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Does Levitra Need Prescription

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PATIENT INFORMATION

LEVITRA®
(Luh-VEE-Trah)
(vardenafil HCl) Tablets

Read the Patient Information about LEVITRA before you start taking it and again each time you get a refill. There may be new information. You may also find it helpful to share this information with your partner. This leaflet does not take the place of talking with your doctor. You and your doctor should talk about LEVITRA when you start taking it and at regular checkups. If you do not understand the information, or have questions, talk with your doctor or pharmacist.

WHAT IMPORTANT INFORMATION SHOULD YOU KNOW ABOUT LEVITRA?

LEVITRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. With a sudden drop in blood pressure, you could get dizzy, faint, or have a heart attack or stroke .

Do not take LEVITRA if you:

  • Take any medicines called “nitrates” (often used to control chest pain, also known as angina ).
  • Use recreational drugs called “poppers” like amyl nitrate and butyl nitrate.
  • Take riociguat (Adempas®), a guanulate cyclase stimulator, a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. (See “Who Should Not Take LEVITRA?”)

Tell all your healthcare providers that you take LEVITRA. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took LEVITRA.

WHAT IS LEVITRA?

LEVITRA is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men.

ED is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his doctor for help if the condition bothers him. LEVITRA may help a man with ED get and keep an erection when he is sexually excited.

LEVITRA does not:

  • Cure ED
  • Increase a man’s sexual desire
  • Protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your doctor about ways to guard against sexually transmitted diseases.
  • Serve as a male form of birth control.

LEVITRA is only for men with ED. LEVITRA is not for women or children. LEVITRA must be used only under a doctor’s care.

HOW DOES LEVITRA WORK?

When a man is sexually stimulated, his body’s normal physical response is to increase blood flow to his penis. This results in an erection. LEVITRA helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.

WHO CAN TAKE LEVITRA?

Talk to your doctor to decide if LEVITRA is right for you.

LEVITRA has been shown to be effective in men over the age of 18 years who have erectile dysfunction, including men with diabetes or who have undergone prostatectomy .

WHO SHOULD NOT TAKE LEVITRA?

Do not take LEVITRA if you:

  • Take any medicines called “nitrates” (See “What important information should you know about LEVITRA?”). Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.
    Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called “poppers” also contain nitrates, such as amyl nitrate and butyl nitrate. Do not use LEVITRA if you are using these drugs. Ask your doctor or pharmacist if you are not sure if any of your medicines are nitrates.
  • Take riociguat, a guanylate cyclase stimulator, a medicine that treats pulmonary arterial hypertension and chronic-throembolic pulmonary hypertension.
  • Have been told by your healthcare provider to not have sexual activity because of health problems. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

WHAT SHOULD YOU DISCUSS WITH YOUR DOCTOR BEFORE TAKING LEVITRA?

Before taking LEVITRA, tell your doctor about all your medical problems, including if you:

  • Have heart problems such as angina, heart failure. irregular heartbeats, or have had a heart attack. Ask your doctor if it is safe for you to have sexual activity.
  • Have low blood pressure or have high blood pressure that is not controlled.
  • Have pulmonary hypertension.
  • Have had a stroke.
  • Have had a seizure .
  • Or any family members have a rare heart condition known as prolongation of the QT interval (long QT syndrome ).
  • Have liver problems.
  • Have kidney problems and require dialysis .
  • Have retinitis pigmentosa. a rare genetic (runs in families) eye disease
  • Have ever had severe vision loss, or if you have an eye condition called non-arteritic anterior ischemic optic neuropathy (NAION).
  • Have stomach ulcers.
  • Have a bleeding problem.
  • Have a deformed penis shape or Peyronie’s disease.
  • Have had an erection that lasted more than 4 hours.
  • Have blood cell problems such as sickle cell anemia. multiple myeloma. or leukemia .
  • Have hearing problems.

CAN OTHER MEDICATIONS AFFECT LEVITRA?

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. LEVITRA and other medicines may affect each other. Always check with your doctor before starting or stopping any medicines. Especially tell your doctor if you take any of the following:

  • Medicines called nitrates (see “What important information should you know about LEVITRA?”).
  • Ketoconazole or itraconazole (such as Nizoral® or Sporanox®).
  • Ritonavir (Norvir®) or indinavir sulfate (Crixivan®) saquinavir (Fortavase® or Invirase®) or atazanavir (Reyataz®).
  • Erythromycin or clarithromycin.
  • Medicines called alpha-blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Rapaflo® (silodosin) or Uroxatral® (alfuzosin HCl). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients the use of PDE5 inhibitor drugs, including LEVITRA, with alpha-blockers can lower blood pressure significantly leading to fainting .
  • You should contact the prescribing physician if alpha-blockers or other drugs that lower blood pressure are prescribed by another healthcare provider.
  • Medicines that treat abnormal heartbeat. These include quinidine, procainamide, amiodarone and sotalol.
  • Other medicines or treatments for ED.

