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Levitra (Vardenafil Hydrochloride)

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A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, how it is taken, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name and works the same way in the body in the same amount of time.

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VARDENAFIL (var den a fil) is used to treat erection problems in men.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

Levitra® works to treat erectile dysfunction by improving blood flow to the penis. By taking Levitra®, you can get and keep an erection hard enough to have sex. The medicine works best if it is taken about one hour before sexual activity. Take the medicine only when you are about to have sex, and do not take more than one dose each day. This medicine is not supposed to be taken every day as a routine medicine. Do not take more than one dose each day and wait at least 24 hours between doses.

If you take the dose earlier, as much as two to three hours before sex, you should still be able to get and keep an erection. Levitra® only starts to work when you are sexually stimulated. Levitra® works best if you take it on an empty stomach about an hour before sex, but if you experience any stomach upset, it still works if you take it with food. The effect lasts for as long as six hours after taking the dose.

Erectile dysfunction can be caused by many things, but most people have physical problems that cause the condition. Examples of physical conditions include heart disease, high cholesterol, high blood pressure, and diabetes. Anxiety, stress, smoking, and alcohol use, can also contribute to problems with sexual performance.

Talk to your doctor about all your medical conditions and stressors to see if you have an underlying problem that can be treated to correct your erectile dysfunction.

Other prescription drugs that treat erectile dysfunction include:

Some men cannot take the drugs, or the drugs may not work for them. Other treatments are available for men that cannot take medicines for erectile dysfunction.

A medicine called alprostadil is available as a self-injection and is marketed under two brand names, Caverject® and Muse®. Alprostadil is also made in a suppository form that is inserted into the penis. Do not mix Levitra® with alprostadil.

Other options to treat erectile dysfunction include testosterone replacement medications and penis pumps. Surgical options include penile implants and blood vessel surgery.

Each prescription comes with a printed medication guide. Always take time to read the medication information in the guide provided by your online Canadian Pharmacy Referral Service to be sure you are reviewing the most recent information about your medicine.

A less expensive and safe generic alternative to Levitra, known as vardenafil, may be available. By using a Canadian Prescription Referral Service, we can help you find a licensed Canadian or international pharmacy that can provide you with safe generic products and the best possible dollar savings. As an added safety measure, we recommend purchasing your medicines from a pharmacy that is a member of the Canadian International Pharmacy Association. Visit a website called PharmacyChecker to locate licensed and credible pharmacies.

They need to know if you have any of these conditions: -bleeding disorders -eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa -anatomical deformation of the penis, Peyronie's disease, or history of priapism (painful and prolonged erection) -heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems -high or low blood pressure -history of blood diseases, like sickle cell anemia or leukemia -history of stomach bleeding -kidney disease -liver disease -stroke -an unusual or allergic reaction to vardenafil, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding

Before buying Levitra® online, talk to your doctor about all your medical conditions, especially heart problems. Be sure your doctor agrees that it is safe for you to pursue sexual activity.

People that have liver and kidney problems may need to have their Levitra® dose adjusted. Talk to your doctor about your dose if you have liver and kidney conditions.

As with most medicines, interactions with other substances, including medicines prescribed by other doctors, over-the-counter products, vitamins, herbal supplements, and even alcohol use, can be dangerous. Give your doctor a complete list of everything you take.

Be sure you tell all your doctors or healthcare providers that you are taking Levitra®. All of your doctors need to know in order to prevent possible serious interactions with other medicines and medical conditions.

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without meals. The dose is usually taken 1 hour before sexual activity. You should not take this dose more than once per day. Do not take your medicine more often than directed. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

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.

This does not apply.

Do not take this medicine with any of the following medications: -bepridil -certain medicines for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole -cisapride -droperidol -grepafloxacin -medicines for irregular heartbeat like dronedarone, dofetilide -methscopolamine nitrate -nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin -nitroprusside -other medicines for erectile dysfunction like avanafil, sildenafil, tadalafil -pimozide -riociguat -thioridazine -ziprasidone This medicine may also interact with the following medications: -antiviral medicines for HIV or AIDS -certain antibiotics like erythromycin and clarithromycin -certain drugs for high blood pressure -medicines for prostate problems -other medicines that prolong the QT interval (cause an abnormal heart rhythm)

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Examples of drugs that are nitrates include:

Common brand names for other medicines used to treat erectile dysfunction include:

Do not take Levitra® with medicines that have the same generic name but are used for other conditions. Examples include:

Poppers, known as street drugs, contain nitrates and should not be used with Levitra®

Some drugs can cause your heart rate to slow down too much when combined with Levitra®. Do not take Levitra® if you are taking any medicines that prolong a segment of your heartbeat called the QT interval. This interaction can be serious. Some examples of drugs that cause this to occur are listed here. This is not a complete list.

Examples of medicines that may become stronger when combined with Levitra® are listed here. This can mean that you may have side effects or an unwanted increase in the effect of the medication. A drop in your blood pressure is one of the unwanted effects of combining Levitra® with some of these agents

Some drugs can cause an increase in the effect of your Levitra® dose which can lead to unwanted side effects. Examples of medicines that can cause this type of interaction are listed below:

Some drug interactions can be life-threatening. Other interactions can cause unwanted side effects or make the medicines more or less effective. Sometimes drug interactions can cause a medicine to exceed safe levels in the blood, similar to taking an overdose. This can happen all at once or gradually over time. A drug interaction happens when one drug causes another drug to change how it works in the body.

Many processes are at work in your body that handle drugs. Interactions can happen at different places and for different reasons. Some processes involve how your gut absorbs the medicine, others involve the way your liver works to alter medicines. Some interactions occur at the exact place in your body where the drugs connect to do their job, and others involve changes with the way the drug is eliminated from your body.

Levitra® is no exception. There are many medicines that interact with Levitra®, or vardenafil, including alcoholic beverages and herbal products like St JohnГ­s Wort.

Always ask your pharmacist to review your complete list of medicines, including over-the-counter drugs, vitamins, and herbal remedies, to be sure there are no drug interactions.

The pharmacists that fill your Levitra® prescription from a Canadian Prescription Referral Service also need a complete list of all your medicines. For your safety, they screen your current medicines with any new medicines you are getting filled online for possible dangerous drug interactions.

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible. Stop using this medicine and call your health care provider right away if you have a loss of sight in one or both eyes. Contact your doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible. Do not drink alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking this medicine. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure. Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

As with any new medicine, watch for signs of an allergic reaction. Symptoms can include swelling of the face, lips, tongue, or throat, difficulty breathing, tightening of the chest, and a skin rash, itching, and hives. Stop taking the medicine and call 911 or emergency medical help if you experience signs of an allergic reaction.

Side effects that you should report to your doctor or health care professional as soon as possible. -allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue -breathing problems -changes in hearing -changes in vision -chest pain -fast, irregular heartbeat -prolonged or painful erection -seizures Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): -back pain -dizziness -flushing -headache -indigestion -muscle aches -nausea -stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Stop sexual activity and call your doctor, 911, or emergency medical care, if you develop chest pain, dizziness, or nausea, during sex.

Some people have reported problems related to heart function. Let your doctor know immediately if you experience a change in your blood pressure or feel like your heart is beating too fast, too slow, or has an irregular rhythm. A quick drop in your blood pressure and changes in your pulse rate can be serious.

Keep out of the reach of children. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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