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Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (1)
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Important Local Documents (4)
Notes for: Drugs For Erectile Dysfunction
Last edited [26/03/2014 14:22:23]

1. Named treatments for ED can only be prescribed on FP10 prescription for a man with erectile dysfunction who falls into one of a number of groups, which includes

  • Is suffering from diabetes, multiple sclerosis, Parkinson's disease, poliomyelitis, prostate cancer, severe pelvic injury, single gene neurological disease, spina bifida, spinal cord injury, or
  • Is receiving treatment for renal failure by dialysis, or
  • Has had the following surgery - prostatectomy, radical pelvic surgery, renal failure treated by transplant.
  • Any patient  may receive one of the named drugs for treatment of a condition, other than  erectile dysfunction, in respect of which the drug ordered is considered an appropriate treatment.

Full information is in the Drug Tariff Part XVIIIB

Prescriptions must be endorsed SLS. A prescription not containing this endorsement will not be reimbursed by the NHS Business Service Authority Prescription Pricing Division and so should not be dispensed. 

2. HSC 1999 / 177 (see "Important local Documents" above) recommends that treatment for impotence should be available from specialist services when impotence is causing severe distress. Patients who are prescribed treatment for impotence on the NHS following the guidance in this circular need to continue to receive their treatment through specialist services. GPs cannot issue an FP10, endorsed SLS, where treatment has been started by a specialist for a patient suffering severe distress unless they also meet one of the above criteria. 

3. Patients who are not eligible for NHS prescription can be issued a private prescription.

4. HSC 1999 / 148  (see "Important local Documents" above) advises doctors that one treatment a week will be appropriate for most patients treated for erectile dysfunction. If a GP exercising clinical judgement considers that more than one treatment a week is appropriate that amount should be prescribed on the NHS.

5. The treatment of priapism following alprostadil should not be delayed more than 6 hours. The BNF contains full information.

6. Papaverine (unlicensed) is included as a hospital only treatment.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 19 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available
Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Sildenafil
50 mg tab Pack of 4
£0.95PCT FORMULARY STATUS: First Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Sildenafil'View SPC on 'Sildenafil'View PIL on 'Sildenafil'
Sildenafil
25 mg tab Pack of 4
£0.96PCT FORMULARY STATUS: First Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Sildenafil'View SPC on 'Sildenafil'View PIL on 'Sildenafil'
Sildenafil
100 mg tab Pack of 4
£1.11PCT FORMULARY STATUS: First Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Sildenafil'View SPC on 'Sildenafil'View PIL on 'Sildenafil'
Tadalafil
10 mg tablets Pack of 4
£1.12PCT FORMULARY STATUS: Second Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Tadalafil'View SPC on 'Tadalafil'View PIL on 'Tadalafil'
Tadalafil
20 mg tablets Pack of 4
£1.41PCT FORMULARY STATUS: Second Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Tadalafil'View SPC on 'Tadalafil'View PIL on 'Tadalafil'
Vardenafil
20 mg tablets Pack of 4
£2.95PCT FORMULARY STATUS: Second Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Vardenafil'View SPC on 'Vardenafil'View PIL on 'Vardenafil'
Vardenafil
5 mg tablets Pack of 4
£5.69PCT FORMULARY STATUS: Second Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Vardenafil'View SPC on 'Vardenafil'View PIL on 'Vardenafil'
Vardenafil
10 mg tablets Pack of 4
£10.61PCT FORMULARY STATUS: Second Line Drugs Drugs For Erectile DysfunctionView BNF Article on 'Vardenafil'View SPC on 'Vardenafil'View PIL on 'Vardenafil'
Alprostadil (Caverject)
5 mcg vial Pack of 1
£7.73PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil'View SPC on 'Alprostadil'View PIL on 'Alprostadil'
Alprostadil Transurethral System (MUSE)
125 mcg Unit Pack of 1
£10.38PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Transurethral System'View SPC on 'Alprostadil Transurethral System'View PIL on 'Alprostadil Transurethral System'
Alprostadil Transurethral System (MUSE)
250 mcg Unit Pack of 1
£11.30PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Transurethral System'View SPC on 'Alprostadil Transurethral System'View PIL on 'Alprostadil Transurethral System'
Alprostadil Transurethral System (MUSE)
500 mcg Unit Pack of 1
£11.30PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Transurethral System'View SPC on 'Alprostadil Transurethral System'View PIL on 'Alprostadil Transurethral System'
Alprostadil Transurethral System (MUSE)
1000 mcg Unit Pack of 1
£11.56PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Transurethral System'View SPC on 'Alprostadil Transurethral System'View PIL on 'Alprostadil Transurethral System'
Alprostadil (Caverject)
20 mcg vial Pack of 1
£11.94PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil'View SPC on 'Alprostadil'View PIL on 'Alprostadil'
Alprostadil Injection (Caverject Dual Chamber)
10 mcg pack (powder and solvent) Pack of 2
£14.70PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Injection'View SPC on 'Alprostadil Injection'View PIL on 'Alprostadil Injection'
Alprostadil Injection (Caverject Dual Chamber)
20 mcg pack (powder and solvent) Pack of 2
£19.00PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil Injection'View SPC on 'Alprostadil Injection'View PIL on 'Alprostadil Injection'
Alprostadil (Caverject)
40 mcg vial (refrigerated line) Pack of 1
£21.58PCT FORMULARY STATUS: Specialist Initiated Drugs Drugs For Erectile DysfunctionView BNF Article on 'Alprostadil'View SPC on 'Alprostadil'View PIL on 'Alprostadil'
Papaverine
60 mg injection Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Drugs For Erectile DysfunctionView BNF Article on 'Papaverine'View SPC on 'Papaverine'View PIL on 'Papaverine'
Papaverine
80 mg injection Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Drugs For Erectile DysfunctionView BNF Article on 'Papaverine'View SPC on 'Papaverine'View PIL on 'Papaverine'

 
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