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If you have prostate problems or high blood pressure, for which you take medicines called alpha-blockers, your doctor may start you on a lower dose of LEVITRA.

If you are taking certain other medicines your doctor may prescribe a lower starting dose and limit you to one dose of LEVITRA in a 72-hour (3 days) period.

Take 1 LEVITRA tablet about 1 hour (60 minutes) before sexual activity.

Some form of sexual stimulation is needed for an erection to happen with LEVITRA. Do not change your dose of LEVITRA without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to LEVITRA.

Call your doctor or emergency room teva sildenafil price immediately if you accidentally took more LEVITRA than prescribed.

The most common side effects with LEVITRA are headache, flushing, stuffy or runny nose, indigestion, upset stomach, dizziness or back pain. These side effects usually go away after a few hours.

Call your doctor if you get a side effect that bothers you or one that will not go away.

LEVITRA may uncommonly cause: An erection that won’t go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. Color vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including LEVITRA) reported a sudden decrease or loss of vision in one or both eyes. It is uncertain whether PDE5 inhibitors directly cause the vision loss.

If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including LEVITRA, and call a doctor right away.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including LEVITRA. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking LEVITRA and contact a doctor right away. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects.

You may report side effects to addyi flibanserin price FDA at 1800-FDA-1088. Store LEVITRA at room temperature between 59–86° F (15–30° C).

Keep LEVITRA and all medicines out of the reach of children.

Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use LEVITRA for a condition for which it was not prescribed.

Do not give LEVITRA to other people, even if they have the same symptoms that you have. This leaflet summarizes the most important information about LEVITRA. If you would like more information, talk with your healthcare provider. You can ask your doctor or pharmacist for information about LEVITRA that is written for health professionals. For more information you can also visit www.LEVITRA.com, or call 1-866-LEVITRA.

Inactive Ingredients: microcrystalline cellulose, crospovidone, colloidal silicon dioxide, magnesium stearate, hypromellose, polyethylene glycol, titanium dioxide, yellow ferric oxide, and red ferric oxide.

Tadalafil and vardenafil vs sildenafil: a review of patient?preference studies.

Volume 107 Issue 7 BJU International pages: 1166-1166 First Published online: March 25, 2011. Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and. Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and.

Department of Urology, University Federico II of Naples, Ely Lilly

Italy

, Florence, and.

Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and. Department of Urology, University Vita Salute San Raffaele, Milan, Italy.

Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and.

Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and. Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and. Department of Urology, University Federico II of Naples, Ely Lilly Italy, Florence, and. Department of Urology, University Vita Salute San Raffaele, Milan, Italy. The immediate objective of phosphodiesterase type 5 (PDE5) inhibitor treatment is to restore the ability of a man to achieve and/or maintain an erection adequate for sexual intercourse.

As erectile dysfunction (ED) generally develops in the second half of life, the ultimate objective generally is not procreation, but quality of sexual life.

Indeed, ED is known to impair quality of life considerably; two?thirds of men report that ED has impaired their self?esteem and nearly a third claim that it has damaged the relationship with their partner.

It follows that the therapeutic success of PDE5 inhibition has an important subjective component, which is compounded by the subjective nature and complexity of sexual life in humans. This makes it very difficult for physicians to be certain that they have selected the optimal therapy for a couple, even after a thorough evaluation.

The 2007 European Association of Urology Guidelines stress the importance of educating the patient and claim that ‘the patient will choose the final drug after his own experience’.

However, PDE5 inhibitors are typically used twice a week, so a patient would have to spend ?3 months trying the various compounds and dosages to achieve adequate exposure to all three PDE5 inhibitors; this would seem an unrealistic strategy in normal clinical practice. The acknowledgement that the patient has an important role in therapeutic decisions for ED has fuelled interest in the concept of patient preference.

It has been established that patient preference depends on three factors, i.e.

age, duration of ED, frequency and dynamics of sexual relations, and the characteristics of their partners, e.g.

age, menopausal status and level of interest in sexual activity and medication profile.

Medication features of interest include efficacy in terms of quality of erection, consistency of effects, rapid onset of action, long duration of action, side?effect profile and route of administration; drug costs must also be considered if the medicinal product is not reimbursed. After explaining why patient preference is an important endpoint for assessing a phosphodiesterase type 5 (PDE5) inhibitor, we review the quality of published patient?preference studies and the data related to the reasons for the preference of one compound over another.

The immediate objective of PDE5 inhibitor treatment is to restore the ability of a man to achieve and/or maintain an erection adequate for sexual intercourse. As erectile dysfunction (ED) generally develops in the second half of life, the ultimate objective generally is not procreation, but quality of sexual life.

Indeed, ED is known to impair quality of life considerably: two?thirds of men report that ED has impaired their self?esteem and nearly a third claim that it has damaged the relationship with their partner [ 1 ].

It follows that the therapeutic success of PDE5 inhibition has an important subjective component, which is compounded by the subjective nature and complexity of sexual life in humans. This makes it very difficult for physicians to be certain that they have selected the optimum therapy for a couple, even after a thorough evaluation [ 1 ].

The 2007 European Association of Urology Guidelines [ 2 ] stress the importance of educating the patient and claim that ‘the patient will choose the final drug after his own experience’.

However, Hatzimouratidis and Hatzichristou [ 3 ] point out that PDE5 inhibitors are typically used twice a week, so a patient would have to spend ?3 months trying the various compounds and dosages to achieve adequate exposure to all three PDE5 inhibitors; this would seem an unrealistic strategy in normal clinical practice.

The acknowledgement that the patient has an important role in therapeutic decisions for ED has fuelled interest in the concept of patient preference. It has been established that patient preference depends on three factors, i.e.

personal characteristics, such as age, duration of ED, frequency and dynamics of sexual relations, and the characteristics of their partners, such as age, menopausal status and level of interest in sexual activity and medication profile.

Medication features of interest include efficacy in terms of quality of erection, consistency of effects, rapid onset of action, long duration of action, side?effect profile and route of administration; drug costs have to be considered, too, if the medicinal product is not reimbursed [ 1 ].

Three PDE5 inhibitors are currently commercially available; each one is characterized by particular pharmacokinetic features. In the attempt to evaluate which is the most favoured drug, several preference studies have been conducted in the last few years.

Unfortunately, several of them have proved to be severely flawed because of methodological pitfalls. Mulhall [ 4 ] made the point that patient preference studies are not the same as the classical efficacy and safety studies, and set forth detailed recommendations for their conduct.



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