PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Tadalafil - Erectile dysfunction

Keywords :
Phosphodiesterase type 5 inhibitors, ED, Impotence
Brand Names Include :
Cialis

Traffic Light Status

Status 1 of 2.

Status :
Green (see narrative)
Important
Formulations :
  • Not Specified
Important Information :
Sildenafil is 1st line. Tadalafil (10mg and 20mg) is an alternative. Note - Once daily tadalafil (2.5mg and 5mg) is non-formulary.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Status 2 of 2.

Status :
Non Formulary
Important
Formulations :
  • ONCE DAILY
Important Information :
Once daily tadalafil (2.5mg and 5mg) is non-formulary. Sildenafil is 1st line. Tadalafil (10mg and 20mg) is an alternative.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
NFD1
Comments :
No comments returned.
Documents :

Guidelines

The following guidelines are available for this indication.

Other Drugs

Other Indications

Additional Documents

No additional documents returned.

Committee Recommendations

Date
Committee Name
Narrative
05 September 2018
Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

For patients who meet SLS criteria 

  • Sildenafil (generic): It is reasonable to prescribe up to 3 tablets per week  OR
  • Tadalafil 10mg and 20mg (generic) It is reasonable to prescribe up to 1 tablet  per week as tadalafil is longer acting than sildenafil

PLEASE NOTE: once daily tadalafil 2.5mg or 5mg tablets are considered BLACK on the traffic light system - see Tadalafil (once daily) page for further details here: https://surreyccg.res-systems.net/pad/Search/DrugConditionProfile/4645

Sildenafil (generic) or Tadalafil (generic) are considered  as GREEN on the traffic light system

For patients who do NOT meet SLS criteria 

  • Generic sildenafil (generic) is currently approved for prescribing for those patients
  • Sildenafil (generic) is considered  as GREEN on the traffic light system

Combination treatments (oral & non oral)
These treatments should not be used in combination with other treatments for erectile dysfunction due to the limited evidence available to support their use.(See here for further information https://surreyccg.res-systems.net/pad/Search/DrugConditionProfile/4642

Associated BNF Codes

07. Obstetrics, Gynaecology and Urinary-Tract Disorders
07.04.05. Drugs for erectile dysfunction
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