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Cialis / Tadalafil no longer on NHS

User
Posted 08 Nov 2018 at 13:26

I have just checked my medical records on the EMIS Patient Access App, and there is a letter there - which I have yet to receive by post - ostensibly from my GP practice, but in reality from some bureaucrat somewhere within my NHS Trust, stating that my daily 5mg Cialis/Tadafil prescription is being changed to an occasional Sildenafil/Viagra tablet on financial grounds.

Tadalafil will still be available on private prescription at around sixty quid a month.

I wonder if that bureaucrat is aware that Cialis went off patent last November, and there are at least four other pharma firms making generic Tadalafil as well as the original inventors Eli Lily, and that the costs of the generic versions of Viagra and Cialis are similar? The urology nurse I saw yesterday at our billion pound super hospital knew nothing about the new policy, or even that Cialis was “off licence”.

Unfortunately I am allergic to Viagra, and the genuine Viagra I bought from the pharmacy at Wal-Mart in Acapulco years ago, and the night of rampant sex I had planned, going loco down in Acapulco, ended up with me in bed with a headache.

It could be worse, my 70 year old mate in America went to the doctor seeking a bit of erectile augmentation, and the doctor asked: “How many Viagra do you want?”

”Give me six month’s worth, let’s say 100”. The doctor was well impressed. They cost him a fortune then.

Unfortunately he took the first one and suffered nausea and headache and had 99 left!

I‘ll see how it pans out when I have a consultation with the GP next week for my penis pump. Does James Dyson make a cordless one? If I ever do have another erection I will want to run round the house with it, masturbating furiously, not being connected by a cable to a plug socket!😉

Cheers, John

Edited by member 08 Nov 2018 at 14:40  | Reason: Not specified

User
Posted 08 Nov 2018 at 16:27
I had EXACTLY the same letter , sent an email to my GP complaining and he immediately over-ruled it. And tadalafil is cheap and generic now anyway. You’ll be ok. May all your courgettes become marrows my friend ;-)

If life gives you lemons , then make lemonade

User
Posted 08 Nov 2018 at 18:32
Marrow? I seem to have nothing more than a pickled gherkin currently!

We live in hope!

Cheers, John.

User
Posted 10 Nov 2018 at 13:54
I have just been prescribed tadalafil 5mg for one year so there must be some regional variations?
User
Posted 10 Nov 2018 at 14:11
Yes it is a regional issue. NICE says that men with ED as a result of prostate cancer or the treatment they had for PCa are entitled to

- a vacuum pump

- 4 Viagra, Cialis, Caverject or Muse doses per month

NICE also notes that post-RP men may benefit from daily Cialis in the first two years.

It is for CCGs to determine whether they are going to comply with NICE guidelines. In some CCGs, they have decided not to provide pumps. In some CCGs they absolutely refuse to approve daily Cialis. Some CCGs have withdrawn ED / andrology services and handed it all to the GPs to manage themselves. And now it seems some CCGs are withdrawing approval of Cialis or Viagra even in the generic forms.

Challenge it with the CCG or hope your GP ignores local protocols .... or buy it online.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 10 Nov 2018 at 14:18
I’m quite matey with my current GP, the one at the practice who finally ticked the PSA box last November, and possibly saved my life, so I am sure we will sort something out.

At the moment my daily Tadalafil is literally money down the drain!

Cheers, John.

User
Posted 10 Nov 2018 at 14:53
Very early still. Keep the faith and get that pump into a daily habit. I use mine whilst shaving. Bit of soapy water on the old fella and off we go !! I swear three and a half years on it’s been the saviour of my love life.

If life gives you lemons , then make lemonade

 
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