North East and North Cumbria
ICS Formulary
 
back
7 Obstetrics, Gynaecology, and urinary-tract disorders
07-04-05 Drugs for erectile dysfunction

Sildenafil
First Choice
  • Approved for the treatment of erectile dysfunction
  • Also approved for specialist use in treating:
    • Pulmonary hypertension (see section 2.5.1a) Red Traffic Light
    • Secondary Raynaud’s disease. Green plus
Link  MHRA Drug Safety Update (Nov 2018): Sildenafil (Revatio and Viagra): reports of persistent pulmonary hypertension of the newborn (PPHN) following in-utero exposure in a clinical trial on intrauterine growth restriction

Green View adult BNF  View SPC online  View childrens BNF
Tadalafil
Second Choice
  • 10mg and 20mg tablets
  • 5mg tablets (once daily)

For treatment of erectile dysfunction. 

NB: generic tadalafil is no longer subject to SLS restrictions. The Cialis® brand remains subject to SLS restrictions and should be prescribed accordingly. 

For information regarding use in Raynauds disease see chapter 2.5.1

Link  NTAG: Daily vs on-demand phosphodiesterase-5 (PDE-5) inhibitors for the management of erectile dysfunction following treatment for prostate cancer

Green View adult BNF  View SPC online  View childrens BNF
Vardenafil
Formulary

5mg, 10mg and 20mg tablets

For treatment of erectile dysfunction

NB: generic vardenafil is no longer subject to SLS restrictions. The Levitra® brand remains subject to SLS restrictions and should be prescribed accordingly.


Green View adult BNF  View SPC online  View childrens BNF
Alprostadil Vitaros® & Muse®
Formulary
  • Vitaros® 3mg/g cream
  • Muse® 500microgram, and 1mg.

Treatment with alprostadil cream (Vitaros®) is NOT approved for use in County Durham and Tees Valley


Green plus View adult BNF  View SPC online  View childrens BNF
Aviptadil 25microgram/phentolamine 2mg solution for injection Invicorp®
Formulary
  • 25microgram/phentolamine 2mg solution for injection. 
  • Approved as first choice intracavernosal injection option.
    • Approved for the treatment of erectile dysfunction (in accordance with SLS criteria)

 

 


Green plus View adult BNF  View SPC online  View childrens BNF
Alprostadil
Formulary
  • 10microgram,  20 microgram injection (vials and dual chamber devices)
  • Approved as the second choice intracavernosal injection option.
  • Caverject® dual chamber injections are easier to use and less expensive than the vials.
  • Viridal Duo® 10, 20 and 40 microgram starter pack and dual chamber injection 
    • Approved for the treatment of erectile dysfunction (in accordance with SLS criteria)

Green plus View adult BNF  View SPC online  View childrens BNF