Tablets 25mg, 50mg, 100mg
It is currently recommended that patients should receive eight doses of a PDE5
inhibitor with sexual stimulation at maximum dose before classifying a patient
as a non-responder. Full guidance from the British Society for Sexual Medicine.
Prescribers should ensure that generic sildenafil tablets 25, 50 and 100mg
tablets are always considered first line for the treatment of erectile dysfunction.
Only patients that meet Selected List criteria can be considered for alternative
treatments on the NHS (see below).
Doctors within secondary care are asked not to ask GPs to prescribe drugs
outside of the controls imposed by Selected List Scheme.
Alternative erectile dysfunction treatments (including branded Viagra) can
continue to be provided privately subject to patient preference.
Prescribers should review their NHS prescribing of treatments for ED to ensure
that patients who do meet Selected List criteria are prescribed generic sildenafil
25, 50 and 100mg tablets.
Quantities: guidance remains in force with a recommended dosage frequency of
one dose per week; higher quantities can be prescribed at the discretion of the
All other formulations of sildenafil or brands remain under the control of Part
XVIIIB of the Drug Tariff and can only be prescribed within that context
Selected List criteria are as follows:
any man suffering from diabetes, multiple sclerosis, Parkinson’s disease,
poliomyelitis, prostate cancer, severe pelvic injury, single gene neurological
disease, spina bifida or spinal cord injury
any man receiving treatment for renal failure by dialysis
any man who has had a prostatectomy or radical pelvic surgery or renal failure
treated by transplant
any man who has been diagnosed as suffering severe distress resulting from
erectile dysfunction where the assessment has been made by a specialist
service or GP under arrangements made with a local Health Board to provide