Case scenario

Dale, 58 years old, has come in to obtain a repeat prescription for tadalafil and asks if he can have a chat. You note that this appears to be the second type of PDE5 inhibitor he has been prescribed recently. After inviting him into your consult room, he tells you that despite following all the instructions he still can’t seem to ‘get it up’ in the bedroom. He has recently been referred to a urologist by his GP to discuss alternative options. He has heard that he might be given an injection to try and wants to know more.

After reading this article, pharmacists should be able to:
  • Describe the physiology of an erection 
  • Discuss the use of intracavernosal injections in managing erectile dysfunction 
  • Explain how pharmacists can help assist patients experiencing
    erectile dysfunction.

Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.5

Accreditation number: CAP2410SYPTS

Accreditation expiry: 30/09/2027

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Introduction

Erectile dysfunction (ED) is defined as difficulty in gaining or maintaining a penile erection sufficient for sexual activity.1 It is often measured and graded using a questionnaire titled ̵

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