erectile dysfunction (ED)

• Erectile Dysfunction (ED)

  Inability to achieve/ maintain a penile erection sufficient for satisfactory performance
• red flag Symptoms of ED

  • Dizziness/ Nausea
  • Sudden decrease/ loss of vision
  • Priapism - long lasting painful erection, erection longer than 4hrs can damage the penis
  • chest pains which do not go away- sit in semi sitting postion to relax. DO NOT USE GTN SPRAY
  • Serious skin reactions : steven-johnson syndrome
  • hypotension
  • hepatic/renal impairment/ CVS conditions
  • if patient doesn't have ED, sildenafil will not work
• Sildenafil (Viagra Connect)

  • Licensed for males over 18 years of age
  • 50mg tablet. One to be taken one hour before sexual activity
  • Maximum one daily. Sexual stimulation is required for sildenafil to work
• Side effects of sildenafil

  • Headaches
  • Flushing
  • Dizziness
  • Nausea
• Medications to avoid with sildenafil

  • NITRATES (GTN, isosorbide mononitrate)
  • VIAGRA CONNECT
  • NITRIC OXIDE DONORS (nicorandil)
• Starting Viagra connect

  Advise patients to book a check up with GP within fist 6 months
• counselling in ED

  Grapefruit juice can increase sildenafil blood levels