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Shockwave Therapy Cost UK: What You Need to Know About Pricing and Alternatives

Published: 14 November 2026

When researching shockwave therapy cost UK, many men discover that this emerging treatment typically ranges from £200 to £400 per session, with most protocols requiring 6 to 12 sessions over several weeks—a total investment of £1,200 to £4,800. While low-intensity shockwave therapy (LI-ESWT) is being studied for erectile dysfunction, it is not currently available on the NHS and remains largely unregulated in private clinics. In contrast, licensed oral ED medications such as sildenafil and tadalafil have decades of clinical evidence, are available from £0.36 per dose after an online consultation, and offer a proven, cost-effective first-line approach for most men [1][2].

Key takeaways

  • Shockwave therapy for ED costs £1,200–£4,800 privately and is not available on the NHS.
  • Generic sildenafil starts at £0.45 per tablet, or £0.36 with code Ednew on your first order.
  • Oral ED medications are the proven first-line treatment recommended by NICE and have decades of evidence.
  • All treatments require an online consultation reviewed by a UK prescriber before dispensing.
  • See your GP if you have new ED, as it can be an early sign of heart disease or diabetes.

Understanding Shockwave Therapy Cost UK and What It Involves

Shockwave therapy for erectile dysfunction uses low-intensity acoustic waves applied to the penis, aiming to stimulate blood vessel growth and improve blood flow [8]. In the UK, private clinics typically charge between £200 and £400 per session, and treatment protocols usually recommend 6 to 12 sessions spread over 3 to 6 weeks. This means the total shockwave therapy cost UK can range from £1,200 to £4,800, paid entirely out of pocket.

It is important to understand that shockwave therapy for ED is not currently funded by the NHS and is not yet licensed as a standard treatment in the UK [2]. The evidence base is still evolving, with some studies showing promise but others highlighting inconsistent results and a lack of long-term data [8]. Many private clinics offer the treatment, but regulation and quality standards vary, so it is essential to research the provider carefully and ask about their training, equipment, and clinical outcomes.

Because shockwave therapy is expensive and not universally proven, most UK guidelines recommend trying licensed oral medications first [2]. These medicines have robust evidence from large-scale trials, are regulated by the MHRA, and cost a fraction of shockwave therapy—often under £1 per dose when using generic options.

How Shockwave Therapy Cost UK Compares with Oral ED Medications

When comparing shockwave therapy cost UK with licensed ED medications, the difference is striking. A full course of shockwave therapy can cost £1,200 to £4,800, whereas a month's supply of generic sildenafil starts at just £0.45 per tablet (£0.36 with code Ednew on your first order) [3]. Tadalafil, which can last up to 36 hours per dose, is available from £7.95 for a pack (£6.36 with code Ednew) [4].

Oral PDE5 inhibitors—sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Spedra)—are the first-line treatment recommended by NICE and the European Association of Urology [2][8]. They work by enhancing the natural erectile response when you are sexually aroused, and clinical trials have shown success rates of around 60–80% depending on the underlying cause of ED [9]. These medicines are taken on demand, so you only pay for what you use, and they are available after a quick online consultation reviewed by a UK prescriber.

Shockwave therapy, by contrast, requires multiple upfront sessions regardless of whether it works for you, and there is no guarantee of success. While some men may benefit, the treatment is not suitable for everyone, and results can vary widely. For most men, starting with a proven, affordable oral medication is the sensible first step, with other options considered if tablets are not effective or suitable.

What Affects the Price of ED Treatments in the UK

Several factors influence the cost of erectile dysfunction treatments in the UK. For oral medications, the main variables are whether you choose a generic or branded product, the strength and quantity you order, and whether you use a discount code. Generic sildenafil and tadalafil are significantly cheaper than branded Viagra and Cialis because they contain the same active ingredient but do not carry the brand premium [3][4].

Manufacturer also plays a role: products from well-known generics companies such as Teva may cost slightly more than unbranded generics, but all UK-licensed medicines meet the same rigorous MHRA standards for quality and safety [12]. At Cured Pharmacy, we offer a range of options to suit different budgets, from unbranded generics at £0.45 per tablet to branded Viagra at £37.95 per pack, with 20% off your first order using code Ednew.

For shockwave therapy, pricing depends on the clinic, the number of sessions in the protocol, the type of device used, and the location. London clinics often charge more than those in other regions. Some clinics bundle sessions into packages, which may offer a small discount, but the total cost remains high. Always ask for a detailed breakdown of what is included, whether follow-up appointments are covered, and what happens if the treatment does not work for you.

