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Have low blood pressure, or high blood pressure that is not controlled Have a deformed penis shape Have had an erection that lasted for more than 4 hours Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia Have retinitis pigmentosa, a rare genetic (runs in families) eye disease Have ever had severe vision loss, including an eye problem called NAION Have bleeding problems Have or have had stomach or intestinal ulcers Have liver problems Have kidney problems or are having kidney dialysis Have any other medical conditions. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Levitra® may affect the way other medicines work, and other medicines may affect the way Levitra® works, causing side effects. Tell your healthcare provider if you take any of the following because these drugs interact with Levitra®: Medicines called nitrates Medicines called guanylate cyclase stimulators such as Adempas® (riociguat) Medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin).

Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure.

In some patients, the use of VIAGRA® or generic VIAGRA® with alpha-blockers can lead to a drop in blood pressure or to fainting Medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®) Oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®) Antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin Other medicines that treat high blood pressure Other medicines or treatments for ED Levitra® should not be used with Revatio® (sildenafil citrate) or with other PAH (pulmonary hypertension) treatments containing sildenafil citrate or any other PDE5 inhibitors (such as Adcirca [tadalafil]) Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

Rarely reported side effects include: an erection that will not go away (priapism) . If you have an erection that lasts more than 4 hours, get medical help right away. If it is not


right away, priapism can permanently damage your penis.

Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors directly cause the vision loss.

Stop taking Cialis® and call your healthcare provider right away if you have sudden vision loss in one or both eyes. Some people may also have ringing in their ears (tinnitus) or dizziness.

If you have these symptoms, stop takingCialis® or generic Cialis® and contact a doctor right away.

The most common side effects of Viagra® and generic Cialis® are: headache flushing upset stomach abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision stuffy or runny nose muscle pain nausea dizziness rash back pain.

In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking Levitra®. Most, but not all, of these men had heart problems before taking Levitra®.

Tell your healthcare provider if you have any side effect that bothers you or


not go away. These are not all the possible side effects of Levitra®. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088.

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following MedicineNet.com areas: sildenafil (Viagra) Impotence (Erectile Dysfunction) article Impotence Center Focus Topics on Men's Health.

August 19, 2003 -- The Food and Drug Administration approved Levitra (vardenafil), an oral medication to treat erectile dysfunction in men (impotence).

This is the second oral product approved for the treatment of erectile dysfunction. (Sildenafil, better known as Viagra, was the first.) Erectile dysfunction affects millions of men in the United States.

Levitra acts by relaxing muscles in the penis and blood vessels, allowing increased blood flow into the penis, which produces an erection.

Levitra was evaluated in randomized, placebo-controlled trials involving more than 2000 men with erectile dysfunction.

In two of the trials men had erectile dysfunction associated with diabetes mellitus or following radical prostatectomy for prostate cancer. The drug's effectiveness was assessed using a sexual function questionnaire. In addition, patients were asked to report if they were able to achieve an erection adequate for intercourse and whether the erection was maintained to allow completion of



In all of the trials, Levitra improved patients' ability to achieve and maintain a penile erection.

The recommended dose is 10 mg taken 1 hour before sexual activity. A higher dose of 20 mg is available for patients whose response to the 10 mg dose is not adequate.

Two lower doses (2.5 mg and 5.0 mg) are also available and may be necessary for patients taking other medicines or having medical conditions that may decrease the body's ability to metabolize vardenafil (Levitra). Levitra should not be used with nitrates (such as nitroglycerin tablets or patches) or with alpha-blockers (medicines that may be used to treat benign prostatic hyperplasia and/or high blood pressure such as tamsulosin, terazosin, doxazosin, and alfuzosin) because the combination of an alpha-blocker with Levitra may significantly lower the blood pressure and lead to fainting in some men.

Currently, there is no information available to support the safety of even the lower doses of vardenafil taken together with alpha-blockers.

