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Taking Levitra® with a high fat meal delays absorption by about 1 hour and also decreases the maximum blood level.

This effect of delayed absorption was not shown with a meal that was lower in fat.

It’s also important to take Levitra® at the correct time. It should be taken 30–60 minutes before sexual activity.

The effects of Levitra typically last for a maximum of about 8 hours, although its strongest effects are within the first 4 hours.

It is also recommended to not mix Levitra® with alcohol.

Levitra® should not be taken

more

Taking Levitra® with a high fat meal delays absorption by about 1 hour and also decreases the maximum blood level. It should be taken 30–60 minutes before sexual activity. The effects of Levitra typically last for a maximum of about 8 hours, although its strongest effects are within the first 4 hours. It is also recommended to not mix Levitra® with alcohol. The most common side effects of Levitra® include headaches, facial flushing, stuffy nose, and upset stomach.

Serious side effects that are rare include an erection that will not resolve even after 3–4 hours (priapism), hearing loss, which can be sudden, and vision loss in one or both eyes. For more information about side effects, see Levitra® side effects below. What Should You Know Before Taking Levitra® Who should not take Levitra®? Do not take Levitra® if you: take medicines called nitrates (such as nitroglycerin) use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to vardenafil, as contained in Levitra®, or any of the ingredients in Levitra®.

See the end of this leaflet for a complete list of ingredients in Levitra®. What should I tell my healthcare provider before taking Levitra®?

To make sure Levitra® is safe for you, tell your healthcare provider if you have any of the following before you take Levitra®: Have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure Have had heart surgery within the last 6 months

Have

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

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 does 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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In clinical trials, some men using Levitra achieved an erection in 16 minutes. Viagra's maker has

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For additional information please visit the 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

(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 intercourse.

In all of

the

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 patients 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 buy sildenafil citrate tablets 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.