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And his colleagues examined somatomotor penile innervation viagra is available in the following strengths: 25 mg 50 mg 100. Hope for a natural erection time must elapse.

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For additional information please visit the following MedicineNet.com areas: sildenafil (Viagra) Impotence (Erectile Dysfunction) article Impotence Center Focus Topics on Men's Health. August 19, 2003 -- The Food and Drug Administration approved Levitra (vardenafil), an oral medication to treat erectile dysfunction in men (impotence).

This is the second oral product approved for the treatment of erectile dysfunction.

(Sildenafil, better known as

Viagra

, was the first.) Erectile dysfunction affects millions of men in the United States.

Levitra acts by relaxing muscles in the penis and blood vessels, allowing increased blood flow into the penis, which produces an erection. Levitra was evaluated in randomized, placebo-controlled trials involving more than 2000 men with erectile dysfunction. In two of the trials men had erectile dysfunction associated with diabetes mellitus or following radical prostatectomy for prostate cancer.

The drug's effectiveness was assessed using a sexual function questionnaire.

In addition, patients were asked to report if they were able to achieve an erection adequate for intercourse and whether the erection was maintained to allow completion of intercourse. In all of the trials, Levitra improved patients' ability to achieve and maintain a penile erection. The recommended dose is 10 mg taken 1 hour before sexual activity.

A higher dose of 20 mg is available for patients whose response to the 10 mg dose is not adequate.

Two lower doses (2.5 mg and 5.0 mg) are also available and may be necessary for patients taking other medicines or having medical conditions that may decrease the body's ability to metabolize vardenafil (Levitra). Levitra should not be used with nitrates (such as nitroglycerin tablets or patches) or with alpha-blockers (medicines that may be used to treat benign prostatic hyperplasia and/or high blood pressure such as tamsulosin, terazosin, doxazosin, and alfuzosin) because the combination of an alpha-blocker with Levitra may significantly lower the blood pressure and lead to fainting in some men.

Currently, there is no information available to support the safety of even the lower doses of vardenafil taken together with alpha-blockers.

In addition, Levitra should not be used in patients who have a rare heart condition known as "prolongation of the QT interval" because of the

possibility

of producing order viagra pills online abnormal heart rhythm.

Because some drugs may affect the metabolism of Levitra, patients should inform their doctors that they are taking Levitra and they should not begin taking new medicines without informing their doctor. For example, patients taking erythromycin should not take more than a 5 mg dose of Levitra and a maximum dose of 2.5 mg Levitra once every 72 hours is the maximum recommended dose for patients who are taking the protease inhibitor ritonavir (Norvir) for HIV/AIDS.

Levitra should not be taken by men in whom sexual activity is inadvisable because of their underlying cardiovascular status (heart condition).

Patients should inform

their

doctor about any heart problems they have experienced before taking Levitra. Levitra is not recommended in patients who have suffered a heart attack or stroke within the last six months, or patients who have significantly low blood pressure, uncontrolled high blood pressure, unstable angina, severe liver impairment, end stage renal disease requiring dialysis, or the eye disorder retinitis pigmentosa. The most common side effects reported in clinical trials included headache, flushing, rhinitis (runny nose), and indigestion. A small number of patients taking Levitra also reported abnormal vision. Before taking Levitra, patients are advised to undergo a thorough medical history and physical examination to diagnose the underlying cause of the erectile dysfunction and to identify appropriate treatment.

Levitra confers no protection against AIDS or other sexually transmitted diseases. Levitra is

manufactured

by Bayer Corporation in Germany and generic viagra at costco will be distributed by Glaxo Smith Kline. User Reviews for Levitra to treat Erectile Dysfunction.

The following information is NOT intended to endorse any particular medication. While

these

reviews might be helpful, they are not a substitute for the expertise, knowledge and judgement of healthcare practitioners. Compare all 14 medications used in the treatment of Erectile Dysfunction. Works very well, especially if I take it on an empty stomach. Very reliable - I have always been able to have sex after an hour wait. Stuffy nose side effect.” “First time I tried this I was to quick to get with my wife. About a half hour later after we made love the medicine was obviously working full force.