In addition, Levitra should not be used in patients who have a rare heart condition known as "prolongation of the QT interval" because of the possibility of producing abnormal heart rhythm. Because some drugs may affect the metabolism of Levitra, patients should inform their doctors that they are taking Levitra and they should not begin taking new medicines without informing their doctor. For example, patients taking erythromycin should not take more than a 5 mg dose of Levitra and a maximum dose of 2.5 mg Levitra once every 72 hours is the maximum recommended dose for


who are taking the protease inhibitor ritonavir (Norvir) for HIV/AIDS.

Levitra should not be taken by men in whom sexual activity is inadvisable because of their underlying cardiovascular status (heart condition). Patients should inform their doctor about any heart problems they have experienced before taking Levitra.

Levitra is not recommended in patients who have suffered a heart attack or stroke within the last six months, or patients who have significantly low blood pressure, uncontrolled high blood pressure, unstable angina, severe liver impairment, end stage renal disease requiring dialysis, or the eye disorder retinitis pigmentosa. The most common side effects reported in clinical trials included headache, flushing, rhinitis (runny nose), and indigestion. A small number of patients taking Levitra also reported abnormal vision.

Before taking Levitra, patients are advised to undergo a thorough medical history and physical examination to diagnose the underlying cause of the erectile dysfunction and to identify appropriate treatment.

Levitra confers no protection against AIDS or other sexually transmitted diseases. Levitra is manufactured by Bayer Corporation in Germany and will be distributed by Glaxo Smith Kline. User Reviews for Levitra to treat Erectile Dysfunction.

The following information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, knowledge and judgement of healthcare practitioners.

Compare all 14 medications used in the treatment of Erectile Dysfunction. Works very well, especially if I take it on an empty stomach.

Very reliable - I have always been able to have sex after an hour wait. Stuffy nose side effect.” “First time I tried this I was to quick to get with my wife. About a half hour later after we made love the medicine was obviously working full force.

I made a point of waiting an hour at minimum before we got together.

My side effects were flushing, stuffy nose and a bit of anxiety ( I’m anxious by nature trying a new med ) none of the side effects could dissuade me from using this again. It is my hope to use this medicine as a bridge to better health and weight loss. If you’re having true difficulties, give this med a try. Started Viagra 25 mg at age 75years old when my plumbing became unreliable.

Had to increase over the years to more than 100 mg and still not a sure thing. Also take 5 mg Cialis daily for BPH and have mild version of prostate cancer.

Ordered one Levitra 20 mg for a test and paid $26.44. It was well worth it and both my wife and myself got our money's worth.” “I guess it worked for ED issues but had a headache so bad thought it gave me an aneurysm.

Can not function and leaves me unable to even move sometimes. Was prescribed another med to take before attempting sex to prevent headache but 90+ percent of time it's bad and debilitating.

Did not have headaches during sex before trying it.” “71 years old; Have been taking for 10 years; use 10 mg, take it 45 minutes after eating; love it - full and hard erections with stimulation - every time; some flushing of face and mild indigestion.” “Longer time for reaction than viagra” “I have been taking Levitra for years I was 350 lbs and it worked great now that I've lost 100 lbs its not working and I don't know why I'm off all my meds due to weight loss and now it doesn't work at all.

The only thing I'm taking now is a asprin a day that I wasn't taking before I would like to know what happened the doctor doesn't know why it quit working after all these years” “Took 100mg. I am 72 and going 2-4 times a week” “I'm 64 and have been taking viagra for several years. I received a sample of 20mg levitra x10 and wow, I'm switching.

Had hard erections on and off all day and the next.

very happy.” “Had tried Levitra 20mg but only got semi hard and not solid erection and could not come at all.

Have recently tried Levitra professional and hardly worked at all yet they say this an improved version but did nothing for me at all.


disappointing” “I started with Levitra 10 mg almost 3 month ago.

The first time I used it it took 90 minutes for the erection. After that it took from 150 to 180 minutes For the erection. Why?” “Having tried 10mg which started to work I tried the 20mg.

