Metsmall (metformin) is highly unlikely to cause erectile difficulties; in fact, keeping your diabetes well-controlled actually helps protect your long-term sexual health. Because this change happened suddenly over just one week, it is much more likely related to temporary factors like stress, anxiety, tiredness, or lifestyle changes rather than your medication or diabetes itself. I highly recommend discussing this openly with your doctor. They can help reassure you, identify the exact cause, and guide you toward a simple solution.

Since Metsmall 1000 (metformin) and Sensival 25 (nortriptyline) require a formal prescription for your safety, I cannot issue a new one directly here. The quickest way to resolve this and keep your order active is to contact your prescribing doctor's office; they can easily send a replacement or contact the pharmacy directly. Alternatively, a quick telehealth consultation can help secure a temporary prescription so you don't miss any doses.