I made a point of waiting an cialis viagra sale hour at minimum before we got together. My side effects were flushing, stuffy nose and a bit of anxiety ( I’m anxious by nature trying a new med ) none of the side effects could dissuade me from using this again.

It is my hope to use this medicine as a bridge to better health and weight loss.

If you’re having true difficulties, give this med a try. Started Viagra 25 mg at age 75years old when my plumbing became unreliable. Had to increase over the years to more

than

100 mg and still not a sure thing. Also take 5 mg Cialis daily for BPH and have mild version of prostate cancer. Ordered one Levitra 20 mg for a test and paid $26.44. It was well worth it and both my wife and myself got our money's worth.” “I guess it worked for ED issues but had a headache so bad thought it gave me an aneurysm.

Can not function and leaves me unable to even move sometimes.

Was prescribed another med to take before attempting sex to prevent headache but 90+ percent of time it's bad and debilitating. Did not have headaches during sex before trying it.” “71 years old; Have been taking for 10 years; use 10 mg, take it 45 minutes after eating; love it - full and hard erections with stimulation - every time; some flushing of face and mild indigestion.” “Longer time for reaction than viagra” “I have been taking Levitra for years I was 350 lbs and it worked great now that I've lost 100 lbs its not working and I don't know why I'm off all my meds due to weight loss and now it doesn't work at all.

The only thing I'm taking now is a asprin a day that I wasn't taking before I would like to know what happened the doctor doesn't know why it quit working after all these years” “Took 100mg. I am 72 and going 2-4 times a week” “I'm 64 and have been taking viagra for several years.

I received a sample of 20mg levitra x10 and wow, I'm switching.

Had hard erections on and off all day and the next.

very happy.” “Had tried Levitra 20mg but only got semi hard and not solid erection and could not come at all. Have recently tried Levitra professional and hardly worked at all yet they say this an improved version but did nothing for me at all. Very disappointing” “I started with Levitra 10 mg almost 3 month ago.

The first time I used it it took 90 minutes for the erection.

After that it took from 150 to 180 minutes For the erection.

Why?” “Having tried 10mg which started to work I tried the 20mg.

Took over 90 minutes before it kicked in and started getting aroused .Tried intercourse 5 times but each time lost my erection after a few minutes so very disappointed Apparently they now have a new more recent and improved Levitra called Levitra professional so

will

try that and see if any better” “I used 10mg Levitra for the first time.

Certainly fuller and wider but not longer but still couldn't come.

Tiny bit of face flushing but did have 1 large glass of white wine to relax before initiating anything. Think if I had taken 20 mg it would have done the trick as 10mg too weak for me and much better than viagra or Cialis.

Will definitely use again but 20mg next time” “Best I've used yet ,definitely” “Experience is generally very positive. Mostly strong results with manageable flushing and head pressure. However there have been a few times that the drug has let me down with good sexual stimulation.

I have wondered if the drug interfered with orgasm but maybe that’s just the reality of being 63. Fortunately I maintained an erection so I was able to please my partner (a lot) which was more important to me than my orgasm. The drug indications are that it can be taken without regard to food but avoid just grapefruit.

I am reading a few reviews online that taking it with an empty stomach produces better results.

Sometimes when I take it I feel no symptoms at all and that’s when I sometimes think it may not be successful.

I’m wondering if it’s possible to build up a tolerance to best site to buy viagra online it.” “Tried all three (V, C, and L), but Levitra works the best for me.

About 30mins to 1 hr in, I have a very strong erection. I can usually ejaculate and still maintain an erection.

(mixed blessing for my SO's) I should note that I don't ejaculate as much semen while on other ED meds. However, it tends to work best for me after several hours, and usually I can maintain a rock hard erection well into the next day.” “After nerve-sparing radical prostatectomy at 48, I recovered function after a few months.

After 15 years, erections that are "adequate" gradually become more of a challenge and recently started Levitra.

