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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
07.04.05  Expand sub section  Drugs for erectile dysfunction
07.04.05  Expand sub section  Alprostadil
07.04.05  Expand sub section  Phosphodiesterase type 5 inhibitors
Sildenafil
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Restricted Drug Restricted

Brown Traffic Light  First line treatment for erectile dysfunction. SLS restrictions removed for generic sildenafil. The quantity prescribed for erectile dysfunction should be limited to 4 doses per month in line with Clinical Commissioning Policy 41E.

APCO May 2016.

Black Traffic Light  For penile rehabilitation following prostate surgery in line with Clinical Commissioning Policy 233B.

 
Avanafil (Spedra®)
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Restricted Drug Restricted

Brown Traffic Light For erectile dysfunction in line with Clinical Commissioning Policy 41E.

APCO May 2016.

Black Traffic Light  For penile rehabilitation following prostate surgery in line with Clinical Commissioning Policy 233B.

 
   
Tadalafil
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Restricted Drug Restricted

Brown Traffic Light For erectile dysfunction in line with Clinical Commissioning Policy 41E.

APCO May 2016.

Black Traffic Light  For penile rehabilitation following prostate surgery in line with Clinical Commissioning Policy 233B.

Black Traffic Light For symptoms associated with benign prostatic hyperplasia in line with NICE TA273.

APCO March 2013. 

 
Link  NICE TA273: Hyperplasia (benign prostatic) - tadalafil (terminated appraisal)
   
Vardenafil (Levitra®)
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Restricted Drug Restricted

Brown Traffic Light For erectile dysfunction in line with Clinical Commissioning Policy 41E.

APCO May 2016.

Black Traffic Light  For penile rehabilitation following prostate surgery in line with Clinical Commissioning Policy 233B.

 
   
07.04.05  Expand sub section  Papaverine and phentolamine
 ....
 Non Formulary Items
Penile implant

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Non Formulary
Black

For erectile dysfuction in line with  Clinical Commissioning Policy 41E.

APCO May 2016.

 
Tadalafil once daily

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Non Formulary
Black

Not recommended as no head-to-head trials to compare efficacy or new safety issues.

APCO March 2009.

 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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