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Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
Notes:

Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.

 

 

 Details...
07.04.05  Expand sub section  Drugs for erectile dysfunction
07.04.05  Expand sub section  Alprostadil
Alprostadil (Caverject)
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Formulary
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  • 10 microgram, 20 microgram, 40 microgram intracavernosal injection. 
  • Please note patients will be taught, in clinic, how to administer the dual chamber system. If this form of Caverject is unavailable, patients should not be switched to other Caverject preparations, unless advised by a specialist, as they will need to be re-trained in how to use the new device.
 
 
Alprostadil (MUSE)
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Formulary
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  • 125 microgram, 250 microgram, 500 microgram, 1000 microgram transurethral delivery system.   
 
 
Alprostadil
(Viridal Duo)
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Formulary
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  • 10 microgram, 20 microgram, 40 microgram intracavernosal injection.

 

 
 
Alprostadil (Vitaros)
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Formulary
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  • 3mg/g cream for application to tip of penis.
  • GWH and SFT only
  • Non formulary at RUH
 
 
07.04.05  Expand sub section  Phosphodiesterase type 5 inhibitors
Sildenafil
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First Choice
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  • 25mg, 50mg, 100mg tablets.
  • Offer generic sildenafil on the NHS for all patients as first-line treatment for ED (SLS requirement removed 01/08/14 - private prescriptions no longer necessary).

  • For unlicensed use of sildenafil in connective tissue disorders see section 02.05.01

 

 
Tadalafil
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Second Choice
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  • 10mg, 20mg tablets.
  • Prescribe generically on the NHS if patient meets SLS criteria. Full information on SLS is at Drug Tariff Part XVIIIB
  • Offer a private prescription if patient does not meet SLS.
  • NOTE - TADALAFIL ONCE DAILY HAS NOT BEEN INCLUDED ON THE FORMULARY
 
Link  NICE TA273: Hyperplasia (benign prostatic) - tadalafil (terminated appraisal)
 
07.04.05  Expand sub section  Papaverine and phentolamine
Aviptadil + phentolamine
(Invicorp)
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Formulary
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  • Solution for intracavernosal injection.
  • GWH and SFT only
  • Non formulary at RUH
 
 
Papaverine
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Formulary
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  • Injection 25mg, 80mg.
  • RUH only
  • Non formulary at SFT and GWH
 
 
 ....
 Non Formulary Items
Avanafil

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Non Formulary
 
Phentolamine
(erectile dysfunction)

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Non Formulary
 
Vardenafil (Levitra)

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Non Formulary
 
  
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 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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.   

Traffic LightRed Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

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