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 Primary Care
Disease category: Genito-urinary system
Commissioning responsibility: CCG
PbR excluded: No


Outside of the group of patients and circumstances defined by the LMMG where treatment is provided by a specialist Sexual Health Service, tadalafil 2.5 mg and 5 mg once daily tablets are not recommended for prescribing in Lancashire for the treatment of erectile dysfunction.

This colour classification is in agreement with the recommendations contained within 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.


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

Reason for decision:  Not recommended for prescribing on the NHS in Lancashire

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






Green (as per Pan Mersey)