Cialis on NHS should be limited to two pills a month.

Cialis prescriptions should be limited to two pills a month, according to new recommendations by NHS managers.

GP's are being urged to limit Cialis under new guidelines from The South Central Priorities Committee. The document also advised against counselling for sexual problems.

The recommendations to reduce erectile dysfunction medication such as Cialis cover health trusts in Milton Keynes, Oxfordshire, Berkshire East, Berkshire West and Buckinghamshire.

Cost-effectiveness

The recommendations to reduce erectile dysfunction medication such as Cialis appear in a document from the priorities committee in which GPs are urged to apply the two-tablet limit to prescriptions for the erectile dysfunction drugssildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis).

It said the committee had "considered the evidence of clinical and cost-effectiveness in reducing erectile dysfunction medication such as Cialis and the financial impact on the health economy of treatment for erectile dysfunction".

This is despite existing NHS guidance saying there "appears to be no clinical reason to restrict the number of tablets" of erectile dysfunction medicine, such as Cialis, prescribed to an individual.

Erectile dysfunction drugs such as Cialis are already restricted on the NHS to people suffering from conditions such as diabetes, prostate cancer, spinal injury, Parkinson's disease, spina bifida, multiple sclerosis and polio.

"Psychosexual interventions such as counselling and psychotherapy comprise a group of techniques with limited evidence for effectiveness and no evidence of cost-effectiveness," it stated.

A spokesperson for NHS Buckinghamshire and Oxfordshire said the committee "cannot prohibit prescribing erectile dysfunction medication such as Cialis but will form a recommendation to GPs."

Richard Hoey, editor of GP magazine, Pulse, said: "Limiting patients to erectile dysfunction drugs like Cialis to just twice a month is to treat sex like an unnecessary luxury, and completely fails to recognise the degree of anguish it can cause some men with erectile dysfunction."

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