Why Generic Medications Offer the Best Value

Generic ED medications contain exactly the same active ingredient, in the same dose, as their branded counterparts, and they are subject to the same strict regulatory approval process [12]. The difference is that generic manufacturers do not have to recoup the research and development costs of the original drug, so they can sell at a much lower price. For example, generic sildenafil costs from £0.45 per tablet, while branded Viagra costs £37.95 for a pack of four—yet both contain 100mg of sildenafil and work in the same way [3].

Choosing a generic does not mean compromising on quality or safety. All medicines sold by UK-registered pharmacies like Cured Pharmacy (GPhC 9012511) are sourced from licensed wholesalers and meet MHRA standards. By opting for a generic, you can access effective, evidence-based treatment at a fraction of the cost of shockwave therapy or branded tablets, leaving more money in your pocket for the things that matter.

Treatment Strength How it is taken Normal price First order price (code Ednew)
Sildenafil (generic Viagra) 25mg, 50mg, 100mg About 1 hour before sex, max once daily From £0.45 From £0.36
Tadalafil (generic Cialis) 10mg, 20mg At least 30 mins before, lasts up to 36 hours From £7.95 From £6.36
Sildenafil 100mg (Teva) 100mg About 1 hour before sex, max once daily From £16.99 From £13.59
Tadalafil 20mg (Teva) 20mg At least 30 mins before, lasts up to 36 hours From £9.99 From £7.99
Avarante (tadalafil) 10mg 10mg At least 30 mins before, lasts up to 36 hours From £11.49 From £9.19
Vardenafil (generic Levitra) 5mg, 10mg, 20mg 25–60 mins before sex, max once daily From £16.95 From £13.56
Spedra (avanafil) 50mg, 100mg, 200mg 15–30 mins before sex, max once daily From £20.95 From £16.76
Viagra (branded) 25mg, 50mg, 100mg About 1 hour before sex, max once daily From £37.95 From £30.36
Cialis (branded) 10mg, 20mg At least 30 mins before, lasts up to 36 hours From £12.00 From £9.60

Licensed Oral ED Medications: Strengths and How They Are Supplied

Sildenafil (generic Viagra) is available in 25mg, 50mg, and 100mg tablets and is usually taken about one hour before sexual activity, with effects lasting around four hours [3]. It is supplied in packs of 4, 8, or 16 tablets, and the starting dose for most men is 50mg, adjusted based on response and side effects. Tadalafil (generic Cialis) comes in 10mg and 20mg tablets for on-demand use, taken at least 30 minutes before sex, and its effects can last up to 36 hours, earning it the nickname 'the weekend pill' [4]. Daily tadalafil (2.5mg or 5mg) is also available for men who prefer spontaneity without planning ahead.

Vardenafil (generic Levitra) is supplied in 5mg, 10mg, and 20mg tablets, taken 25 to 60 minutes before sex, and avanafil (Spedra) is available in 50mg, 100mg, and 200mg, with a faster onset of action—often within 15 to 30 minutes [5][6]. All these medicines are PDE5 inhibitors, meaning they work by the same mechanism: they relax blood vessels in the penis, allowing increased blood flow when you are sexually aroused. They do not cause an erection on their own; sexual stimulation is still needed.

At Cured Pharmacy, all these treatments are prescription-only and are supplied after a confidential online consultation reviewed by a UK prescriber. Your answers are checked against your current medications and health conditions to ensure the treatment is safe for you. If approved, your order is dispensed by our GPhC-registered pharmacy and delivered discreetly to your door, usually within 1 to 2 working days.

How to Choose the Right Strength for You

The right strength depends on your individual response, any side effects, and other medications you take. Most men start with sildenafil 50mg or tadalafil 10mg, which can be increased to 100mg or 20mg if the initial dose is not effective, or reduced to 25mg or 5mg if side effects occur [3][4]. Men taking certain other medicines—such as alpha-blockers for prostate symptoms or potent CYP3A4 inhibitors like ritonavir—may need to start on a lower dose to avoid interactions.

Your prescriber will review your medical history and current medications during the online consultation and recommend the most appropriate starting dose. It is important to try a medicine at least four to eight times before deciding it does not work, as effectiveness can improve with repeated use. Never take more than one dose in 24 hours, and do not combine different PDE5 inhibitors or take them with nitrates, nicorandil, or riociguat, as this can cause a dangerous drop in blood pressure [3][4][5][6].

Start with Proven Treatment

Before spending thousands on shockwave therapy, try licensed oral ED medication from £0.36 per dose. Most men respond well to tablets, and you only pay for what you use after a quick online consultation.

