Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
7.4. Drugs for genito-urinary disorders

7.4.5. Drugs for erectile dysfunction

Preferred List
SILDENAFIL

Prescribing Notes:

Available for hospital and community prescribing but NHS prescribing by GPs is limited to nationally determined patient groups and schedule 11 restrictions. Please follow Board referral guidance for men suffering erectile dysfunction, including approval for GP prescribing for erectile dysfunction causing severe distress. Consult Summary of Product Characteristics on drug interactions prior to prescribing.

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Total Formulary
Specialist and GP
ALPROSTADIL

Restrictions:

Restricted to specialist initiation.

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Specialist and GP
AVIPTADIL WITH PHENTOLAMINE (INVICORP) (intracavernous injection)

Restrictions:

Restricted to specialist initiation for use in patients who have failed on oral therapies (oral phosphodiesterase type-5 inhibitors) and other non-injectable formulations of erectile dysfunction medications.

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TADALAFIL

Restrictions:

Restricted to use for erectile dysfunction or for pulmonary arterial hypertension (see section 2.4.1). Use for benign prostatic hyperplasia is not recommended for use by SMC and is non-Formulary.

Prescribing Notes:

Available for hospital and community prescribing but NHS prescribing by GPs is limited to nationally determined patient groups and schedule 11 restrictions. Please follow Board referral guidance for men suffering erectile dysfunction, including approval for GP prescribing for erectile dysfunction causing severe distress. Consult Summary of Product Characteristics on drug interactions prior to prescribing.

BNF Link

VARDENAFIL

Restrictions:

Excludes orodispersible tablets.

Prescribing Notes:

Available for hospital and community prescribing but NHS prescribing by GPs is limited to nationally determined patient groups and schedule 11 restrictions. Please follow Board referral guidance for men suffering erectile dysfunction, including approval for GP prescribing for erectile dysfunction causing severe distress. Consult Summary of Product Characteristics on drug interactions prior to prescribing.

BNF Link