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Nitrates are found in medications that are used to treat angina (chest pain). If you are not sure if you are taking nitrates, ask your doctor or pharmacist.

Nitrates must NOT be taken by anyone who is using vardenafil because they can cause your blood pressure to drop very low. This may cause dizziness, fainting, heart attack, or stroke.

What side effects are possible with this medication?

A side effect is an unwanted response to a medication when it is taken in normal doses.

Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time. Contact your doctor if you experience these side effects and they are severe or bothersome.

Your pharmacist may be able to advise you on managing side effects.

dizziness flushing (warm or burning feeling, usually in the face) headache indigestion stuffy nose.

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur: abnormal vision (e.g., decreased vision, blurry vision, increased sensitivity to light, changes in the ability to tell the difference between blue and green) decrease or loss of hearing temporary memory loss.

Stop taking the medication and seek immediate medical attention if any of the following occur: an erection that lasts longer than 4 hours (this could permanently damage your penis) a partial or complete loss of vision chest pains, an irregular heartbeat, or shortness of breath when starting sexual activity (if you have a heart condition) signs of an allergic reaction (e.g., rash; itching; shortness of breath; swollen face, lips, or throat) Some people may experience side effects other than those listed.

Check with your doctor if you notice any symptom that worries you while you are taking this medication. Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Alcohol: Consumption of alcohol in large amounts may decrease the ability to get an erection and may also temporarily decrease blood pressure, causing dizziness and fainting. Blood pressure: Tell your doctor if you are taking medications to treat high blood pressure, as the combination of these medications with vardenafil may add to the

blood

Hearing problems: If you experience a sudden decrease or loss of hearing you should seek medical attention immediately. Heart conditions: Men who have or have had heart disease or a heart attack or stroke should speak to their doctor before taking any medication for erectile dysfunction.

If chest pains, dizziness, or nausea are experienced during sex, the exertion should be stopped and your doctor informed. Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects.

If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Nitrate-containing medications: Vardenafil should never be taken with any

medications

Dizziness, fainting spells, heart attack, or stroke may be experienced. If use of a nitrate-containing medication is considered medically necessary, a nitrate may only be taken at least 48 hours after the last dose of vardenafil, and only under close medical supervision. Penis deformation: As with other medications for erectile dysfunction, if you have an anatomical deformation of the penis such as angulation, cavernosal fibrosis, or Peyronie's disease, you should be closely monitored by your doctors if you take this medication. Prolonged erection: generic viagra price at cvs If an erection lasts longer than 4 hours (a rare occurrence), seek immediate medical assistance. If this condition is not treated quickly, tissue damage and permanent loss of the ability to have an erection could result. Tell your doctor if you have any of the following conditions as they may increase your risk of a prolonged erection: sickle cell anemia, multiple myeloma, or leukemia. Prostate problems: Tell your doctor if you are taking medications such as alpha blockers (e.g., doxazosin) to treat prostate problems, as the combination of these medications with vardenafil may add to the blood pressure-lowering effect of these medications.

Sexually transmitted infections: Vardenafil does not protect against sexually transmitted infections such as HIV.

Vision problems/eye conditions: If you experience a sudden loss of vision in one or both eyes or other vision-related problems, contact your doctor immediately. While in some cases the condition may improve over time, the loss can also be permanent. This rare condition is more likely to occur if you have heart disease, high blood pressure, high cholesterol, diabetes, or eye problems, or are over 50 years old or smoke. Vardenafil should not be used by anyone with non-arteritic anterior ischemic optic neuropathy (NAION) or retinosa pigmentosa. Pregnancy and breast-feeding: Vardenafil is not intended for use by women. Children: Vardenafil is not intended for use by children or adolescents under 18 years of age. Seniors: People over the age of 65 years may require lower doses of this medication. What other drugs could interact with this medication? There may be an interaction between vardenafil and any of the following: Grapefruit juice may increase the amounts of vardenafil in the blood.

Only take vardenafil with other medications if prescribed by your doctor.

If you are taking any of these medications, speak with your doctor or pharmacist .