Took over 90 minutes before it kicked in and started getting aroused .Tried intercourse 5 times but each time lost my erection after a few minutes so very disappointed Apparently they now have a new more recent and improved Levitra called Levitra professional so will try that and see if any better” “I used 10mg Levitra for the first time. Certainly fuller and wider but not longer but still couldn't come.

Tiny bit of face flushing but did have 1 large glass of white wine to relax before initiating anything. Think if I had taken 20 mg it would have done the trick as 10mg too weak for me and much better than viagra or Cialis. Will definitely use again but 20mg next time” “Best I've used yet ,definitely” “Experience is generally very positive.

Mostly strong results with manageable flushing and head pressure.

However there have been a few times that the drug has let me down with good sexual stimulation.

I have wondered if the drug interfered with orgasm but maybe that’s just the reality of being 63. Fortunately I maintained an erection so I was able to please my partner (a lot) which was more important to me than my orgasm. The drug indications are that it can be taken without regard to food but avoid just grapefruit. I am reading a few reviews online that taking it with an empty stomach produces better results. Sometimes when I take it I


no symptoms at all and that’s when I sometimes think it may not be successful.

I’m wondering if it’s possible to build up a tolerance to it.” “Tried all three (V, C, and L), but Levitra works the best for me.

About 30mins to 1 hr in, I have a very strong erection. I can usually ejaculate and still maintain an erection. (mixed blessing for my SO's) I should note that I don't ejaculate as much semen while on other ED meds. However, it tends to work best for me after several hours, and usually I can maintain a rock hard erection well into the next day.” “After nerve-sparing radical prostatectomy at 48, I recovered function after a few months.

After 15 years, erections that are "adequate" gradually become more of a challenge and recently started Levitra. (I had liked it better than Viagra or Cialis when I was still recovering from surgery, before nature helped make them unnecessary.) I tried 20mg and was VERY pleased with the result, but felt "buzzed" and uncomfortable for days. Cut it in half, and still effective (though not as dramatic).

Cut again to 1/4 and happy with the results.” “It’s probably individual. Try all three main ED drugs and choose the one best for you at the moment. I get no side effects until I’ve been taking it 4-5 Days running.

Stomach upset worse with Levitra, so that’s a wash. Pick your poison!” Levitra Vs Viagra: Finding The Best ED Treatment For You.

Andy is a co-founder, the superintendent pharmacist and director at The Independent Pharmacy. Each medication helps treat erectile dysfunction (ED) issues by increasing the blood flow to the


and are proven to help men achieve harder, longer-lasting erections for sexual activity. The main difference between Levitra and Viagra is the active ingredient that the two medications contain. Viagra’s active ingredient is Sildenafil, and Levitra’s is Vardenafil. Here’s lady era for sale near me what you need to know about the difference between Sildenafil and Vardenafil: Vardenafil (Levitra) helps men: Achieve an erection within 30 minutes Provides an erection for up to 5 hours. Sildenafil (Viagra) helps men: Achieve an erection within 30-60 minutes Provides an erection for up to 4 hours.

As you can see, there is very little to choose between Levitra and Viagra in terms of effectiveness. Levitra, on average, works a little quicker and provides an erection that lasts a little longer. It’s also important to note that both only work when you are sexually aroused, meaning you need to engage in foreplay to experience the best results.

To learn more about Vardenafil, read our dedicated guide for a comprehensive overview page: What is Levitra?.

One of the main differences between Levitra and Viagra is the effectiveness of the two medications when ingested with food. Food delays the absorption of all medication in the system.

If you eat a large or fatty meal before taking Viagra, the effects are likely to be significantly reduced.

Levitra, on the other hand, is typically less affected by food.

The one main exception is grapefruit, which has been proven to significantly reduce the effect of the medication.

An alternative to both Levitra and Viagra is Cialis, which does not contain either Vardenafil or Sildenafil.