(I had liked it better than Viagra or Cialis when I was still recovering from surgery, before nature helped make them unnecessary.) I tried 20mg and was VERY pleased with the result, but felt "buzzed" and uncomfortable for days. Cut it in half, and still effective (though not as dramatic). Cut again to 1/4 and happy with the results.” “It’s probably individual.

Try all three main ED drugs and choose the one best for you at the moment. I get no side effects until I’ve been taking it 4-5 Days running. Stomach upset worse with Levitra, so that’s a wash. Pick your poison!” Levitra Vs Viagra: Finding The Best ED Treatment For You.

Andy is a co-founder, the superintendent pharmacist and director at The Independent Pharmacy. Each medication helps treat erectile dysfunction (ED) issues by increasing the blood flow to the penis and are proven to help men achieve harder, longer-lasting erections for sexual activity.

The main difference between Levitra and Viagra is the active ingredient that the two medications contain.

Viagra’s active ingredient is Sildenafil, and Levitra’s is Vardenafil. Here’s what you need to know about the difference between Sildenafil and Vardenafil: Vardenafil (Levitra) helps men: Achieve an erection within 30 minutes Provides an erection for up to 5 hours.

Sildenafil (Viagra) helps men: Achieve an erection within 30-60 minutes Provides an erection for up to 4 hours. As you can see, there is very little to choose between Levitra and Viagra in terms of effectiveness.

Levitra, on average, works a little quicker and provides an erection that lasts a little longer.

It’s also important to note that both only work when you are sexually aroused, meaning you need to engage in foreplay to experience the best results.

To learn more about Vardenafil, read our dedicated guide for a comprehensive overview page: What is Levitra?.

One of the main differences between Levitra and Viagra is the effectiveness of the two medications when ingested with food. Food delays the absorption of all medication in the system. If you eat a large or fatty meal before taking Viagra, the effects are likely to be significantly reduced. Levitra, on the other hand, is typically less affected by food. The one main exception is grapefruit, which has been proven to significantly reduce the effect of the medication. An alternative to both Levitra and Viagra is Cialis, which does not contain either Vardenafil or Sildenafil.

Instead, it contains a different active ingredient called Tadalafil.

By increasing blood flow to the penis, it works in a similar way to both Levitra and Viagra.

However, Cialis helps men: Achieve an erection within 30 minutes Maintain an erection for up to 36 hours.

The main difference is that Cialis stays in your system for much longer than both Levitra and Viagra, therefore helping men to achieve an erection for longer.

Levitra dosages and Cialis dosages available are very similar: 5mg, 5mg, 10mg, and 20mg. Viagra, by comparison, is available in larger three doses: 25mg, 50mg, and 100mg. To see what actual users thought about Cialis as a treatment for ED read our Cialis reviews. As the name suggests, Cialis Daily is designed to be taken every day.

The medication is for men who like to have spontaneous sex more than three times a week. When taking Cialis Daily, you don’t need to take a pill 30 minutes or an hour before sex.

Instead, you keep your body topped up with the medication on a permanent basis, meaning you should be able to achieve an erection whenever you want to engage in sexual activity and without the need to plan ahead. Compared to Levitra, Cialis Daily is only available in smaller packets of 2.5mg and 5mg tablets.

Below you will find a table comparing Levitra, Viagra, and Cialis by price, dosages, how long it takes to work, and more.

Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction. 1 The University of Queensland, School of Biomedical Sciences, Australia.

Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction.

Search in PubMed Search in NLM Catalog Add to Search. 1 The University of Queensland, School of Biomedical Sciences, Australia. Erectile dysfunction (ED) affects up to 50% of men, between 40 and 70 years of age.

In the first major trial of sildenafil in ED, at 24 weeks, improved erections were reported by 77 and 84% of men taking sildenafil 50 and 100mg, respectively.

Subsequently, sildenafil has been reported to be

effective

in men with ED associated with diabetes and prostate cancer, and in psychogenic ED.

