[bryony]

Hi A,

gosh you've had some serious problems! I wish you well in your recovery!

I looked into eplerenone (thanks for the information) but find that it has never been approved in Canada and is not available.

Who told you that? It seems to conflict with this:
http://www.newswire.ca/en/story/555361/inspra-approved-as-adjunct-to-standard-therapy-to-reduce-risk-of-death-following-a-heart-attack

and this:
www.pfizer.ca/en/our_products/products/patient_infosheet/172

Although this seems to imply it was not listed...
http://www.cadth.ca/media/cdr/complete/cdr_complete_Inspra_November-27-2009.pdf

And purely for economic reasons, too... it seems that the lessened chance of gynocomastia (and by implication, E.D.) wasn't considered worth the cost!

I don't know the legal status of CEDAC recommendations, but that was November 2009. This is 28 Jul 2010:

www.gov.ns.ca/health/Pharmacare/info_pro/pharmacists_bulletins/pharma_bulletins/Pharmacists%20Bulletin%2010-09.pdf


So it looks like it is approved, but not for Canadian insurance (?) purposes, and you may have to pay the full economic cost of it yourself. From the description, it looks safer, and may help with the ED, but I have no qualification to make any judgement - just trying to help.

Good luck!

B.
PS Looks like your CEDAC has all the ethical standards of our oxymoronically named NICE committee...