Here you will find the recommendations we have made about the use of individual medicines in Lancashire.

Tadalafil daily

Brand: Cialis ®
Indication: Erectile Dysfunction - when supplied through Specialist Sexual Health Services
Disease category: Genito-urinary system
Commissioning responsibility: CCG
PbR excluded: No


Tadalafil 2.5 mg and 5 mg once daily tablets are recommended for prescribing in Lancashire only when provided by a specialist Sexual Health Service as treatment for erectile dysfunction in the following circumstances:
• where performance anxiety is significant and/or
• to support masturbatory/behavioural programs, whereby the erection would require additional support to enable the program to be successful.
Rationale: Use in these circumstances will be for a clearly defined cohort of patients who will receive a discrete programme of treatment by specialists under a Sexual Health service.

This RAG rating is currently under review following publication of the NHS England and NHS Clinical Commissioners guidance document ‘Items which should not routinely be prescribed in primary care: Guidance for CCGs‘ published in November 2017 and maybe subject to change.


LMMG recommendation: Red
Click here to find the definitions for the colour classifications

Reason for decision:  Specialist medicine

Supporting documents:

LMMG New Medicine Assessment - Tadalfil once daily (596.9 KiB)

Erectile Dysfunction Guideline (Version 1.2) (1.0 MiB)

Decisions of Lancashire local decision making groups:

NHS Blackburn With Darwen CCG and NHS East Lancashire CCG NHS Blackpool CCG NHS Chorley and South Ribble CCG and NHS Greater Preston CCG NHS Fylde and Wyre CCG NHS Morecambe Bay CCG NHS West Lancashire CCG