Sildenafil is safe in men with coronary artery disease, provided it is not used with the nitrates (a contraindication). The most commonly reported adverse effects with sildenafil are headache, flushing and dyspepsia.

Vardenafil is more potent and more selective than sildenafil at inhibiting phosphodiesterase-5.

Vardenafil is similarly effective to sildenafil in the treatment of ED.

The only advantage that vardenafil has over sildenafil is that it does not inhibit phosphodiesterase-6 to alter colour perception, a rare side effect which sometimes occurs with sildenafil. Tadalafil has a longer duration of action than sildenafil and vardenafil.

Tadalafil is similarly effective as sildenafil in the treatment of ED.

In comparison studies, tadalafil is preferred to sildenafil (50/100mg) by men with ED, possibly because of its longer duration of action.

Of the phosphodiesterase inhibitors, tadalafil may displace sildenafil as the drug of choice among men with ED.

Report Side Effect Related Medicines Same active ingredients Same company Bookmark Email.

What is a Patient Information Leaflet and why is it useful? The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine.

It is written for patients and gives information about taking or using a medicine.

It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above. The text only version may be available in large print, Braille or audio CD.

For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet are: EU/1/03/248/009, EU/1/03/248/012, EU/1/03/248/010, EU/1/03/248/011.

Due to regulatory changes, the content of the following Patient Information Leaflet may vary from the one found in your medicine pack.

Please compare the 'Leaflet prepared/revised date' towards the end of the leaflet to establish if there have been any changes.

If you have any doubts or queries about your medication, please contact your doctor or pharmacist. Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

If you have any further questions, ask your doctor or pharmacist. It may harm them, even if their signs of illness are the same as yours.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

Levitra contains vardenafil, a member of a class of medicines called phosphodiesterase type 5 inhibitors.

They are used for the treatment of erectile dysfunction in adult men, a condition which implies difficulties in getting or keeping an erection.

At least one in ten men has trouble getting or keeping an erection at some time. There may be physical or psychological causes, or a mixture of both. Whatever the cause is, due to muscle and blood vessel changes not enough blood stays in the penis to make it hard and keep it hard. Levitra will only work when you are sexually stimulated.

It reduces the action of the natural chemical in your body which makes erections go away. Levitra allows an erection to last long enough for you to satisfactorily complete sexual activity. If you are allergic to vardenafil or any of the other ingredients of this medicine (listed in section 6). Signs of an allergic reaction include a rash, itching, swollen face or lips and shortness of breath. If you are taking medicines containing nitrates, such as glycerol trinitrate for angina, or nitric oxide donors, such as amyl nitrite.

Taking these medicines with Levitra could seriously affect your blood pressure. If you are taking ritonavir or indinavir, medicines used to treat human immunodeficiency virus (HIV) infections. If you are over 75 years of age and are taking ketaconazole or itraconazole, anti-fungal medicines.

If

your

family has a history of degenerative eye diseases (such as retinitis pigmentosa ). If you have ever had a condition involving loss of vision due to damage to the optic nerve from insufficient blood supply known as non-arteritic ischemic optic neuropathy (NAION).

This drug is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots).

PDE5 inhibitors, such as Levitra have been shown to increase the hypotensive effects of this medicine.

If you are taking riociguat or are unsure tell your doctor. Talk to your doctor or pharmacist before taking Levitra. If you suffer from irregular heart beat (cardiac arrhythmia) or inherited heart diseases affecting your electrocardiogram. If you have a physical condition affecting the shape of the penis. This includes conditions called angulation, Peyronie’s disease and cavernosal fibrosis. If you have an illness that can cause erections which won’t go away ( priapism ). These include sickle cell disease, multiple myeloma and leukaemia. If you have stomach ulcers (also called gastric or peptic ulcers ).

If you have a bleeding disorder (such as haemophilia ).

If you are using any other treatments for erection difficulties, including Levitra orodispersible tablets (see section Other medicines and Levitra).

If you experience sudden decrease or loss of vision, stop taking Levitra and contact your doctor immediately.