What to Expect During an Online Consultation for ED Medication

When you order ED medication from Cured Pharmacy, you complete a short online consultation that asks about your symptoms, medical history, current medications, and lifestyle factors such as smoking and alcohol use. This information is reviewed by a UK-registered prescriber—either a doctor or an independent prescriber pharmacist—who checks that the treatment is safe and suitable for you [2].

The prescriber will look for any contraindications, such as recent heart attack or stroke, severe heart failure, very low blood pressure, or use of nitrates or other medicines that interact with PDE5 inhibitors [3][4]. They will also consider whether your ED might be a sign of an underlying health condition, such as diabetes or cardiovascular disease, and may recommend seeing your GP for further tests if appropriate [1][2]. The consultation is confidential, and your answers are stored securely in line with UK data protection laws.

If the prescriber approves your request, your prescription is sent electronically to our pharmacy, and your medication is dispensed and dispatched the same day if ordered before the cut-off time. If the treatment is not suitable, the prescriber will explain why and suggest alternatives, which might include a different ED medication, a referral to your GP, or lifestyle changes. There is no obligation to proceed, and you can contact our pharmacy team at any time if you have questions.

How to Order ED Medication Safely and What Happens Next

To order safely, always use a UK-registered online pharmacy that requires a proper consultation and is regulated by the General Pharmaceutical Council. Cured Pharmacy (GPhC 9012511) is fully registered and inspected, and all our prescribers are registered with the General Medical Council or the General Pharmaceutical Council. Avoid websites that offer to sell ED medication without a consultation, as these are illegal and may supply counterfeit or unsafe products [2].

Once your order is approved and dispatched, it will arrive in plain, unmarked packaging with no indication of the contents, protecting your privacy. Your medication will include a patient information leaflet with full instructions on how to take it, possible side effects, and what to do in an emergency. Common side effects of PDE5 inhibitors include headache, flushing, indigestion, and nasal congestion, which are usually mild and temporary [3][4][5][6]. Serious side effects are rare but include prolonged erection (priapism), sudden vision or hearing loss, and chest pain during sex—seek urgent medical help if any of these occur.

You can reorder your medication at any time through your online account, and repeat orders are usually processed faster as your medical history is already on file. If your health changes or you start a new medication, update your consultation answers so the prescriber can check for any new interactions. Using code Ednew on your first order gives you 20% off, making your first experience even more affordable.

Why Seeing Your GP Is Important for New ED

If you are experiencing erectile dysfunction for the first time, it is important to see your GP for a proper assessment, even if you plan to use an online pharmacy for treatment [1][2]. ED can be an early warning sign of cardiovascular disease, diabetes, or hormonal imbalances, and identifying these conditions early can improve your long-term health and potentially reverse the ED.

Your GP can arrange blood tests to check your testosterone, blood sugar, cholesterol, and kidney function, and they can review your blood pressure and heart health. They can also discuss lifestyle factors such as smoking, alcohol, weight, and exercise, all of which have a significant impact on erectile function [1][10]. Treating the underlying cause—whether that is better diabetes control, stopping smoking, or losing weight—can sometimes restore erections without the need for medication. Online pharmacies complement GP care by offering convenient access to treatment, but they are not a substitute for a full medical review when ED is new or worsening.

When to get urgent help

  • Erection lasting more than 4 hours (priapism) – go to A&E immediately to prevent permanent damage.
  • Sudden loss of vision or hearing while taking ED medication – stop the medicine and seek urgent medical advice.
  • Chest pain during or after sex – call 999; do not take nitrate sprays if you have used a PDE5 inhibitor in the last 24–48 hours.
  • Severe dizziness, fainting, or very low blood pressure after taking ED medication – seek same-day medical help.
  • Allergic reaction (swelling of face, lips, tongue, or difficulty breathing) – call 999 immediately.

Call 999 or go to A&E in an emergency, or contact NHS 111 for urgent advice.

Scientific References

  1. NHS. (n.d.). Erectile dysfunction (impotence). NHS website. https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/ [accessed 14 November 2026]
  2. National Institute for Health and Care Excellence. (n.d.). Erectile dysfunction. Clinical Knowledge Summaries. https://cks.nice.org.uk/topics/erectile-dysfunction/ [accessed 14 November 2026]
  3. Joint Formulary Committee. (n.d.). Sildenafil. British National Formulary. NICE. https://bnf.nice.org.uk/drugs/sildenafil/ [accessed 14 November 2026]
  4. Joint Formulary Committee. (n.d.). Tadalafil. British National Formulary. NICE. https://bnf.nice.org.uk/drugs/tadalafil/ [accessed 14 November 2026]
  5. European Association of Urology. (n.d.). EAU Guidelines on Sexual and Reproductive Health. https://uroweb.org/guidelines/sexual-and-reproductive-health [accessed 14 November 2026]
  6. Goldstein, I., Lue, T. F., Padma-Nathan, H., Rosen, R. C., Steers, W. D., & Wicker, P. A. (1998). Oral sildenafil in the treatment of erectile dysfunction. New England Journal of Medicine, 338(20), 1397–1404. https://pubmed.ncbi.nlm.nih.gov/9580646/ [accessed 14 November 2026]

