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The most important things to do to maximize effectiveness of Levitra® is to take it properly, as prescribed. This means it should not be taken with a high fat meal. Taking Levitra® with a high fat meal delays absorption by about 1 hour and also decreases the maximum blood level. This effect of delayed absorption was not shown with a meal that was lower in fat. It’s also important to take Levitra® at the correct time. It should be taken 30–60 minutes before sexual activity. The effects of Levitra typically last for a maximum of about 8 hours, although its strongest effects are within the first 4 hours. It is also recommended to not mix Levitra® with alcohol. Levitra® should not be taken more than once every 24 hours, and you should never mix Levitra® with other ED medications. Taking Levitra® with a high fat meal delays absorption by about 1 hour and also decreases the maximum blood level. It should be taken 30–60 minutes before sexual activity. The effects of Levitra typically last for a maximum of about 8 hours, although its strongest effects are within the first 4 hours. It is also recommended to not mix Levitra® with alcohol. The most common side effects of Levitra® include headaches, facial flushing, stuffy nose, and upset stomach. Serious side effects that are rare include an erection that will not resolve even after 3–4 hours (priapism), hearing loss, which can be sudden, and vision loss in one or both eyes. For more information about side effects, see Levitra® side effects below. What Should You Know Before Taking Levitra® Who should not take Levitra®? Do not take Levitra® if you: take medicines called nitrates (such as nitroglycerin) use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to vardenafil, as contained in Levitra®, or any of the ingredients in Levitra®. See the end of this leaflet for a complete list of ingredients in Levitra®. What should I tell my healthcare provider before taking Levitra®? To make sure Levitra® is safe for you, tell your healthcare provider if you have any of the following before you take Levitra®: Have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure Have had heart surgery within the last 6 months Have pulmonary hypertension Have had a stroke Have had a seizure Or any family members have a rare heart condition known as prolongation of the buy sildenafil teva QT interval (long QT syndrome). Have low blood pressure, or high blood pressure that is not controlled Have a deformed penis shape Have had an erection that lasted for more than 4 hours Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia Have retinitis pigmentosa, a rare genetic (runs in families) eye disease Have ever had severe vision loss, including an eye problem called NAION Have bleeding problems Have or have had stomach or intestinal ulcers Have liver problems Have kidney problems or are having kidney dialysis Have any other medical conditions. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Levitra® may affect the way other medicines work, and other medicines may affect the way Levitra® works, causing side effects. Tell your healthcare provider if you take any of the following because these drugs interact with Levitra®: Medicines called nitrates Medicines called guanylate cyclase stimulators such as Adempas® (riociguat) Medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA® or generic VIAGRA® with alpha-blockers can lead to a drop in blood pressure or to fainting Medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®) Oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®) Antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin Other medicines that treat high blood pressure Other medicines or treatments for ED Levitra® should not be used with Revatio® (sildenafil citrate) or with other PAH (pulmonary hypertension) treatments containing sildenafil citrate or any other PDE5 inhibitors (such as Adcirca [tadalafil]) Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Rarely reported side effects include: an erection that will not go away (priapism) . If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking Cialis® and call your healthcare provider right away if you have sudden vision loss in one or both eyes. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop takingCialis® or generic Cialis® and contact a doctor right away. The most common side effects of Viagra® and generic Cialis® are: headache flushing upset stomach abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision stuffy or runny nose muscle pain nausea dizziness rash back pain. In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking Levitra®. Most, but not all, of these men had heart problems before taking Levitra®. Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not sildenafil teva 50 mg cena all the possible side effects of Levitra®. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. From treating specific conditions to helping you tackle life-threatening addictions and supporting your body’s natural systems. 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