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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 pens by 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 pens by levitra. A sustained erection can damage the penis pens by 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 pens by levitra.
• Do not take Levitra more than once a day pens by levitra. In some cases, use of Levitramay be restricted to once every 72 hours (3 days) pens by levitra. Follow your doctor's instructions pens by levitra.


What is Levitra?
• Levitra relaxes muscles within the penis pens by levitra. This allows increased bloodflow into the penis which is necessary to achieve and maintain an erection pens by levitra.
• Levitra is used to treat erectile dysfunction (impotence) pens by levitra.
• Levitra may also be used for purposes other than those listed in thismedication guide pens by 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 pens by 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 pens by 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 pens by levitra.
• Although Levitra is not indicated for use by women, it is in the FDApregnancy category B pens by levitra. This means that Levitra is not expected to be harmfulto an unborn baby pens by levitra. Levitra should not be taken by women pens by levitra.
• It is not known whether Levitra passes into breast milk pens by levitra. Levitra shouldnot be taken by women pens by levitra.
• If you are over 65 years of age, you may be more likely to experienceside effects from Levitra pens by levitra. Your doctor may prescribe a lower dose of the medication pens by levitra.


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


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


What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected pens by 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 pens by 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 pens by levitra.
• Levitra should not be taken with grapefruit or grapefruit juice pens by levitra. Levitracan interact with grapefruit and grapefruit juice, and the interaction may havedangerous effects pens by levitra. You should discuss the use of grapefruit and grapefruit juicewith your doctor pens by 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 pens by levitra.
• Other, less serious side effects may be more likely to occur pens by 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 pens by levitra.
• Side effects other than those listed here may also occur pens by levitra. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome pens by 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 pens by 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) pens by 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 pens by levitra.
• Drugs other than those listed here may also interact with Levitra oraffect your condition pens by levitra. Talk to your doctor or pharmacist before taking any prescriptionor over-the-counter medicines, including vitamins, minerals, and herbal products pens by levitra.


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


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