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Similar topics. Drug treatment can be provided only to patients whose erectile dysfunction is due to specified causes, including diabetes, multiple sclerosis, and major pelvic surgery, and where it causes severe distress, as assessed by a specialist.

Treating peripheral vascular disease in the feet and toes in patients with diabetes is an NHS priority. So why is disease affecting another set of peripheral vessels not considered as important? But Viagra is only one of the treatment options for erectile dysfunction. Patients should be assessed for the best treatment for them.

We chose Viagra as it has a longer licence than the other treatments available and so more safety data was available. We also have a leaflet containing information on other treatment options available to patients. Patients wishing to join the Boots programme, which is open to men aged , have to be registered with a UK doctor and have to have an initial consultation with a pharmacist.

This follows a strict protocol to assess their suitability for treatment with sildenafil. The consultation includes taking a medical history, establishing patients' symptoms of erectile dysfunction, and checking their blood pressure, cholesterol, and blood glucose.

The pharmacist also asks about any other medications—including nitrates, which are contraindicated for concurrent use of sildenafil—and about medical conditions that affect patients' suitability for the drug. Patients meeting the criteria are then supplied with an initial four tablets of sildenafil. Men wanting to receive a continued supply of sildenafil are then required to have a consultation with a private doctor, which is arranged by Boots, for a further medical and physical examination to assess their suitability.

Results of all consultations, with the pharmacist and private doctor, are communicated back to the patient's GP. If Viagra or the competing drugs was universally available on the NHS for erectile dysfunction there would be no need for a system such as the Boots one.

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