Drug Interactions with Vardenafil

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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. Do not use any other medicine to treat buy levitra no prescription impotence unless your doctor tells you to. Get emergency medical help if you have signs of an allergic reaction to Levitra: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using Levitra and get emergency medical help if you have: heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or vision changes or sudden vision loss; or erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis). 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 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, like you might pass out; or flushing (sudden warmth, redness, or tingly feeling); flushing (sudden warmth, redness, or tingly feeling); This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

  • Levitra has been shown to enhance erectile function in clinical studies.
  • It is not classified as a controlled substance but still requires caution.
  • Side effects usually diminish after the body adjusts to the medication.
  • Patients should inform their doctor of all health issues before starting Levitra.
  • In some cases, Levitra may be used temporarily or as needed.
  • Regular blood pressure monitoring is recommended when using Levitra.
  • Levitra should be stored safely away from children and pets.
  • Discuss all medication options with a healthcare provider to find the best treatment.

Do not use Levitra with similar medications such as avanafil (Stendra), sildenafil (Viagra), or tadalafil (Cialis). Tell your doctor about all other medications you use for erectile dysfunction. This list is not complete and many Other drugs may interact with vardenafil.

Condition Risk/Reason Notes
Nitrate medication use Severe hypotension Contraindicated
Heart disease Increased risk of adverse events Consult doctor
Liver impairment Altered drug metabolism Dose adjustment may be needed
Retinitis pigmentosa Potential for exacerbation Use with caution

This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Levitra only for the for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Vardenafil is a medication that treats erectile dysfunction. ED is the inability to achieve and sustain an erection suitable for sexual intercourse. This medication works by increasing blood flow to your penis, which helps mail order levitra online you maintain an erection. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

  • Levitra is not suitable for men with severe liver or kidney impairment.
  • Do not take Levitra with other medications containing nitrates for chest pain.
  • Older adults should use Levitra with caution due to potential side effects.
  • Levitra is sometimes used in clinical trials for other conditions.
  • Keep Levitra out of reach of children due to potential toxicity.
  • Store Levitra in a cool, dry place and away from direct sunlight.
  • Patients should inform their healthcare provider about all current medications.
  • Levitra can cause priapism, a prolonged erection requiring medical attention.

We do not endorse non-Cleveland Clinic products or services. VARDENAFIL (var DEN a fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. They need to know if you have any of these conditions: Eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa Heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems History of blood diseases, such as sickle cell anemia or leukemia An unusual or allergic reaction to vardenafil, other medications, foods, dyes, or preservatives Take this medication by mouth with water. Take it as directed on the prescription label. The dose is usually taken 1 hour before sexual activity.

Before Using

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). 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".

What is vardenafil (Levitra®)?

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 the penis. Stop using this medicine and get emergency medical help if you have sudden vision loss. 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 should not take this dose more than once per day. You can take it with or without food.

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If it upsets your stomach, take it with food. Talk to your care team about the use of this medication in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use.

Medical uses

This medicine 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. -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.

Is Levitra stronger than Viagra?

-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. Allow 24 hours to pass between doses. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. If you notice any changes in your vision while taking this medication, call your care team as soon as possible. Stop using this medication and call your care team right away if you have a loss of sight in one or both eyes. Contact your care team right away if the erection lasts longer than 4 hours or if it becomes painful.

Does Levitra prevent pregnancy?

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"). Taking vardenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

Other Medical Problems

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. It is not clear whether vardenafil is the actual cause of vision loss. This may be a sign of serious problem and must be treated right away to prevent permanent damage.

Further information

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. Staxyn (vardenafil disintegrating tablets) should not be used in place of Levitra (vardenafil regular tablets).

What is Levitra?

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 levitra 20 mg 4 tablet stimulation occurs. An erection will not occur just by taking a pill. If you receive medical care for heart problems, tell your caregivers when you last took Levitra. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medication, you should refrain from further activity and call your care team as soon as possible. Drinking alcohol with this medication can increase the risk of side effects. Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs).

  • Levitra can be part of a comprehensive approach to managing erectile dysfunction.
  • Dietary supplements claiming to be similar to Levitra are not FDA-approved.
  • If an erection lasts longer than 4 hours, seek emergency medical care.
  • Levitra may be less effective in men with severe diabetes or cardiovascular disease.
  • Patients should avoid grapefruit or grapefruit juice while on Levitra.
  • Precautions include avoiding driving or operating machinery after taking Levitra.
  • Individuals with hereditary eye diseases should consult a doctor before use.
  • Levitra may cause a drop in blood pressure, especially when combined with other meds.

Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects.