NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust

 
back
7 Obstetrics, Gynaecology, and urinary-tract disorders

Bladder and Bowel Community Formulary

Overactive Bladder Guidance

Acute Kidney Injury (AKI) Patient Leaflet

07-04-05 Phosphodiesterase type 5 inhibitors

Sildenafil
First Choice

First line in erectile dysfunction (ED) Available to all men on the NHS from Aug 2014 ONLY if prescribed generically.

Sildenafil for Pulmonary Arterial Hypertension NHSE commissioned via specialist centres only, no GP prescribing.

Sildenafil for Raynaud’s phenomenon specialist initiation in line with NHSE algorithm


Green View adult BNF  View SPC online  View childrens BNF
Vardenafil Levitra®
Second Choice

Cost effective second line alternative to sildenafil (not available at WVT Pharmacy).

Prescribe generically


Green 2 View adult BNF  View SPC online  View childrens BNF
Tadalafil Cialis®
Third Choice

PRN preparation only (10mg / 20mg tablets), third line for those who haven’t responded to either sildenafil or vardenafil

Link  NICE TA273: Hyperplasia (benign prostatic) - tadalafil (terminated appraisal)
 

Green 3 View adult BNF  View SPC online  View childrens BNF
Sildenafil Revatio®
Restricted

Pulmonary hypertension (NHSE commissioned)

 


Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
Avanafil
Non Formulary

View adult BNF  View SPC online  View childrens BNF
Sildenafil chewable tablets Nipatra®
Non Formulary

View adult BNF  View SPC online  View childrens BNF
Tadalafil once daily
Non Formulary

Tadalafil daily preparation (2.5mg / 5mg tablets) is non-formulary and on Herefordshire Low Priority Treatment list 


Red Black View adult BNF  View SPC online  View childrens BNF