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LEVITRA
LEVITRA ONLINE
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine
must be weighed against the good it will do. This is a decision
you and your doctor will make. For vardenafil, the following
should be considered:
Allergies—Tell your doctor if you have ever
had any unusual or allergic reaction to vardenafil. Also tell your
doctor and pharmacist if you are allergic to any other substances,
such as foods, preservatives, or dyes.
Pregnancy—Vardenafil is not indicated for
use in women. Vardenafil has not been studied in pregnant women.
However, vardenafil has not been shown to cause birth defects or
other problems in animal studies.
Breast-feeding—It is not known whether
vardenafil passes into breast milk. Vardenafil is not indicated
for use in women.
Older adults—Elderly people are especially
sensitive to the effects of vardenafil, which may increase their
chance of having side effects. Patients 65 years of age and older
are started on a lower dose than younger adults. The dose may be
increased by a doctor as needed and tolerated.
Other medicines—Although certain medicines
should not be used together at all, in other cases two different
medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other
precautions may be necessary. When you are taking vardenafil, it
is especially important that your doctor and pharmacist know if
you are taking any of the following:
 | Medicine for irregular heart beats, such as
| Amiodarone (e.g., Cordarone) or
| Procainamide (e.g., Procan SR, Promine, Pronestyl, Pronestyl-SR)
or
| Quinidine (e.g., Cardioquin, Quinaglute Dura-tabs, Quinidex
Extentabs, Quin-Release) or
| Sotalol (e.g., Betapace, Sotacor)—these medicines should
not be used together with vardenafil |
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| Alpha blockers (medicine for high blood pressure) such as
| Terazosin (e.g., Hytrin)
| Tamsulosin (e.g., Flomax)
| Doxazosin (e.g., Cardura)
| Prazosin (e.g., Minipress)
| Alfuzosin (e.g., Uroxatral)—these medicines should not be
used at the same time as vardenafil because they can cause
very low blood pressure and serious side effects |
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| Erythromycin (medicine used to treat infection)—this
medicine may cause there to be more vardenafil in your body;
your doctor may want to adjust your dose of vardenafil |
| Ketoconazole (e.g., Nizoral)
| Itraconazole (e.g., Sporanox)—these medicines may cause
there to be more vardenafil in your body; your doctor may want
to adjust your dose of vardenafil |
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| Indinavir (e.g., Crixivan) or
| Ritonavir (e.g., Norvir, Kaletra)—these medicines may
cause there to be more vardenafil in your body; your doctor
may want to adjust your dose of vardenafil |
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| Nitrates, such as nitroglycerin (e.g., Nitrostat or
Transderm-Nitro)—vardenafil increases the chance of very low
blood pressure and using these medicines together is not
recommended |
Proper Use of This Medicine
Special patient directions come with vardenafil. Read the
directions carefully before you start using vardenafil and each
time you get a refill of your medicine.
This medicine usually begins to work within 60 minutes after
taking it. It continues to work for up to 4 hours. Stimulation is
required for an erection. If you have any questions about the use
and benefits of vardenafil ask your health care professional.
Dosing—
The dose of vardenafil will be different for different
patients. Follow your doctor's orders or the directions on the
label. The following information includes only the average
doses of vardenafil. If your dose is different, do not change
it unless your doctor tells you to do so.
| For oral dosage form (tablets):
| For treatment of erectile dysfunction:
| Adults up to 65 years of age—10 mg as a single
dose no more than once a day, 1 hour before sexual
activity. If needed, your doctor may change your dose.
| Adults 65 years of age and older—5 mg as a single
dose no more than once a day, 1 hour before sexual
intercourse. If needed, your doctor may change your
dose. |
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Storage—
To store this medicine:
| Keep out of the reach of children.
| Do not store in the bathroom, near the kitchen sink, or in
other damp places. Heat or moisture may cause the medicine to
break down.
| Keep the medicine from freezing. Do not refrigerate.
| Do not keep outdated medicine or medicine no longer needed.
Ask your health care professional how you should dispose of
any medicine you do not use. Be sure that any discarded
medicine is out of the reach of children. |
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Precautions While Using This Medicine
Vardenafil has not been studied with other medicines used
for treatment of erectile dysfunction. Using them together is not
recommended .
Use vardenafil exactly as directed by your doctor. Do
not use more of it and do not use it more often than your doctor
ordered. If too much is used, the chance of side effects is
increased.
If you experience a prolonged or painful erection for 4
hours or more, contact your doctor immediately. This
condition may require prompt medical treatment to prevent serious
and permanent damage to your penis.
This medicine does not protect you against sexually transmitted
diseases. Use protective measures and ask your doctor if you have
any questions about this.
It is important to tell your doctor about any heart problems
you may have now or may have had in the past. This medicine can
cause serious side effects in patients with heart problems.
Side Effects of This Medicine
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some
unwanted effects. Although not all of these side effects may
occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the
following side effects occur:
| Less common
| Arm, back or jaw pain; blindness; blurred
vision; body aches or pain; chest pain or
discomfort; chest tightness or heaviness;
chills; cold sweats; confusion;
congestion ; cough; decreased vision ;
difficult or labored breathing; difficulty
swallowing; dizziness; dizziness, faintness,
or lightheadedness when getting up from lying or sitting
position; dryness or soreness of throat; eye
pain; fainting; fast, irregular, pounding, or
racing heartbeat or pulse; fever; headache;
hives; hoarseness; itching; nausea;
nervousness; pain or discomfort in arms, jaw, back
or neck; pounding in the ears; puffiness or
swelling of the eyelids or around the eyes, face, lips or
tongue; runny nose ; shortness of breath;
skin rash; slow or fast heartbeat; sweating;
tearing; tender, swollen glands in neck;
tightness in chest; trouble in swallowing;
unusual tiredness or weakness; voice changes;
vomiting; wheezing |
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Other side effects may occur that usually do not need medical
attention. These side effects may go away during treatment as your
body adjusts to the medicine. However, check with your doctor if
any of the following side effects continue or are bothersome.
| More Common
| Feeling of warmth and redness of the face, neck, arms
and occasionally, upper chest; sneezing;
stuffy nose |
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| Less common
| Abnormal ejaculation; abnormal vision ;
abdominal pain; acid or sour stomach; back
pain; belching; bloody nose; burning,
crawling, itching, numbness, prickling, "pins and
needles" , or tingling feelings; burning
feeling in chest or stomach; changes in color
vision; changes in vision; diarrhea;
difficulty in moving; difficulty seeing at night;
difficulty swallowing; dim vision; dry mouth;
eye pain; excessive muscle tone; face
swelling; fast heartbeat; feeling of constant
movement of self or surroundings; general feeling of
discomfort or illness; heartburn; increased
redness of the eye; increased sensitivity of eyes to
sunlight; indigestion; itching skin;
joint pain; lack or loss of strength; loss of
appetite ; muscle aches and pains; trouble
sleeping; muscle cramping; muscle stiffness;
muscle tension or tightness; neck pain; pain ;
pain or burning in throat; sensation of spinning;
shivering; sleepiness or unusual drowsiness;
sleeplessness; sore throat; sores, ulcers, or
white spots on lips or tongue or inside the mouth;
stomach discomfort, upset, or pain; swollen joints;
tenderness in stomach area; trouble sleeping;
unable to sleep; watery eyes |
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Other side effects not listed above may also occur in some
patients. If you notice any other effects, check with your doctor.
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