- You have had severe issues with your heart or liver
- Have loss of vision because of non-arteritic ischaemic optic neuropathy (NAION)
To find out whether Hezkue may be suitable for you, contact our clinicians through your Account or reach out to our customer care team.
Get StartedWhat are the possible side effects of Hezkue spray
Very common
- Headache
Common
- Indigestion
- Nasal congestion
- Nausea
- Dizziness
- Visual disturbances (blurred or colour disturbances)
Rare but serious
- Chest pain or irregular heartbeat
- Sudden vision or hearing loss
- Allergic reactions (rash, swelling, throat tightness)
- Prolonged erection (over 4 hours)
Seek medical help right away if you are experiencing any of the above rare/serious side effects.
Additional notes
- Side effects reported with sildenafil spray were generally mild and consistent with those seen in sildenafil tablets.
- In clinical studies, the product was generally well-tolerated.
- Individual experiences may vary. Always consult your healthcare provider if you have concerns.
- A full list of side effects will be available via the patient information leaflet within the packet. This will list other uncommon side effects and should be read prior to starting treatment.
The expert team leading our online clinics
PrivateDoc is happy to introduce you to some of our leading UK licensed clinicians.
Dr Ruchira Karunadasa
MB BS - GP Chief Medical Director GMC Number: 6054459
Adeel Arshad
MPharm, PIP - Pharmacist Lead Clinician GPhC Number: 2070294