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Author: Admin | 2025-04-28
Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter 07.04.05 Drugs for erectile dysfunction Lifestyle changes should be discussed and tried before pharmacological treatments are considered for erectile dysfunction.Sildenafil 50mg tablets (Viagra Connect®) can be purchased from a Community Pharmacist, and is first line treatment where the patient is willing and able to self-care.Where drug treatment on prescription is indicated, generic sildenafil (at the minimum effective dose) is the first line choice of drug to be used in the treatment of erectile dysfunction.Tadalafil on demand (10mg or 20mg tablets) is second line formulary choice and should only be prescribed at NHS expense for men who meet the medical conditions and circumstances specified by the Department of Health.Have diabetes, multiple sclerosis, Parkinson’s disease, poliomyelitis, prostate cancer, severe pelvic injury, single gene neurological disease, spina bifida, or spinal cord injuryAre receiving dialysis for renal failureHave had radical pelvic surgery, prostatectomy, or kidney transplantWere receiving Caverject©, Erecnos©, MUSE©, Viagra or Virdal© for ED, at the expense of the NHS on 14th September 1998Where generic sildenafil is ineffective or contra-indicated and the patient does not meet the NHS criteria for drugs other than generic sildenafil, a private prescription can be provided in Primary Care.Vacuum Pumps for Erectile Dysfunction are suitable for prescribable in Primary Care on the advice of a Specialist. Training on the device will be provided by the specialist service. Alprostadil (Caverject®, MUSE®)(Injection, Urethral application) Restricted CUHFT and NWAFT: Formulary.Patients will require training specific to formulation prescribed by medically trained
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