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    Up until fairly recently, medicines for erectile dysfunction (ED) could only be prescribed on the NHS if your erectile dysfunction was associated with a limited list of medical conditions. However, in August 2014 the Department of Health changed prescribing restrictions to allow generic sildenafil to be prescribed by GPs on the NHS. This followed the expiry of the patent on Viagra, which has allowed other drug companies to manufacture unbranded, generic versions of the medicine for much cheaper. Other medicines for erectile dysfunction (including Viagra as the branded medicine) are still only available on the NHS for men with a limited list of medical conditions. These are: If your ED is judged to cause you severe distress, you can also receive treatment on the NHS - although this will need to be assessed by a specialist. Men who were already receiving NHS treatment for erectile dysfunction on 14 September 1998 can continue to receive it on the NHS. All other men with erectile dysfunction who wish to have treatment with medicines other than generic sildenafil will need to be prescribed treatment by their GP on a private prescription. In England, if you qualify for NHS treatment, you will need to pay a prescription charge for each item on an NHS prescription, unless you fall into one of the groups that are exempt from payment. Elizabeth Sukkar is a freelance journalist based in London. She has acted as deputy news editor of The Pharmaceutical Journal, where she has written and edited news/features/leaders about about health, medicine, science and pharmaceutical policy. She has contributed stories to the BMJ and the Guardian and was formerly world editor of Scrip Intelligence where she won two Informa journalist of the year awards. Gopa Mitra, outgoing director of health policy and public affairs at the Proprietary Association of Great Britain, which represents manufacturers of non-prescription medicines and food supplements, explains that self-selection of pharmacy medicines will not affect patient safety, and considers the decline in switches from prescription-only to pharmacy medicine. GM: There are a number of factors that have slowed it all down. A lot of that is to do with the regulatory burden placed on companies, which has been very difficult. If they go down the switch route, it is unclear whether they are going to come out with an application that is going to be granted in the right circumstances.

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