HOW SHOULD YOU TAKE LEVITRA

Take LEVITRA exactly as your doctor prescribes. Do not take more than one LEVITRA a day. Doses should be taken at least 24 hours apart. Some men can only take a low dose of LEVITRA because of medical conditions or medicines they take. Your doctor will prescribe the dose that is right for you.

  • If you are older than 65 or have liver problems, your doctor may start you on a lower dose of LEVITRA.
  • If you have prostate problems or high blood pressure, for which you take medicines called alpha-blockers, your doctor may start you on a lower dose of LEVITRA.
  • If you are taking certain other medicines your doctor may prescribe a lower starting dose and limit you to one dose of LEVITRA in a 72-hour (3 days) period.

Take 1 LEVITRA tablet about 1 hour (60 minutes) before sexual activity. Some form of sexual stimulation is needed for an erection to happen with LEVITRA. LEVITRA may be taken with or without meals.

Do not change your dose of LEVITRA without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to LEVITRA.

Call your doctor or emergency room immediately if you accidentally took more LEVITRA than prescribed.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF LEVITRA?

The most common side effects with LEVITRA are headache, flushing, stuffy or runny nose. indigestion, upset stomach, dizziness or back pain. These side effects usually go away after a few hours. Call your doctor if you get a side effect that bothers you or one that will not go away.

LEVITRA may uncommonly cause:

  • An erection that won’t go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections.
  • Color vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green.

In rare instances, men taking PDE5 inhibitors (oral erectile dysfunction medicines, including LEVITRA) reported a sudden decrease or loss of vision in one or both eyes. It is not possible to determine whether these events are related directly to these medicines, to other factors such as high blood pressure or diabetes, or to a combination of these. If you experience sudden decrease or loss of vision, stop taking PDE5 inhibitors, including LEVITRA, and call a doctor right away.

Sudden loss or decrease in hearing, sometimes with ringing in the ears and dizziness, has been rarely reported in people taking PDE5 inhibitors, including LEVITRA. It is not possible to determine whether these events are related directly to the PDE5 inhibitors, to other diseases or medications, to other factors, or to a combination of factors. If you experience these symptoms, stop taking LEVITRA and contact a doctor right away.

These are not all the side effects of LEVITRA. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

HOW SHOULD LEVITRA BE STORED?

  • Store LEVITRA at room temperature between 59–86° F (15–30° C).
  • Keep LEVITRA and all medicines out of the reach of children.

GENERAL INFORMATION ABOUT LEVITRA

Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use LEVITRA for a condition for which it was not prescribed. Do not give LEVITRA to other people, even if they have the same symptoms that you have. It may harm them.

This leaflet summarizes the most important information about LEVITRA. If you would like more information, talk with your healthcare provider. You can ask your doctor or pharmacist for information about LEVITRA that is written for health professionals.

For more information you can also visit www.LEVITRA.com, or call 1-866-LEVITRA.

WHAT ARE THE INGREDIENTS OF LEVITRA?

Active Ingredient: vardenafil hydrochloride

Inactive Ingredients: microcrystalline cellulose, crospovidone, colloidal silicon dioxide, magnesium stearate, hypromellose, polyethylene glycol, titanium dioxide, yellow ferric oxide, and red ferric oxide.

This Patient Information has been approved by the U.S. Food and Drug Administration.

Last reviewed on RxList: 10/8/2015
This monograph has been modified to include the generic and brand name in many instances.

Levitra Faqs

Brand Name Authentic Levitra

Brand Name Authentic Cialis

Short Answer: Yes. Reputable online drugstores will ask you health-related questions to make sure you are a candidate for the medication. Making sure that all the information is accurate and complete will allow the physician to make an informed decision on whether or not Levitra should be prescribed to you.

Long Answer: Yes. You can buy Levitra without a prior prescription from a reputable online drugstore. Make sure to insure the online facilitator is reputable ?Do they have a physical address? Do they list a contact phone number? How many years have they been in business?

Reputable online pharmacies will ask for your personal health information to ensure that the drug is safe for you to take. The company should ask you to fill out a comprehensive medical profile. If an online drugstore doesn’t ask for your medical history, and doesn’t ask you to fill out a medical profile, the company should be avoided.

When using a reputable online facilitator, your medical questionnaire will be reviewed by a U.S. licensed physician to determine whether or not you can take Levitra safely. After approval, the prescription will be sent directly to you. To ensure privacy and discreetness, an adult signature will be required before the package is released at your home.

Be sure to do your research, and make sure the online facilitator you choose has your health in mind, and not just your money.

To order levitra online from a reputable, safe, and secure online facilitator, please visit AccessRX.com.

AccessRx Quality & Safety

With Accessrx.com, you can rest asssured that you are getting only FDA-approved medications from United States licensed pharmacies and physicians. AccessRx.com ensures that all registered users information is kept safe using the highest level of online security and every transaction is McAfee secured.

