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Therapeutic actions: Levitra relaxes muscles and increases blood flow to particular areas of the body. Indications: Levitra is a prescription medicine that is used to treat erectile dysfunction (ED). The starting dose of Levitra is 10 mg taken no more than once per day. Your doctor will decide the dose that is right for you. Contraindications and cautions: 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. 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. Adverse effects: The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect. an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives) chest pain or an irregular heartbeats swelling of the ankles or legs shortness of breath prolonged or severe dizziness fainting a prolonged (lasting longer than 4 hours) or painful erection dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw); back pain Other, less serious side effects may be more likely to occur. Continue to take Levitra and talk to your doctor if you experience flushing mild dizziness headache nasal congestion stomach upset sensitivity of the eyes to light; temporary blue tint in vision or other vision abnormalities The side effects listed above may not include all of the side effects reported by the drug\'s manufacturer. Interactions: Before taking Levitra, tell your doctor if you are using any of the following medications: cimetidine (Tagamet, Tagamet HB); erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin); doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin); HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavirritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept); itraconazole (Sporanox) or ketoconazole (Nizoral); heart rhythm medicine such as amiodarone (Cordarone, Pacerone), quinidine(Quinidex, Quinaglute), procainamide (Procan, Pronestyl), or sotalol (Betapace); carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or rifampin (Rifadin, Rimactane). If you are using any of these drugs, you may not be able to take Levitra, or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect Levitra. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Additional Information: DO NOT SHARE THIS MEDICINE with others. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS PRODUCT, as well as syringes and needles, if needed during treatment, out of the reach of children. Do not reuse needles, syringes, or other materials.

Side effects :

Common Levitra side effects (occurring in more than 2 percent of all cases) include: * Headache -- in up to 15 percent of people -- see Headaches From Levitra * Facial flushing -- up to 11 percent * Indigestion or upset stomach -- up to 4 percent * Stuffy or runny nose (rhinitis) -- up to 9 percent * Inflammation of the sinuses (sinusitis) -- up to 3 percent * Flu-like symptoms -- up to 3 percent * Accidental injury -- up to 3 percent * Increased levels of creatine kinase in the blood (creatine kinase is an enzyme normally found in muscles and the brain) -- up to 2 percent * Nausea -- up to 2 percent * Dizziness -- up to 2 percent * Back pain -- up to 2 percent. These side effects normally go away after a couple of hours.

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