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<br><br><br>The treatment will not resolve the underlying physical cause of your ED or increase your sexual desire. Vardenafil has the same active ingredient as Levitra and is it's generic equivalent. Levitra conveniently treats ED symptoms because it is available in multiple doses. Before starting Levitra, you should talk with your doctor and pharmacist about any medications you take. You should also mention any supplements, teas, or herbs you take.<br>Health &amp; Wellness<br>This drug does not protect against sexually transmitted diseases (such as HIV,  buy xanax without prescrition hepatitis B, gonorrhea, syphilis). 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. There was no effect on sperm motility or morphology after single 20 mg oral doses of vardenafil in healthy volunteers. Do not use LEVITRA in patients with severe hepatic impairment (Child-Pugh C). An observational case-crossover study evaluated the risk of NAION when PDE5 inhibitor use, as a class, occurred immediately before NAION onset (within 5 half-lives), compared to PDE5 inhibitor use in a prior time period.<br>Other medications can affect the removal of vardenafil from your body, which may affect how vardenafil works. Examples include azole antifungals (such as itraconazole, ketoconazole), macrolide antibiotics (such as clarithromycin, erythromycin), ritonavir, among others. You may report side effects to FDA at FDA-1088 or at /medwatch. If you notice other effects not listed above, contact your doctor or pharmacist. Drinking alcohol with this medication can increase the risk of side effects.<br>Discuss with patients the appropriate use of LEVITRA and its anticipated benefits. It should be explained that sexual stimulation is required for an erection to occur after taking LEVITRA. LEVITRA should be taken approximately 60 minutes before sexual activity.<br><br>If psychological causes are suspected, a doctor may recommend psychotherapy. Levitra (10 mg and 20 mg) did not potentiate the increase in bleeding time caused by aspirin (two 81 mg tablets). As with any form of medication, when you buy Levitra tablets they will have side effects. For a full list of side effects, please read the Levitra tablet online Patient Information Leaflet. Remember you will still need sexual stimulation to gain an erection.<br><br>It is not possible to determine whether these events were related directly to the use of PDE5 inhibitors or to other factors. For most patients, the recommended starting dose of LEVITRA is 10 mg, taken orally approximately 60 minutes before sexual activity. The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and side effects. These findings are consistent with the inhibition of PDE6 in rods and cones, which is involved in phototransduction in the retina. The findings were most evident one hour after administration, diminishing but still present 6 hours after administration. In a single dose study in 25 normal males, LEVITRA 40 mg, twice the maximum daily recommended dose, did not alter visual acuity, intraocular pressure, fundoscopic and slit lamp findings.<br>LEVITRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. With a sudden drop in blood pressure, you could get dizzy, faint, or have a heart attack or stroke. Do not use LEVITRA in patients who are using a GC stimulator, such as riociguat. PDE5 inhibitors, including LEVITRA may potentiate the hypotensive effects of GC stimulators. No evidence of specific potential for teratogenicity, embryotoxicity or fetotoxicity was observed in rats and rabbits that received vardenafil at up to 18 mg/kg/day during organogenesis. This dose is approximately 100 fold (rat) and 29 fold (rabbit) greater than the AUC values for unbound vardenafil and its major metabolite in  humans given the MRHD of 20 mg.<br><br>