Vardenafil (Levitra)

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Description When a man becomes sexually aroused, blood flows into the penis, causing it to expand and harden. Without good blood flow, the penis cannot become erect or rigid. Levitra helps increase the blood flow to the penis, allowing it to become erect and rigid so that sexual intercourse is possible. The erection should go away when the man has completed sexual activity.
Original uses (on-label) Erectile dysfunction
Newly discovered uses (off-label) Pulmonary hypertension
Potential side effects The most common side effects are headache, flushing, stuffy or runny nose, indigestion, upset stomach, or dizziness. Call your doctor if you have a side effect that bothers you or that does not go away. If you get an erection that lasts more than 4 hours, seek medical attention right away.
Cautions
  • Do not use this drugs in men for whom sexual activity has undue cardiac risk.
  • Immediate medical attention should be sought if an erection lasts longer than 4 hours. A delay in treatment may cause penile tissue damage and permanent loss of potency.
Drug interactions Before you decide to buy Levitra, tell your doctor and pharmacist about all prescription and over-the-counter medications you take. Levitra should not be taken with certain medications. Do not take it if you take nitrates for heart disease, alpha-blockers to lower blood pressure (terazosin, tamsulosin, doxazosin mesylate, prazosin, alfuzosin), medicines that treat abnormal heartbeat (quinidine, procainamide, amiodarone, sotalol), ritonavir or indinavir, ketoconazole or itraconazole, or erythromycin. Do not buy vardenafil if you are already taking another medicine or treatment for erectile dysfunction.
Food interactions Grapefruit juice. May be taken with or without food. Studies show that when Levitra and alcohol are taken together, there is no adverse effect on heart rate or blood pressure. Alcohol, however, may decrease a man's ability to achieve an erection.
Herbal interactions St. John's wort
Pregnancy and breast-feeding cautions FDA Pregnancy Risk Category B. Not for use in women; not recommended during breast-feeding.

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Where can I buy Vardenafil without prescription?
Vardenafil is a prescription drug that comes in 2.5 mg, 5 mg, 10 mg, 20 mg tablets. It is available on prescription only as tablets for oral use, but the online pharmacy, will sell Levitra without prescription. You may be able to order Levitra from them online and save the local pharmacy markup.
Special information A study conducted in Germany examined its effect on pulmonary and systemic blood systems and gas exchange parameters in patients with pulmonary arterial hypertension (PAH). Sixty PAH patients who underwent right heart catheterization (procedure to insert a thin plastic tube into an artery or vein in the arm or leg) received short-term nitric oxide inhalation and were subsequently given either sildenafil, vardenafil, or tadalafil. All three drugs caused significant pulmonary vasorelaxation, with maximum effects being obtained after 40 to 45 minutes (vardenafil), 60 minutes (sildenafil), and 75 to 90 minutes (tadalafil). Significant improvement in arterial oxygenation was only noted with sildenafil. Researchers assert that careful evaluation of each new drug, when being considered for PAH treatment, has to be undertaken.

Additionally, these drugs have the potential for significant drug interactions and should not be used if you are maintained on nitrates.
Levitra Review
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What is Levitra? Vardenafil is used to treat male sexual function problems.
Brands & Classes Brand name
Levitra
Generic name
Vardenafil
Chemical class
5-phosphodiesterase inhibitors
Therapeutic class
Impotence drugs
Avail forms Tablets - Oral 2.5 mg, 5 mg, 10 mg, 20 mg.
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Dosage ADULT
Erectile dysfunction: PO starting dose 10 mg, 60 min before sexual activity, dose range 5-20 mg.
Elderly: Reduce starting dose to 5 mg for patients older than 65.
Interacting drugs: Concurrent erythromycin use: max dose is 5 mg qd; concurrent itraconazole or ketoconazole use: if dose <400 mg qd of itraconazole or ketoconazole, max dose is 5 mg qd, if dose >400 mg qd of itraconazole or ketoconazole, max dose is 2.5 mg qd; concurrent indinavir use: max dose is 2.5 mg qd; concurrent ritonavir use: max dose is 2.5 mg q3 days.