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Tell your doctor what herbal products you are taking, especially St. John's wort. Tell your doctor if you smoke and if you have ever had an erection that lasted more than four hours. Also tell your doctor if you have or have ever had a condition that affects the shape of the penis, such as angulation, cavernosal fibrosis or Peyronie's disease; diabetes; high cholesterol; high or low blood pressure; irregular heartbeat; a heart attack; angina (chest pain); a stroke; ulcers in the stomach or intestine; a bleeding disorder; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells) or leukemia (cancer of the white blood cells); seizures; or liver, kidney or heart disease. Also tell your doctor if you or any of your family members have or have ever had long QT syndrome (a heart condition) or retinitis pigmentosa (an eye disease), or if you have ever had severe vision loss, especially if you were told the vision loss was caused by a blockage of blood flow to the nerves that help you see.

Why Some Patients Respond Differently to ED Medications

Tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons. You should know that vardenafil is only for use in males. Women should not take vardenafil, especially if they are or could become pregnant, or are breastfeeding. If a pregnant woman takes vardenafil, she should call her doctor. If you are having surgery, including dental surgery or any dental procedure, tell the doctor or dentist that you are taking vardenafil.

Secure Medical Intake

You should know that sexual activity may be a strain on your heart, especially if you have heart disease. If you have chest pain during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise. Tell buy levitra fast all your healthcare providers that you are taking vardenafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took vardenafil. If you have phenylketonuria (PKU, an inherited condition in which a special diet must be followed to prevent damage to your brain that can cause severe intellectual disability), you should know that the rapidly disintegrating tablets are sweetened with aspartame, a source of phenylalanine. my treatment was shipped without any issues.