Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services

7 Obstetrics, Gynaecology, and urinary-tract disorders
07-04-05 Alprostadil

Alprostadil Caverject®

Intracavernosal injection 10 microgram, 20 microgram, 40 microgram

1. Full information is in the Drug Tariff Part XVIIIB Prescriptions must be endorsed SLS. A prescription not containing this endorsement will not be reimbursed by the Prescription Pricing Division and so should not be dispensed.
2. HSC 1999/177 recommends that treatment for impotence should be available from specialist services when impotence is causing severe distress. Patients who are prescribed treatment for impotence on the NHS following the guidance in this circular need to continue to receive their treatment through specialist
services. GPs cannot issue an FP10, endorsed SLS, where treatment has been started by a specialist for a patient suffering severe distress unless they also meet one of the above criteria.
3. Patients who are not eligible for an NHS prescription can be issued a private prescription.
4. HSC 1999/148 advises doctors that one treatment a week will be appropriate for most patients treated for erectile dysfunction. If a GP exercising his clinical judgement considers that more than one treatment a week is appropriate he should prescribe that amount on the NHS.

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Alprostadil MUSE®
Non Formulary

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Alprostadil Viridal® Duo
Non Formulary

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Alprostadil 3mg/g cream Vitaros®
Non Formulary

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