Erectile Dysfunction - when supplied through Specialist Sexual Health Services
Tadalafil 2.5 mg and 5 mg once daily tablets are recommended for prescribing in Lancashire and South Cumbria, 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 may be subject to change.
Reason for decision: