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What is the most important information I should know about Levitra?
• Do not take Levitra if you are taking any of the following medicines:
· a nitrate such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur,Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate(Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket),and others;
· a recreational drug such as amyl nitrate or nitrite ("poppers");or
· an alpha blocker such as doxazosin (Cardura), guanadrel (Hylorel),prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), tamsulosin(Flomax), and others cme conference on levitra.
• Taking Levitra with any of these medications may cause very low bloodpressure, possibly resulting in dizziness, fainting, stroke, or heart attack
• Contact your doctor or seek emergency medical attention for any erectionthat lasts longer than 4 hours cme conference on levitra. A sustained erection can damage the penis cme conference on levitra.
• Refrain from further sexual activity and notify your doctor it you developdizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tinglingin the chest, arms, neck, or jaw) during sexual activity cme conference on levitra.
• Do not take Levitra more than once a day cme conference on levitra. In some cases, use of Levitramay be restricted to once every 72 hours (3 days) cme conference on levitra. Follow your doctor's instructions cme conference on levitra.


What is Levitra?
• Levitra relaxes muscles within the penis cme conference on levitra. This allows increased bloodflow into the penis which is necessary to achieve and maintain an erection cme conference on levitra.
• Levitra is used to treat erectile dysfunction (impotence) cme conference on levitra.
• Levitra may also be used for purposes other than those listed in thismedication guide cme conference on levitra.


What should I discuss with my healthcare provider before taking Levitra?
• Do not take Levitra if you are taking any of the following medicines:
· a nitrate such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur,Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate(Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket),and others;
· a recreational drug such as amyl nitrate or nitrite ("poppers");or
· an alpha blocker such as doxazosin (Cardura), guanadrel (Hylorel),prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), tamsulosin(Flomax), and others cme conference on levitra.
• Taking Levitra with any of these medications may cause very low bloodpressure, possibly resulting in dizziness, fainting, stroke, or heart attack
• Before taking Levitra, tell your doctor if you
· currently have or have ever had a heart attack, stroke, irregular heartbeats,angina (chest pain), or congestive heart failure;
· have high or low blood pressure;
· have a personal or family history of a rare heart condition known asprolongation of the QT interval (long QT syndrome);
· have liver problems;
· have kidney problems;
· have ever had blood problems, including sickle cell anemia, multiplemyeloma, or leukemia;
· have a bleeding or blood clotting disorder;
· have a stomach ulcer;
· a family history of degenerative eye disease (e.g., retinitis pigmentosa);or
· have a physical deformity of the penis such as Peyronie's disease cme conference on levitra.
• You may not be able to take Levitra, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove cme conference on levitra.
• Although Levitra is not indicated for use by women, it is in the FDApregnancy category B cme conference on levitra. This means that Levitra is not expected to be harmfulto an unborn baby cme conference on levitra. Levitra should not be taken by women cme conference on levitra.
• It is not known whether Levitra passes into breast milk cme conference on levitra. Levitra shouldnot be taken by women cme conference on levitra.
• If you are over 65 years of age, you may be more likely to experienceside effects from Levitra cme conference on levitra. Your doctor may prescribe a lower dose of the medication cme conference on levitra.


How should I take Levitra?
• Take Levitra exactly as directed by your doctor cme conference on levitra. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you cme conference on levitra.
• Take each dose with a full glass of water cme conference on levitra.
• Levitra can be taken with or without food cme conference on levitra.
• Levitra is usually taken when needed cme conference on levitra. Generally, it is taken about 1hour before sexual activity cme conference on levitra. The medication can help achieve an erection whensexual stimulation occurs cme conference on levitra. An erection will not occur just by taking a pill cme conference on levitra. Follow your doctor's instructions cme conference on levitra.
• Levitra should not be taken with grapefruit or grapefruit juice cme conference on levitra. Levitracan interact with grapefruit and grapefruit juice, and the interaction may havedangerous effects cme conference on levitra. You should discuss the use of grapefruit and grapefruit juicewith your doctor cme conference on levitra.
• Do not take Levitra more than once a day cme conference on levitra. In some cases, use of Levitramay be restricted to once every 72 hours (3 days) cme conference on levitra. Follow your doctor's instructions cme conference on levitra.
• If you develop dizziness, nausea, or angina (pain, tightness, discomfort,numbness, or tingling in the chest, arms, neck, or jaw) during sexual activity,refrain from further sexual activity and notify your doctor cme conference on levitra.
• Contact your doctor or seek emergency medical attention for any erectionthat lasts longer than 4 hours cme conference on levitra. A sustained erection can damage the penis cme conference on levitra.
• Store this medication at room temperature away from moisture and heat cme conference on levitra.


What happens if I miss a dose?
• Levitra is used as needed, so you are not likely to miss a dose cme conference on levitra.


What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected cme conference on levitra.
• Symptoms of a Levitra overdose are not known, but are likely to includechest pain, back pain, dizziness, an irregular heartbeat, abnormal vision, andswelling of the ankles or legs cme conference on levitra.


What should I avoid while taking Levitra?
• Do not take any other drug used to treat impotence, such as alprostadil(Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without firsttalking to your doctor cme conference on levitra.
• Levitra should not be taken with grapefruit or grapefruit juice cme conference on levitra. Levitracan interact with grapefruit and grapefruit juice, and the interaction may havedangerous effects cme conference on levitra. You should discuss the use of grapefruit and grapefruit juicewith your doctor cme conference on levitra.


What are the possible side effects of Levitra?
• If you experience any of the following serious side effects, stop takingLevitra and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· chest pain or an irregular heartbeats;
· swelling of the ankles or legs;
· shortness of breath;
· prolonged or severe dizziness;
· fainting;
· a prolonged (lasting longer than 4 hours) or painful erection;
· dizziness, nausea, or angina (pain, tightness, discomfort, numbness,or tingling in the chest, arms, neck, or jaw); or
· back pain cme conference on levitra.
• Other, less serious side effects may be more likely to occur cme conference on levitra. Continueto take Levitra and talk to your doctor if you experience
· flushing;
· mild dizziness;
· headache;
· nasal congestion;
· stomach upset;
· sensitivity of the eyes to light; or
· temporary blue tint in vision or other vision abnormalities cme conference on levitra.
• Side effects other than those listed here may also occur cme conference on levitra. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome cme conference on levitra.


What other drugs will affect Levitra?
• Do not take Levitra if you are taking any of the following medicines:
· a nitrate such as nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur,Nitro-Bid, Minitran, Deponit, Transderm-Nitro, others), isosorbide dinitrate(Dilatrate-SR, Isordil, Sorbitrate), isosorbide mononitrate (Imdur, ISMO, Monoket),and others;
· a recreational drug such as amyl nitrate or nitrite ("poppers");or
· an alpha blocker such as doxazosin (Cardura), guanadrel (Hylorel),prazosin (Minipress), terazosin (Hytrin), alfuzosin (Uroxatral), tamsulosin(Flomax), and others cme conference on levitra.
• Taking Levitra with any of these medications may cause very low bloodpressure, possibly resulting in dizziness, fainting, stroke, or heart attack
• Before taking Levitra, tell your doctor if you are taking any of thefollowing medications:
· any other drug used to treat impotence, such as alprostadil (Caverject,Muse, Edex) or yohimbine (Yocon, Yodoxin, others);
· the antibiotic drug erythromycin (E-Mycin, Eryc, Ery-Tab, others);
· an antifungal medication such as itraconazole (Sporanox) or ketoconazole(Nizoral);
· a medication used to treat irregular heartbeats such as quinidine (Quinaglute,Quinidex, Quin-Release), procainamide (Procan SR, Procanbid, Pronestyl), amiodarone(Cordarone, Pacerone), or sotalol (Betapace, Sorine); or
· the HIV medications indinavir (Crixivan) or ritonavir (Norvir) cme conference on levitra.
• You may not be able to take Levitra, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above cme conference on levitra.
• Drugs other than those listed here may also interact with Levitra oraffect your condition cme conference on levitra. Talk to your doctor or pharmacist before taking any prescriptionor over-the-counter medicines, including vitamins, minerals, and herbal products cme conference on levitra.


Where can I get more information?
• Your pharmacist has additional information about Levitra written forhealth professionals that you may read cme conference on levitra.


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