Lancashire and South Cumbria
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7 Obstetrics, Gynaecology, and urinary-tract disorders
07-04-05 Drugs for erectile dysfunction
Generic sildenafil can be prescribed without restriction on the NHS.
 
The following drugs for the treatment of erectile dysfunction -Alprostadil, Avanafil, Tadalafil, Vardenafil, Viagra are not prescribable on an NHS prescription unless the prescription is endorsed "SLS" for men who: • Have diabetes, multiple sclerosis, Parkinson's disease, poliomyelitis, prostate cancer, severe pelvic injury, single-gene neurological disease (for example Huntington's disease), spina bifida, or spinal cord injury.
• Are receiving renal dialysis for renal failure.
• Have had radical pelvic surgery, prostatectomy (including transurethral resection of the prostrate), or a kidney transplant.
• Were receiving Caverject®, Erecnos®, MUSE®, Uprima®, Viagra®, Cialis®, or Viridal®at the expense of the NHS on 14 September 1998.

Phentolamine/ Aviptadil  Invicorp®
Formulary

Injection, phentolamine 2 mg/0.35 ml; aviptadil 25 micrograms/0.35 ml

Symptomatic treatment of erectile dysfunction in adult males due to neurogenic, vasculogenic, psychogenic, or mixed aetiology.

Reserved for patients not responding or intolerant to Alprostadil, as an option before referral for surgical procedure.


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