Potential Side Effects and Important Safety Information

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Do not use any other medicine to treat impotence unless your doctor tells you to.

Get emergency medical help if you have signs of an allergic reaction

Your Path to Improved Intimacy

Allow 24 hours to pass between doses. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Grapefruit and Seville oranges may interact with vardenafil and cause side effects. Avoid consuming grapefruit products and orange marmalades. Drinking alcohol can increase certain side effects of Levitra. to Levitra: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Advice Explanation
Avoid alcohol Can decrease effectiveness or increase side effects
Do not take with fatty meals May delay absorption
Report adverse effects Seek medical attention for prolonged erection or vision changes
Follow prescribed dose Do not alter dose without consulting healthcare professional

Stop using Levitra and get emergency medical help if you have: heart attack symptoms - chest pain or

Condition Description Recommended use
Erectile Dysfunction Difficulty in achieving or maintaining an erection As prescribed by a doctor
Pulmonary Arterial Hypertension Off-label use in some cases Not approved without supervision
Menopause-related Sexual Dysfunction Experimental treatment Not approved officially

pressure, pain spreading to your jaw or shoulder, nausea, sweating; heart attack symptoms - chest pain or pressure, pain

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spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or vision changes or

Final Thoughts

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect. You should not use Levitra if you are allergic to vardenafil, or if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas). Do not take Levitra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers").

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Taking vardenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure. To make sure Levitra is safe for you, tell your doctor if you have ever had: a heart attack, stroke, or congestive heart failure; a heart attack, stroke, or congestive heart failure; long QT syndrome (in you or a family member); long QT syndrome (in you or a family member); a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; an eye disorder such as retinitis pigmentosa (an inherited condition of the eye); an eye disorder such as retinitis pigmentosa (an inherited condition of the eye); a physical deformity of the penis (such as Peyronie's disease); a physical deformity of the penis (such as Peyronie's disease); if you have been told you should not have sexual intercourse for health reasons; or if you have been told you should not have sexual intercourse for health reasons; or liver disease, kidney disease (or if you are on dialysis). liver disease, kidney disease (or if you are on dialysis). Vardenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old.

J. Urol.

It is not clear whether vardenafil is the actual cause of vision loss. Levitra is not approved for use in women, and the effects of this medicine during pregnancy or in breastfeeding women are unknown. Take Levitra exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Levitra can be taken with or without food. sudden vision loss; or erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis).

Country Legal Status Prescription Requirement
USA Prescription drug Yes
UK Prescription only medicine Yes
Australia Prescription-only medicine Yes
Canada Prescription drug Yes

erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis).

Stop using Levitra and call your doctor at once if you have: ringing in your ears, or sudden hearing loss; ringing

More about Levitra (vardenafil)

Diagnosis and treatment of erectile dysfunctionAm.J. et al.Safety and efficacy of vardenafil for the treatment of men with erectile dysfunction after radical retropubic prostatectomyJ. et al.The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunctionUrology(1997) et al.Achieving treatment optimization with sildenafil citrate (Viagra(R)) in patients with erectile dysfunctionUrology(2002) et al.Sustained efficacy and tolerability of vardenafil (Levitra®), a highly potent, selective phosphodiesterase-5 inhibitor, in men with erectile dysfunction: results of a randomized, double-blind, 26-week placebo-controlled pivotal trialUrology(2003) et al.Non-surgical management of erectile dysfunctionClin. Pharmacotherapy for erectile dysfunction2010, Journal of Sexual MedicineCitation Excerpt :The overall grade of recommendation is grade A. Further, there is clear evidence that vardenafil is efficacious in a number of special populations of men where the ED has arisen secondary to a specific disease such as diabetes [117–119], men with ED secondary to radical retropubic prostatectomy [120], depression [121], hypertension [122], spinal cord injury and ED [123], hyperlipidemia [124] and men who have previously failed to respond to sildenafil [125].

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Although side effects do occur with vardenafil (most notably headache, flushing, indigestion and nasal congestion), providing that the drug is used in line with the labeling recommendations, there is no convincing evidence in the literature of any significant safety issue, including cardiovascular, visual and aural safety [105–127]. A single phase 3 study confirms that udenafil is effective in a broad population of Korean men with ED (level of evidence: 1) [128]. The overall grade of recommendation is grade A. Phosphodiesterase Type 5 Inhibitors: The Day After2007, European Urology A comprehensive review of erectile dysfunction in men with diabetes2015, Experimental and Clinical Endocrinology and Diabetes Oral phosphodiesterase-5 inhibitors and hormonal treatments for erectile dysfunction: A systematic review and meta-analysis2009, Annals of Internal Medicine Supported by: Bayer Corporation, Bayer AG, GlaxoSmithKline. The other ingredients of the tablets are: Tablet core: crospovidone, magnesium stearate, microcrystalline cellulose, colloidal anhydrous silica.

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Levitra 20 mg film-coated tablets are orange with the BAYER cross on one side and the strength (20) on the other side. The tablets are provided in blister packs containing 2, 4, 8 or 12 tablets. Not all pack sizes may be marketed. Marketing Authorisation Holder: Bayer Schering Pharma AG, 13342 Berlin, Germany Manufacturer: Bayer Schering Pharma AG, 51368 Leverkusen, Germany For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder. Generic name: vardenafil [ var-DEN-a-fil ] Drug class: Impotence medications The Levitra brand name has been discontinued in the U.S. in your ears, or sudden hearing loss; swelling in your hands, ankles, or feet; swelling in your hands, ankles, or feet; a light-headed feeling, like you might pass out; or a light-headed feeling,

Before taking this medicine

If generic versions of this product have been approved by the FDA, there may be generic equivalents available. Levitra (vardenafil) belongs to a class of medications called phosphodiesterase (PDE) inhibitors. Vardenafil relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. Levitra works by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection.

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Levitra is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Levitra does not cure erectile dysfunction or increase sexual desire. This medicine does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). Some medicines can cause unwanted or dangerous effects when used with Levitra. Tell your doctor about all your other medicines, especially riociguat (Adempas).

Diagnosis and treatment of erectile dysfunction

Do not take Levitra if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking vardenafi with a nitrate medicine can cause a sudden and serious decrease in blood pressure. Call your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage cost levitra costco the penis. Stop using this medicine and get emergency medical help if you have sudden vision loss. like you might pass out; or flushing (sudden warmth, redness, or

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Staxyn (vardenafil disintegrating tablets) should not be used in place of Levitra (vardenafil regular tablets). Avoid medication errors by using only the form and strength your doctor prescribes. Levitra is taken only when needed, about 60 minutes before sexual activity. The medicine can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.

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If you receive medical care for heart problems, tell your caregivers when you last took Levitra. This medicine levitra 20 mg 4 tablet does not prevent the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). Store at room temperature away from moisture and heat. -Initial dose: 10 mg orally once a day, as needed, approximately 60 minutes before sexual activity. Increase to 20 mg or decrease to 5 mg based on efficacy and tolerability. tingly feeling); flushing (sudden warmth, redness, or tingly feeling); This is

Section snippets

-Maximum dose: 20 mg once a day Patients on stable alpha blocker therapy: -Initial dose: 5 mg orally once a day Comments: -Sexual stimulation is required for a response to treatment. -A time interval between dosing should be considered when administering this drug concomitantly with alpha-blockers. 65 years or older: -Initial dose: 5 mg orally once a day, as needed, approximately 60 minutes before sexual activity Comments: Sexual stimulation is required for a response to treatment. Since Levitra is used as needed, you are not likely to be on a dosing schedule. Do not take Levitra more than once a day. not a complete list of side effects and others may occur.