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If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including LEVITRA, and call a doctor right away. Elderly males 65 years of age and older have higher vardenafil plasma concentrations than younger males (18 – 45 years), mean Cmax and AUC were 34% and 52% higher, respectively. Phase 3 clinical trials included more than 834 elderly patients, and no differences in safety or effectiveness of LEVITRA 5, 10, or 20 mg were noted when these elderly patients were compared to younger patients. However, due to increased vardenafil concentrations in the elderly, a starting dose of 5 mg LEVITRA should be considered in patients ≥65 years of age [see CLINICAL PHARMACOLOGY]. Physicians should advise patients to stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including LEVITRA, and seek medical attention in the event of sudden loss of vision in one or both eyes. Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥50.
Sexual Health
Do not chew, cut, or crush vardenafil orally disintegrating tablets. Your pharmacist can tell you all of the ingredients in the specific vardenafil products they stock. Stop taking vardenafil and get help right away if you have any of the following symptoms of a serious allergic reaction. While less common, the most serious side effects of vardenafil are described below, along with what to do if they happen.
The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and side effects. Physicians should inform their patients that concomitant use of LEVITRA with alpha-blockers is contraindicated because co-administration can produce hypotension (e.g. fainting). Patients prescribed LEVITRA who are taking alpha-blockers should be started on the lowest recommended starting dose of LEVITRA (see Drug Interactiona and DOSAGE AND ADMINISTRATION). Patients should be advised of the possible occurrence of symptoms related to postural hypotension and appropriate countermeasures. Patients should be advised to contact the prescribing physician if other anti-hypertensive drugs or new medications that may interact with LEVITRA are prescribed by another healthcare provider.
More Info For This Drug
Roman allows you to meet with a medical professional online to receive a diagnosis and to get prescribed treatments for ED. Roman offers a wide variety of ED medications and related treatments, including the most popular options sildenafil and tadalafil but also a combined medication of the two medications in chewable form. Whether you’re in the US or Canada, you need a valid prescription to purchase Levitra or Vardenafil. The prescription must be written and signed by a licensed healthcare provider. Dr. Candice Fraser is an OB/GYN practitioner and founder of Trinity Medical Care.
If treatment is appropriate, your prescription will be sent directly to your home in plain, unmarked packaging – at a time that works for you. It’s very important to note that Levitra only works when you’re sexually aroused. It’s not like an aphrodisiac which may put you in the mood; it’s not going to cause erections on its own or increase your sexual desire. Instead, it helps to support the natural process of getting an erection when you’re being stimulated.
You and your doctor can work together to select your best action. SIt is important to fully disclose your medical history and current health condition prior to using Vardenafil. Your doctor must be informed if you have experienced cardiovascular issues, including heart failure, heart attack, arrhythmia, hypertension, or hypotension. Additionally, a family history of long QT syndrome must be disclosed. LEVITRA is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men.
Effect of Co-administration of Potent CYP3A4 Inhibitors
There is no information on the presence of vardenafil and its major metabolite in human milk, the effects on the breastfed infant, or the effects on milk production. Vardenafil is present in rat milk of lactating rats (see Data). Inform patients that Levitra is contraindicated in patients who use guanylate cyclase stimulators, buy xanax without prescrition such as riociguat. Patients with left ventricular outflow obstruction, (for example, aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be sensitive to the action of vasodilators including PDE5 inhibitors.