erectile dysfunction

Question 1

treatment

Answer 1

sildenafil 50mg (P)

• 1 tab 1hr before sexual activity

Question 2

s/e of sildenafil

Answer 2

headache
flushing
dyspepsia
nasal congestion
dizziness
nausea
visual disturbance

Question 3

c/i or referrals

Answer 3

• Female
• <18yrs
• Allergy
• Med who don’t have ED
• Premature ejaculation
• hypotension (<90/55mmHg)
• hepatic impairment
• severe renal impairment
• nitrate, alpha blockers, CYP450 inhibitors
• severe CVD -> MI/stroke/TIA in last 6 months, unstable angina, severe HF

Question 4

age licencing for sildenafil

Answer 4

over 18 years

Question 5

counselling

Answer 5

• sexual stimulation required
• taking with food can delay onset, take on empty stomach
• if it doesn’t work the first time, try it on different occasions/multiple times before ruling it ineffective
• s/e