Levitra is not intended for use by children or adolescents under 18. Please tell your doctor or pharmacist if you are using, have recently used or might use any other medicines, including

medicines

obtained without a prescription. Some medicines may cause problems, especially these: Nitrates, medicines for angina, or nitric oxide donors, such as amyl nitrite. Taking these medicines with Levitra could seriously affect your blood pressure.

Medicine for the treatment of arrhythmias, such as quinidine, procainamide, amiodarone or sotalol Ritonavir or indinavir, medicines for HIV Ketoconazole or itraconazole, anti-fungal medicines Erythromycin or clarithromycin, macrolide antibiotics Alpha-blockers, a type of medicine used to treat high blood pressure and enlargement of the prostate (as benign prostatic hyperplasia ) Riociguat. Do not use Levitra film-coated tablets combined with any other treatment for erectile dysfunction, including Levitra orodispersible tablets. You can take Levitra with or without food but preferably not after a heavy or high-fat meal as this may delay the effect. It can interfere with the usual effect of the medicine.

Alcoholic drink can make erection difficulties worse.

Levitra might make some people feel dizzy or affect their vision. If you feel dizzy, or if your vision is affected after taking Levitra don’t drive or operate any tools or machines. Always take this medicine exactly as your doctor has told you.

Check with your doctor or pharmacist if you are not sure. Take a Levitra tablet about buy viagra super active online 25 to 60 minutes before sexual activity.

With sexual stimulation you may achieve an erection anywhere from 25 minutes up to four to five hours after taking Levitra.

Do not take Levitra film-coated tablets with any other forms of Levitra. Tell your doctor if you think Levitra is too strong or too weak. He or she may suggest a switch to an alternative Levitra formulation with a different dose, depending on how well it works for you.

Men who take too much Levitra may experience more side effects or may get severe back pain. If you take more Levitra than you should, tell your doctor. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Like all medicines, this medicine can cause side effects, although not everybody gets them. Partial, sudden, temporary or permanent decrease or loss of vision in one or both eyes has been experienced by patients. Stop taking Levitra and contact your doctor immediately. Sudden decrease or loss of hearing has been reported.

Cases of sudden death, fast or altered heart beat, heart attack, chest pain, and trouble in cerebral circulation (including temporarily decreased blood flow to parts of the brain and bleeding in the brain) have been reported in men taking vardenafil.

Most

of the men who experienced these side effects had heart problems before taking this medicine. It is not possible to determine whether these events were directly related to vardenafil.

The chance of having a side effect is described by the following categories: Very common: may affect more than 1 in 10 users.

Dizziness Flushing Blocked or runny nose Indigestion.

Swelling of skin and mucous tissue including swollen face, lips or throat Sleep disorder Numbness and impaired perception of touch Sleepiness Effects on vision, redness of the eye, effects on colour

vision

, eye pain and discomfort, light sensitivity Ringing in the ears, vertigo Fast heart beat or pounding heart Breathlessness Stuffy nose Acid reflux, gastritis, abdominal pain, diarrhoea, vomiting; feeling sick ( nausea ), dry mouth Raised levels of liver enzymes in your blood Rash, reddened skin Back or muscle pain, increase in blood of a muscle enzyme ( creatine phosphokinase ), muscle stiffness Prolonged erections Malaise.

Inflammation of the eyes ( conjunctivitis ) Allergic reaction Anxiety Fainting Amnesia Seizure Increased pressure in the eye ( glaucoma ), lacrimation increased Effects on the heart (such as heart attack, altered heart beat or angina) High or low blood pressure Nose bleed Effect on results of blood tests to check liver function Sensitivity of the skin to sun light Painful erections Chest pain Temporarily decreased blood flow to parts of the brain. Very rare or not known: may affect less than 1 in 10,000 users or frequency cannot be estimated from the available data.

Blood in the urine ( Haematuria ) Penile bleeding ( Penile Haemorrhage ) Presence of blood in the semen ( Haematospermia ) Sudden death Bleeding in the brain.

This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below).



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