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Discuss ...
Risk factors IHD and diabetes
Consider bloods related to IHD (??testos and PSA)
Psychosex issues - ?send to relate

 phosphodiesterase type V inhibitor used in the treatment of impotence

''Contraindications''
    patients taking nitrates and related drugs such as nicorandil
    hypotension, recent stroke or myocardial infarction
    non-arteritic anterior ischaemic optic neuropathy

''Side-effects''
    visual disturbances e.g. blue discolouration, non-arteritic anterior ischaemic neuropathy
    nasal congestion
    flushing
    gastrointestinal side-effects
    headache

Also Tadalafil (Cialis), Avanafil (Spedra) or Vardenafil (Levitra)
note can use 2.5 or 5mg Cialis daily if wanting sex >twice per week
note tadalafil has longer duration (36hr) cf sildenafil (6hr)
only sidenafil on NHS unless in special group - see GPnotebook

Other Rx for ED includes
Muse urethral sticks - Alprostadil
Cavaject - Alprostadil
Gel