REMEDY : BNSSG referral pathways & Joint Formulary
Covid -19 Specific information
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Advice & Guidance for GPs
Advice & Guidance Services Advice and Guidance Best Practice RAS on e-Referral
Biochemistry
Alkaline Phosophatase Clinical Biochemistry in Primary Care Creatinine Kinase Hyperkalaemia Hyperlipidaemia Hypomagnesaemia Lipid Advice & Guidance Service
Breast
Advice & Guidance Service Axillary masses Breast Implants (non-cancer) Breast Pain Breast Surgery Breastfeeding Family History of Breast Cancer Male Breast Symptoms Mastitis and Breast Abscess Nipple conditions
Cancer Screening
Bowel Cancer Screening Breast Cancer Screening Cervical Cancer Screening Pancreatic Cancer Surveillance Programme
Cancer Support
Advice & Guidance Service LD & Cancer Living with and beyond cancer (LWBC) Nutrition in cancer Physio for NBT Cancer patients Toxicity Risk Assessment Tool Rehab / prehab
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Advice & Guidance Service Angina Arrhythmia Atrial Fibrillation and Flutter Cardiac Rehabilitation Cardiac Rhythm Analysis Dilated Ascending Aorta ECG - Open Access ECHO - requesting Heart Failure Hypertension Inherited Cardiac Conditions NT Pro BNP Testing Pacemakers Postural Orthostatic Tachycardia Syndrome (PoTS) Rapid Access Chest Pain Clinics Syncope and TLOC
Care of the Elderly
Active Ageing - South Glos Advice and guidance - Care of the Elderly Assistive Technology Service Falls & Balance Fracture Liaison Service Frailty Hearing Services Live Longer Better Movement Disorders NHS@home - Frailty pathway Rapid Assessment Clinic For Older People
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Community Therapy
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Diabetes
Community Diabetes Specialist Service Diabetes & Nutrition Diabetes Advice and Guidance Diabetes Foot Care Diabetes Mellitus - Guidelines Diabetes self-management Diabetes Structured Education Diabetic Eye Screening Monogenic Diabetes Neuropathic Pain (Diabetic) Non-diabetic Hyperglycaemia and the National Diabetes Prevention Program Pregnancy and diabetes Rapid Access Diabetes Clinic Type 2 diabetes management Type 2 Path to Remission Programme
Dietetics & Nutrition
Advice & Guidance Service Local Services Malnutrition & Oral Nutritional Supplements Vitamin D Deficiency Weight management
Drug and Alcohol Misuse
Alcohol Misuse Opiate Dependence Non-opiate drug dependence Bristol Drug and Alcohol Service North Somerset Drug & Alcohol Service South Gloucestershire Drug & Alcohol Service Bristol Shared Care Breaking Free (Bristol & South Glos)
DVT and PE
DVT and SVT Pathway Pulmonary Embolus (suspected) Secondary Care DVT Services Unprovoked DVT
Enablement
Bristol Centre for Enablement Wheelchair Services
End of Life Care and Hospice
Bereavement support Death Certification and Cremation Forms End of Life Care End of life care - community support ReSPECT Plus St Peters Hospice Weston Hospice
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ENT
Advice & Guidance Service Anosmia Audiology (adult) Dizziness and Vertigo Ear wax and microsuction ENT HOT Clinic Epistaxis Hearing Problems Middle ear problems Moulded Ear Plugs Nasal Treatment Neck Lumps (including Goitre) Otitis Externa Rhinosinusitis & Nasal Polyps Snoring Speech & Language Tinnitus Tonsils Uvula
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Advice & Guidance Service Infertility Semen Analysis
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Advice & Guidance Service Anaemia Blood Transfusions & Iron infusions Genetic Haemochromatosis Guidelines for Primary Care Leucocytosis (including neutrophilia and lymphocytosis) Macrocytosis Polycythaemia Sickle Cell & Thalassaemia Vitamin B12 Warfarin monitoring
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1. Gastro-intestinal System 2. Cardiovascular system 3. Respiratory System 4. Nervous system 5. Infections 6. Endocrine system 7. Obstetrics, gynaecology, and urinary-tract disorders 8. Malignant Disease and Immunosuppression 9. Nutrition and Blood 10. Musculoskeletal and joint diseases 11. Eye 12. Ear, Nose and Oropharynx 13. Skin 14. Immunological products and vaccines 15. Anaesthesia 16. Palliative Care Guidelines 17. Miscellaneous Preparations
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Home > Formulary : Adult > Chapters > 7. Obstetrics, Gynaecology and Urinary-tract Disorders >

BNSSG Adult Joint Formulary

7.4 Erectile and ejaculatory conditions

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Last edited: 01-02-2024

7.4.1 Erectile dysfunction

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

  • Please see BNSSG Erectile Dysfunction Primary Care Prescribing Guidelines
  • Prescriptions for generic sildenafil no longer need to be endorsed SLS
  • Other drug treatments (including branded sildenafil – Viagra®) for erectile dysfunction may only be prescribed by a GP at NHS expense under certain criteria set by the Department of Health. These drugs are therefore only GREEN when used in accordance with these criteria (and endorsed 'SLS'). Note that the DH require that prescribing in cases of severe distress should only take place in specialist centres, and in these circumstances the drugs are RED.
  • Sildenafil and tadalafil are RED when used for pulmonary arterial hypertension

 

Sildenafil (TLS Green)

Tadalafil tablets (weekly) (TLS Blue)

Tadalafil 5mg tablets (once daily) (TLS Amber Specialist Initiated)

Treatment of erectile dysfunction in adult males post robotic laparoscopic prostatectomy (penile rehabilitation) only - for up to a 12 month duration

Alternatives:

Vardenafil (TLS Amber Specialist Recommended)

Alprostadil intracavernosal injection (Caverject®, Viridal® Duo) (TLS Amber Specialist Recommended)

  • The lowest acquisition cost should be prescribed and brands should not be changed without appropriate patient counselling

Alprostadil urethral application (Muse®) (TLS Amber Specialist Recommended)

Alprostadil urethral cream (Vitaros®) (TLS Amber Specialist Recommended)

Aviptadil / Phentolamine (Invicorp®) (TLS Amber Specialist Recommended)

 

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