Trademarks and registered marks are the properties of their respective companies. Copyright © 1998-2013 AccessRx.com. All Rights Reserved. | Privacy Policy | Site Map

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Read frequently asked questions.

Levitra

Levitra (vardenafil) relaxes muscles found in the walls of blood vessels 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 not listed in this medication guide.

Important information

Taking Levitra with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take vardenafil if you also take riociguat (Adempas) or a nitrate drug such as nitroglycerin.

Stop using Levitra and get emergency medical help if you have sudden vision loss.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect.

Before taking this medicine

You should not use Levitra if you are allergic to vardenafil.

Taking Levitra with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take vardenafil if you also take riociguat (Adempas), or if you take a nitrate drug for chest pain or heart problems. Nitrates include nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite («poppers»).

To make sure Levitra is safe for you, tell your doctor if you have:

heart disease, heart rhythm problems;

a recent history (in the past 6 months) of a heart attack, stroke, or congestive heart failure;

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;

hearing or vision problems, history of vision loss;

an eye disorder such as 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.

Levitra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking Viagra or other drugs similar to vardenafil. Most of these people also had certain pre-existing eye problems or risk factors for blood vessel disorders (such as heart disease, diabetes, high blood pressure, high cholesterol, coronary artery disease, smoking, or being over 50 years old). It is not clear whether vardenafil is the actual cause of vision loss.

Although Levitra is not for use in women, this medication is not expected to be harmful to an unborn baby.

Although Levitra is not for use in women, it is not known whether this medicine passes into breast milk or if it could harm a nursing baby.

How should I take Levitra?

Take Levitra exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Levitra can be taken with or without food.

Levitra is usually taken only when needed, about 60 minutes before sexual activity. The medicine can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor’s instructions.

Do not take this medicine more than once a day. Allow 24 hours to pass between doses.

Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

Store at room temperature away from moisture and heat.

Levitra dosing information

Usual Adult Dose for Erectile Dysfunction:

-Initial dose: 10 mg orally once a day, as needed, approximately 60 minutes before sexual activity. Increase to 20 mg or decrease to 5 mg based on efficacy and tolerability.
-Maximum dose: 20 mg once a day

Patients on stable alpha blocker therapy:
-Initial dose: 5 mg orally once a day

Comments:
-Sexual stimulation is required for a response to treatment.
-A time interval between dosing should be considered when administering this drug concomitantly with alpha-blockers.

Use: Erectile dysfunction

Usual Geriatric Dose for Erectile Dysfunction:

65 years or older:
-Initial dose: 5 mg orally once a day, as needed, approximately 60 minutes before sexual activity

Comments: Sexual stimulation is required for a response to treatment.

Use: Erectile dysfunction

What happens if I miss a dose?

Since Levitra is used as needed, you are not likely to be on a dosing schedule.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Levitra?

Grapefruit and grapefruit juice may interact with vardenafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking vardenafil.

Drinking alcohol can increase certain side effects of Levitra.

Do not use any other drug to treat impotence unless your doctor tells you to.

Levitra side effects

Get emergency medical help if you have any signs of an allergic reaction to Levitra: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using Levitra and get emergency medical help if you have sudden vision loss.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect.

Stop using Levitra and call your doctor at once if you have:

ringing in your ears, or sudden hearing loss;

heart attack symptoms — chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;

swelling in your hands, ankles, or feet;

shortness of breath;

a light-headed feeling, like you might pass out;

penis erection that is painful or lasts 4 hours or longer; or

Common Levitra side effects may include:

flushing (warmth, redness, or tingly feeling);

upset stomach; or

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Levitra?

Do not take Levitra with similar medicines such as avanafil (Stendra), sildenafil (Viagra), or tadalafil (Cialis). These medicines also have other brand names (Adcirca, Revatio) that are used to treat a condition called pulmonary arterial hypertension.

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Levitra, especially:

all other medications you use for erectile dysfunction;

an antibiotic — clarithromycin, erythromycin, telithromycin, and others;

antifungal medicine — itraconazole, ketoconazole, and others;

drugs to treat high blood pressure or a prostate disorder — alfuzosin, doxazosin, prazosin, silodosin, terazosin, tamsulosin;

heart rhythm medicine — amiodarone, dofetilide, disopyramide, dronedarone, procainamide, quinidine, sotalol; or

HIV/AIDS medicine — atazanavir, indinavir, ritonavir, saquinavir, and others.

This list is not complete. Other drugs may interact with vardenafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

More about Levitra (vardenafil)

Consumer resources

Professional resources

Related treatment guides

Where can I get more information?

  • Your pharmacist can provide more information about Levitra.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2016 Cerner Multum, Inc. Version: 10.01. Revision Date: 2015-10-09, 12:14:28 PM.

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