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What is Generic Levitra (vardenafil)?
- Generic Levitra relaxes muscles and increases blood flow to particular areas of the body.
- Levitra is used to treat erectile dysfunction (impotence).
- Levitra may also be used for purposes other than those listed in this medication guide.
- Do not take levitra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.
- A small number of patients have had a sudden loss of eyesight after taking levitra (vardenafil). This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether levitra is the actual cause of such vision loss. Sudden vision loss with levitra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.
- Before taking levitra, tell your doctor if you have:
- heart disease or heart rhythm problems;
- a recent history (in the past 6 months) of a heart attack, angina (chest pain), or congestive heart failure;
- a history of stroke or blood clots;
- a personal or family history of "Long QT syndrome";
- high or low blood pressure;
- liver disease;
- kidney disease (or if you are on dialysis);
- a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;
- a bleeding disorder such as hemophilia;
- a stomach ulcer;
- retinitis pigmentosa (an inherited condition of the eye);
- a physical deformity of the penis (such as Peyronie's disease); or
- if you have been told you should not have sexual intercourse for health reasons.
- If you have any of these conditions, you may not be able to use levitra or you may need a dosage adjustment or special tests during treatment.
- FDA pregnancy category B: Although levitra is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use levitra without telling your doctor if you are pregnant or plan to become pregnant during treatment.
- Although levitra is not for use in women, it is not known if levitra passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
- You may need a lower dose of this medication if you are older than 65. Follow your doctor's instructions.
- ake each dose with a full glass of water.
- Avoid taking High-fat food before taking Levitra as it may cause the medicine to take more time to start working.
- Levitra is usually taken only when needed, 30 - 90 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.
- Do not take levitra more than once a day. Allow 24 hours to pass between doses.
- Store this medication at room temperature away from moisture and heat.
- Since levitra is used as needed, you are not likely to be on a dosing schedule.
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision. What should I avoid while taking levitra?
- Avoid drinking alcohol, which can increase some of the side effects of levitra (vardenafil).
- Grapefruit and grapefruit juice may interact with levitra. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Side effects that may occur while taking levitra include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, diarrhea, dizziness, or lightheadedness. Rarely vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If these continue or are bothersome, check with your doctor. Contact your doctor immediately if you experience fast, slow, or irregular heartbeats.
Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. In the unlikely even that you have a painful or prolonged erection (lasting more than 4 hours), stop using levitra and seek immediate medical attention or permanent problems could occur.
An allergic reaction to levitra is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.
What drug(s) may interact with levitra?
Do not take levitra if you are taking the following medications:
- nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally. This includes some recreational drugs called 'poppers' which also contain amyl nitrate and butyl nitrate.
Levitra may also interact with the following medications:
- alpha blockers such as alfuzosin (UroXatral®), doxazosin (Cardura®), prazosin (Minipress®), tamsulosin (Flomax®), or terazosin (Hytrin®), used to treat high blood pressure or an enlarged prostate.
- arsenic trioxide
- bosentan
- certain antibiotics such as clarithromycin, erythromycin, sparfloxacin, troleandomycin
- certain medicines used for seizures such as carbamazepine, phenytoin, and phenobarbital
- certain medicines for the treatment of HIV infection or AIDS
- certain medicines to control the heart rhythm (e.g., amiodarone, disopyramide, dofetilide, flecainide, ibutilide, quinidine, procainamide, propafenone, sotalol)
- chloroquine
- cisapride
- diltiazem
- grapefruit juice
- medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
- methadone
- nicardipine
- pentamidine
- pimozide
- rifabutin, rifampin, or rifapentine
- some medicines for treating depression or mood problems (amoxapine, maprotiline, fluoxetine, fluvoxamine, nefazodone, pimozide, phenothiazines, tricyclic antidepressants)
- verapamil
- The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.