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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 generic prescription viagra 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 cheap generic viagra soft tabs 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 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). By reporting side effects, you can help provide more information on the safety of this medicine. or search for MHRA Yellow Card in the Google Play or Apple App Store. Due to the current situation with COVID-19, we are operating with reduced staffing and there may be delays in responding to emails and phone calls at this time. In addition, because of institutional restrictions and uncertainty with courier services and transportation, the RRRC is currently shipping and receiving live animals on a case-by-case basis. For new requests, please contact us to discuss your needs. For ongoing orders, we will continue to communicate frequently to keep you apprised of the status of your order. 1 hour before sexual activity; may be increased to 20 mg or reduced to 5 mg, depending on effectiveness and tolerance; not to exceed 1 dose/day. Orally disintegrating tablet (ODT): 10 mg PO placed on tongue. 1 hour before sexual activity; not to exceed 1 dose/day. 10-mg ODT not interchangeable with 10-mg film-coated tablet; ODT provides higher systemic exposure at same dose; if higher or lower doses are required, film-coated tablet should be prescribed. Ketoconazole 200 mg/day or itraconazole 200 mg/day: Vardenafil dosage not to exceed 5 mg/day Ketoconazole 400 mg/day or itraconazole 400 mg/day: Vardenafil dosage not to exceed 2.5 mg/day Indinavir, saquinavir, atazanavir, or clarithromycin: Vardenafil dosage not to exceed 2.5 mg/day Ritonavir (600 mg q12hr): Vardenafil dosage not to exceed 2.5 mg/72 hr. Erythromycin 500 mg q8hr: Vardenafil dosage not to exceed 5 mg/day. Stabilized on alpha-blocker therapy (eg, alfuzosin, terazosin, tamsulosin): 5 mg/day PO initially Stabilized on alpha-blocker therapy and taking moderate-to-strong CYP3A4 inhibitor: 2.5 mg/day PO initially. Mild, moderate, severe impairment: Dosage adjustment not necessary Hemodialysis: Not recommended. Child-Pugh class A: Dosage adjustment not necessary Child-Pugh class B: Film-coated tablet, 5 mg PO. 1 hour before sexual activity; not to exceed 10 mg once daily; ODT not recommended Child-Pugh class C: Not recommended. Pulmonary Arterial Hypertension (Orphan) Orphan designation for treatment of pulmonary arterial hypertension. Respira Therapeutics, Inc; 5901 Indian School Road NE, suite 107; Albuquerque, New Mexico 87110. AUC and Cmax increased by 39% and 21%, respectively, in elderly men (compared with men Enter a drug name and vardenafil.
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