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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 pressure-lowering effect of these medications. If you have low blood pressure, 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. Grapefruit juice: Grapefruit juice can increase the amount of vardenafil in your bloodstream. Do not drink grapefruit juice when taking this medication. 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 buy sildenafil dapoxetine 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 that contain nitrates. Blood pressure may drop to life-threatening levels if vardenafil is taken with any nitrate-containing medication (e.g., nitroglycerin tablets, spray, or patches) or any other nitrates (e.g., isosorbide dinitrate or amyl nitrite "poppers"). 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: 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 sildenafil goodrx price 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 . Depending on your specific circumstances, your doctor may want you to: stop taking one of the medications, change one of the medications to another, change how you are taking one or both of the medications, or leave everything as is. An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed. Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Since caffeine, alcohol, nicotine from cigarettes, and street drugs can affect the action of many medications, you should let your prescriber know if you use them. At Vidya Vikas Institute of Legal Studies, prominence is given to eminence and has been the nursery and training ground for buy sildenafil dapoxetine those seeking to enter the legal profession. Our industrious faculty and students firmly believe that the VVILS has imparted to the needs of the globalised corporate world and prospective corporate lawyers, and has been the instrumental in bringing reforms in the legal world. 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By entering your email, you agree to our Terms of Service and Privacy Policy.Please login and you will add product to your wishlistAction: The Himalaya Herbals Gum Expert range of toothpastes has Miswak and natural astringents which ensure your gums remain healthy and protected. You will need to select the checkbox above to allow us to email you. There are two distinct categories within the range: Complete Care, and Whitening, depending on your needs. Ce medicament est habituellement prescrit pour : Indications + - Traitement de la dysfonction erectile chez l'homme adulte. La dysfonction erectile correspond a l'incapacite d'obtenir ou de maintenir une erection du penis suffisante pour une activite sexuelle satisfaisante. Une stimulation sexuelle est requise pour que Levitra soit efficace. Comment le prendre + - Utilisation chez l'homme adulte. La dose recommandee est de 10 mg a prendre selon les besoins, environ 25 a 60 minutes avant toute activite sexuelle. En fonction de l'efficacite et de la tolerance, la dose peut etre portee a 20 mg ou reduite a 5 mg. Il est recommande d'utiliser le medicament au maximum une fois par jour. Le delai d'action peut etre retarde en cas de prise au cours d'un repas riche en graisse (voir rubrique Proprietes pharmacocinetiques). Patients ages (?65 ans) Un ajustement posologique n'est pas necessaire chez les patients ages. Cependant, une augmentation jusqu'a la dose maximale de 20 mg doit etre consideree avec prudence en tenant compte de la tolerance individuelle (voir rubriques Mises en garde et precautions d'emploi et Effets indesirables). Une dose initiale de 5 mg doit etre envisagee chez les patients presentant une insuffisance hepatique legere a moderee (classes A et B de Child-Pugh). En fonction de la tolerance et de l'efficacite, la dose pourra etre augmentee ulterieurement. La dose maximum recommandee chez les patients presentant une insuffisance hepatique moderee (classe B de Child-Pugh) est de 10 mg (voir rubriques Contre-indications et Proprietes pharmacocinetiques). Aucun ajustement posologique n'est necessaire chez les patients presentant une insuffisance renale legere a moderee. Chez les patients avec une insuffisance renale severe (clairance de la creatinine. Effets indesirables possibles + - Conjonctivite Oedeme allergique Angioedeme Reaction allergique Trouble du sommeil Anxiete Cephalee. Sensation vertigineuse Somnolence Paresthesie Dysesthesie Syncope Convulsions Amnesie Hyperhemie oculaire Alteration de la vision des couleurs Douleur oculaire Inconfort oculaire Photophobie Augmentation de la pression intra-oculaire Augmentation