Patient Information Department of Urology 15/Info_04_11. Viagra, Cialis or Levitra treatment for erectile dysfunction: frequently-asked questions
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1 Patient Information Department of Urology 15/Info_04_11 Viagra, Cialis or Levitra treatment for erectile dysfunction: frequently-asked questions What are these drugs? Viagra (Sildenafil), and the newer agents Cialis (Tadalafil) and Levitra (Vardenafil), work by using the body s natural mechanism to control erection. They inhibit the naturally-occurring enzyme, phosphodiesterase, which turns off an erection, thereby allowing an erection to be achieved and maintained more easily. What are they used for? These drugs are only licensed for use in men with erectile dysfunction (impotence). They are not recommended for men with normal erections who simply wish to improve their sexual performance. They are not licensed for use in female sexual dysfunction. The drugs have no effect on sexual desire (libido), ejaculation or fertility Page 1 of 5
2 What do they do? These drugs augment an existing erection that has to be achieved by normal sexual stimulation. The drugs do not produce erections in their own right. Sexual stimulation, therefore, is an essential part of the process when these drugs are taken. How do I get these drugs? You can obtain a prescription for Viagra, Cialis or Levitra from your GP. You may be eligible to an NHS prescription if you are suffering from certain specified conditions but this only applies to 15-20% of patients. The remaining 80-85% who do not suffer from these diseases will need to obtain the drugs by private prescription from their GP. Eligible conditions for NHS prescription: Diabetes mellitus Injury (spinal cord or pelvis) Multiple sclerosis Poliomyelitis Prostate cancer Psychological distress (severe) Renal failure Single-gene neurological disorders Spina bifida Surgery (prostatectomy & radical pelvic surgery) If you have any problem obtaining a prescription, you should contact your Consultant Urologist or Specialist Nurse directly. Who can I contact for more help or information? Oncology Nurses Uro-Oncology Nurse Specialist Page 2 of 5
3 Bladder cancer Nurse Practitioner (haematuria, chemotherapy & BCG) Prostate cancer Nurse Practitioner Non-Oncology Nurses Urology Nurse Practitioner (incontinence, urodynamics, catheter patients) or Patient Advice & Liaison Centre (PALS) +44 (0) or (0) or PatientLine *801 (from patient bedside telephones only) E mail pals@addenbrookes.nhs.uk Mail PALS, Box No 53 Addenbrooke's Hospital Hills Road, Cambridge, CB2 2QQ Chaplaincy and Multi-Faith Community +44 (0) E mail derek.fraser@addenbrookes.nhs.uk Mail The Chaplaincy, Box No 105 Addenbrooke's Hospital Hills Road, Cambridge, CB2 2QQ MINICOM System ("type" system for the hard of hearing) +44 (0) Access Office (travel, parking & security information) +44 (0) Other information This leaflet contains guidelines and advice from professional bodies, together with information about the prescription of drugs. All NHS hospitals have local arrangements with their Primary Care Trusts (PCTs) about which medicines can be used. As a result, some drugs mentioned cannot be prescribed by local hospitals. Page 3 of 5
4 Treatment of patients will be planned with the Consultant responsible for care, taking into account those drugs which are or are not available at the local hospital and what is appropriate for optimum patient care. Healthcare professionals are advised to check prescribing arrangements with their local hospital or PCT. How can I get information in alternative formats? Please ask if you require this information in other languages, large print or audio format: or Polish Portuguese Informacje te można otrzymać w innych językach, w wersji dużym drukiem lub audio. Zamówienia prosimy składać pod numerem: lub wysyłając Se precisar desta informação num outro idioma, em impressão de letras grandes ou formato áudio por favor telefone para o ou envie uma mensagem para: Russian Если вам требуется эта информация на другом языке, крупным шрифтом или в аудиоформате, пожалуйста, обращайтесь по телефону или на вебсайт Cantonese 若你需要此信息的其他語言版本 大字體版或音頻格式, 請致電 或發郵件到 : Turkish Bu bilgiyi diger dillerde veya büyük baskılı ya da sesli formatta isterseniz lütfen su numaradan kontak kurun: veya asagıdaki adrese e-posta gönderin: Bengali Page 4 of 5
5 Addenbrooke s is smoke-free. You cannot smoke anywhere on the site. Smoking increases the severity of some urological diseases and increases the risk of post-operative complications. For advice on quitting, contact your GP or the NHS smoking helpline free on Document history Author(s) Nikesh Thiruchelvam (on behalf of the Consultant Urologists) Department Department of Urology, Box No 43 Addenbrooke s Hospital Cambridge University Hospitals NHS Foundation Trust Hills Road Cambridge, CB2 2QQ Contact number Fax number Dept website First published May 2005 Review date April 2014 File name Version number 6.0 Ref 15/Info_04_11 Page 5 of 5
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