Erectile dysfunction cream eye error

Doctors in Glasgow have reported a case of an erectile dysfunction cream (Vitaros) being given to a women in error instead of an ocular lubricant (VitA-POS) (BMJ doi:10.1136/bcr-2018-227468). The woman applied the cream and suffered mild chemical injury to her eyes that responded to topical antibiotics, steroids and lubricants.

According to the authors this case is unusual in that neither GP or dispensing pharmacist questioned an erectile dysfunction cream being prescribed to a female patient, with ocular application instructions. The patient also did not query the patient information leaflet that describes how to apply the cream to the tip of the penis.


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