Information on this page is for educational purposes only and is not medical advice. Prescription treatments require clinical assessment by a UK-registered prescriber. Always consult a qualified healthcare professional before starting or changing any medication.

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Faq

Can't find your answer? Our UK pharmacists review every consultation and can help.

01

Is shockwave therapy for ED available on the NHS?

No, shockwave therapy for erectile dysfunction is not currently funded by the NHS and is only available privately, typically costing £1,200 to £4,800 for a full course.

02

How much does shockwave therapy cost per session in the UK?

Private clinics in the UK typically charge between £200 and £400 per session, with most treatment protocols requiring 6 to 12 sessions over several weeks.

03

Is shockwave therapy better than ED medication?

There is not yet enough high-quality evidence to say shockwave therapy is better than oral ED medications, which remain the recommended first-line treatment with decades of proven results.

04

Can I get ED medication cheaper than shockwave therapy?

Yes, generic sildenafil starts at £0.45 per tablet (£0.36 with code Ednew), and tadalafil from £7.95 per pack, making oral medication far more affordable than shockwave therapy.

05

Do I need a prescription for ED tablets in the UK?

Most ED tablets require a prescription after an online consultation reviewed by a UK prescriber, though sildenafil 50mg (Viagra Connect) is available from pharmacies without prescription.

06

How quickly will my ED medication arrive?

Orders approved before the cut-off time are usually dispatched the same day and delivered within 1 to 2 working days in discreet, unmarked packaging.

07

Can I use my first-order discount code more than once?

No, code Ednew gives you 20% off your first order only, but you can reorder at the standard price through your online account anytime.

08

What should I do if ED tablets do not work for me?

Try the medication at least four to eight times, as effectiveness can improve with use; if still ineffective, speak to your GP or our prescribers about trying a different strength or alternative treatment.

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Pricing Disclaimer: Prices on some pages may not be up to date — the live pricing table below and pricing shown during consultation are official current prices and take precedence over any other figures on the site.

Sildenafil (generic Viagra) - UK-licensed prescription Prescription
Prescription

Sildenafil (generic Viagra)

From £0.36£0.45
Future orders save 5%
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Tadalafil (generic Cialis) - UK-licensed prescription Prescription
Prescription

Tadalafil (generic Cialis)

From £6.36£7.95
Future orders save 5%
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Sildenafil 100mg (Teva) - UK-licensed prescription Prescription
Prescription

Sildenafil 100mg (Teva)

From £13.59£16.99
Future orders save 5%
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Tadalafil 20mg (Teva) - UK-licensed prescription Prescription
Prescription

Tadalafil 20mg (Teva)

From £7.99£9.99
Future orders save 5%
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Avarante (tadalafil) 10mg - UK-licensed prescription Prescription
Prescription

Avarante (tadalafil) 10mg

From £9.19£11.49
Future orders save 5%
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Vardenafil (generic Levitra) - UK-licensed prescription Prescription
Prescription

Vardenafil (generic Levitra)

From £13.56£16.95
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Spedra (avanafil) - UK-licensed prescription Prescription
Prescription

Spedra (avanafil)

From £16.76£20.95
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Viagra (branded) - UK-licensed prescription Prescription
Prescription

Viagra (branded)

From £30.36£37.95
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Cialis (branded) - UK-licensed prescription Prescription
Prescription

Cialis (branded)

From £9.60£12.00
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Tarun Kumar, Superintendent Pharmacist

Medically reviewed by

Tarun Kumar, Superintendent Pharmacist (GPhC 2233073)

Last reviewed: 14 November 2026

Last updated on 14 November 2026.

Review History

Our experts continually monitor new findings in health and medicine, and we update our articles when new information becomes available.

Why this page was updated on 14 November 2026

Content checked and updated as part of our periodic review, to ensure accuracy and currentness.

Current version (14 November 2026)

Edited by: The Editorial Team

Medically reviewed by:

Tarun Kumar, GPhC No. 2233073, Superintendent Pharmacist


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