des secretions lacrymales Neuropathie optique ischemique anterieure non arteritique Anomalie visuelle Acouphene Vertige Surdite soudaine Palpitation Tachycardie Infarctus du myocarde Tachyarythmie ventriculaire Angine de poitrine Bouffee vasomotrice Hypotension Hypertension Congestion nasale Dyspnee Congestion des sinus Epistaxis Dyspepsie Reflux gastro-oesophagien Gastrite Douleur abdominale Douleur gastro-intestinale Diarrhee Vomissement Nausee Secheresse buccale Elevation des transaminases Elevation des gammaGT Erytheme cutane Rash cutane Reaction de photosensibilite Douleur dorsale Augmentation de la creatine phosphokinase sanguine Myalgie Augmentation du tonus musculaire Crampe Hematurie Erection prolongee Priapisme Hemorragie penienne Hemospermie Sensation de malaise Douleur thoracique Hemorragie cerebrovasculaire Mort subite d'origine cardiaque Accident ischemique transitoire Angor instable Arythmie ventriculaire. Les effets indesirables rapportes dans les essais cliniques menes avec Levitra, comprime pellicule ou Levitra 10 mg, comprime orodispersible, etaient generalement transitoires et d'intensite legere a moderee. Les effets indesirables les plus couramment rapportes, se produisant chez au moins 10% des patients, sont les cephalees. Dyspepsie Reflux gastro- Elevation des Elevation des. Douleurs dorsales Elevation de la CPK (creatine phosphokinase sanguine) Myalgies Augmentation du tonus musculaire et crampes. Lors de l'utilisation de tous les inhibiteurs de la PDE5, y compris le vardenafil, des hemorragies peniennes, des hemospermies et des hematuries ont ete rapportees dans les essais cliniques et signalees en spontane dans le cadre du suivi de pharmacovigilance post-commercialisation. A la dose de 20 mg de Levitra, comprime pellicule, les patients ages (?65 ans) ont presente, comparativement aux patients plus jeunes ( La declaration des effets indesirables suspectes apres autorisation du medicament est importante. Elle permet une surveillance continue du rapport benefice/risque du medicament. Les professionnels de sante doivent declarer tout effet indesirable suspecte via le systeme national de declaration- voir Annexe V. Contre-indications + - Hypersensibilite vardenafil Perte de la vision d'un oeil due a une neuropathie optique ischemique anterieure non arteritique Contre-indication a l'activite sexuelle Insuffisance hepatique severe Stade terminal d'insuffisance renale necessitant une dialyse Hypotension + Afficher plus - Afficher moins. Hypersensibilite a la substance active ou a l'un des excipients mentionnes a la rubrique Composition. L'administration concomitante de vardenafil avec les derives nitres ou les donneurs de monoxyde d'azote (comme le nitrite d'amyle) quelle que soit la forme, est contre-indiquee (voir rubriques Interactions avec d'autres medicaments et autres formes d'interactions et Proprietes pharmacodynamiques). Levitra est contre-indique chez les patients ayant une perte de la vision d'un ?il due a une neuropathie optique ischemique anterieure non arteritique (NOIAN), que cet evenement ait ete associe ou non a une exposition anterieure a un inhibiteur de la phosphodiesterase de type 5 (PDE5) (voir rubrique Mises en garde et precautions d'emploi). Les medicaments utilises dans le traitement de la dysfonction erectile ne doivent pas etre utilises chez les hommes pour qui l'activite sexuelle est deconseillee (par exemple les patients avec des troubles cardiovasculaires severes tels que l'angor instable ou l'insuffisance cardiaque severe [NYHA III ou IV]). La tolerance du vardenafil n'a pas ete etudiee dans les sous-groupes de patients suivants et son utilisation chez ces patients est par consequent contre-indiquee jusqu'a ce que des informations complementaires soient disponibles : insuffisance hepatique severe (classe C de Child-Pugh), stade terminal d'insuffisance renale necessitant une dialyse, hypotension (pression arterielle. Precautions d’emploi + - Indications limitees a l'homme adulte de plus de 18 ans Risque cardiovasculaire Obstruction a l'ejection du ventricule gauche Malformation anatomique du penis Predisposition au priapisme Sujet age Anomalie visuelle. Trouble hemorragique Ulcere gastroduodenal evolutif Insuffisance hepatique legere a moderee Insuffisance renale severe (Clcr + Afficher plus - Afficher moins. On pratiquera une anamnese et un examen clinique afin de diagnostiquer la dysfonction erectile et d'en determiner les causes sous-jacentes potentielles avant d'envisager un traitement medicamenteux.
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