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North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
07.04.05  Expand sub section  Drugs for erectile dysfunction
 note 

Primary care guidance

Prescribing Guidance

Prescription quantities are determined at the clinical discretion of the prescribing GP. If you feel there is a clinical need or exceptional circumstances which would warrant a higher quantity, this should be provided on an NHS prescription where eligible.
It is not acceptable to write a private prescription for an NHS patient where the drug can be provided on FP10.
Please see link below for further details

Prescribing drugs for erectile dysfunction

07.04.05  Expand sub section  Alprostadil
07.04.05  Expand sub section  Phosphodiesterase type 5 inhibitors
Sildenafil
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Formulary
Blue
 
   
Avanafil
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Restricted Drug Restricted

Ipswich Hospital

Avanafil is a formulary medicine

Colchester Hospital / NEECCG

Avanafil is considered a non-formulary medicine

 
   
Tadalafil once daily
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Formulary
Mixed

Traffic light information

Traffic light Details
Green For patients post radical prostatectomy or external beam radiotherapy for prostate cancer, with good pre-op erectile function (IIEF >16/25) and good unilateral/bilateral nerve spare.
Double Red
  • All other erectile dysfunction patients
  • Treatment of the signs and symptoms of benign prostatic hyperplasia in adult males.

IESCCG policy:

For the ‘green’ indication, tadalafil should be initiated by the hospital specialist and a 2 week prescription given. After 2 weeks the GP can then continue prescribing.

The patient should be reviewed by the hospital specialist at 3 months and if tadalafil once daily has been effective, the specialist should advise the GP to change the patient to PRN sildenafil.

The hospital specialist should explain the change to patient. If tadalafil has not been effective - the specialist should advise the GP on alternative treatments. This may include continuing tadalafil once daily for a further 6-9 months (this would be a very small number of patients).

Tadalafil daily should not be continued for longer than a year in any patient.

 
Link  NEECCG Tadalafil policy
   
Tadalafil prn
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Formulary
Blue
 
   
Vardenafil (Levitra)
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Formulary
Blue
 
   
07.04.05  Expand sub section  Papaverine and phentolamine
07.04.05  Expand sub section  Equipment used for erectile dysfunction to top
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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