Instead, it contains a different active ingredient called Tadalafil. By increasing blood flow to the penis, it works in a similar way to both Levitra and Viagra. However, Cialis helps men: Achieve an erection within 30 minutes Maintain an erection for up to 36 hours. The main difference is that Cialis stays in your system for much longer than both Levitra and Viagra, therefore helping men to achieve an erection for longer. Levitra dosages and Cialis dosages available are very similar: 5mg, 5mg, 10mg, and 20mg.

Viagra, by comparison, is available in larger three doses: 25mg, 50mg, and 100mg. To see what actual users thought about Cialis as a treatment for ED read our Cialis reviews. As the name suggests, Cialis Daily is designed to be taken every day. The medication is for men who like to have spontaneous sex more than three times a week. When taking Cialis Daily, you don’t need to take a pill 30 minutes or an hour before sex.

Instead, you keep your body topped up with the medication on a permanent basis, meaning you should be able to achieve an erection whenever you want to engage in sexual activity and without the need to plan ahead. Compared to Levitra, Cialis Daily is only available in smaller packets of 2.5mg and 5mg tablets. Below you will find a table comparing Levitra, Viagra, and Cialis by price, dosages, how long it takes to work, and more.

Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction.

1 The University of Queensland, School of Biomedical Sciences, Australia.

Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction. Search in PubMed Search in NLM Catalog Add to Search.

1 The University of Queensland, School of Biomedical Sciences, Australia. Erectile dysfunction (ED) affects up to 50% of men, between 40 and 70 years of age. In the first major trial of sildenafil in ED, at 24 weeks, improved erections were reported by 77 and 84% of men taking sildenafil 50 and 100mg, respectively.

Subsequently, sildenafil has been reported to be effective in men with ED associated with diabetes and prostate cancer, and in psychogenic ED.

Sildenafil is safe in men with coronary artery disease, provided it is not used with the nitrates (a contraindication).

The most commonly reported adverse effects with sildenafil are headache, flushing and dyspepsia. Vardenafil is more potent and more selective than sildenafil at inhibiting phosphodiesterase-5.

Vardenafil is similarly effective to sildenafil in the treatment of ED.

The only advantage that vardenafil has over sildenafil is that it does not inhibit phosphodiesterase-6 to alter colour perception, a rare side effect which sometimes occurs with sildenafil.

Tadalafil has a longer duration of action than sildenafil and vardenafil.

Tadalafil is similarly effective as sildenafil in the treatment of ED.

In comparison studies, tadalafil is preferred to sildenafil (50/100mg) by men with ED, possibly because of its longer duration of action.

Of the phosphodiesterase inhibitors, tadalafil may displace sildenafil as the drug of choice among men with ED.

Report Side Effect Related Medicines Same active ingredients Same company Bookmark Email.

What is a Patient Information Leaflet and why is it useful? The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine.

It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.

Below is a text only representation of the Patient Information



The original leaflet can be viewed using the link above. The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet are: EU/1/03/248/009, EU/1/03/248/012, EU/1/03/248/010, EU/1/03/248/011.

Due to regulatory changes, the content of the following Patient Information Leaflet may vary from the one found in your medicine pack.

Please compare the 'Leaflet prepared/revised date' towards the end of the leaflet to establish if there have been any changes. If you have any doubts or queries about your medication, please contact your


or pharmacist. Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

If you have any further questions, ask your doctor or pharmacist.

It may harm them, even if their signs of illness are the same as yours. If you get any side effects, talk to your doctor or pharmacist.

This includes any possible side effects not listed in this leaflet. Levitra contains vardenafil, a member of a class of medicines called phosphodiesterase type 5 inhibitors. They are used for the treatment of erectile dysfunction in adult men, a condition which implies difficulties in getting or keeping an erection.

At least one in ten men has trouble getting or keeping an erection at some time.

There may be physical or psychological causes, or a mixture of both. Whatever the cause is, due to muscle and blood vessel changes not enough blood stays in the penis to make it hard and keep it hard.

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