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Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see during an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked People who can become pregnant are not usually prescribed vardenafil. It is not known if or how vardenafil could affect pregnancy or harm an unborn baby. Tell your healthcare provider if you are or plan to become pregnant. People who can breastfeed are not usually prescribed vardenafil. It is not known if vardenafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or levitra 20 mg bayer plan to breastfeed. Grapefruit or grapefruit juice can raise vardenafil levels in your body, which can increase the risk of side effects.

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In the U.S., you can report side effects to the FDA at or by calling 800-FDA-1088. In Canada, you can report side effects to Health Canada at or by calling 866-234-2345. While less common, the most serious side effects of vardenafil are described below, along with what to do if they happen. Vardenafil may cause allergic reactions, which can be serious. Stop taking vardenafil and get help right away if you have any of the following symptoms of a serious allergic reaction.

Contradictions and Special Warnings

Swelling of the face, lips, mouth, tongue, or throat Itching, skin rash, or pale red bumps on the skin called hives Vardenafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Permanent damage to the penis may occur if priapism is not treated quickly. Stop taking vardenafil and get emergency help if you have any of the following symptoms of priapism. Erection lasting for more than four hours Erection that is unrelated to sexual stimulation Vardenafil can cause mild, temporary vision changes such as seeing a blue tint, abnormal colors, blurry vision, or sensitivity to light. Though rare, some people have reported permanent vision loss. Vardenafil orally disintegrating tablets should not be taken with water or liquids. Let it dissolve on your tongue without crushing it. There are no known interactions between vardenafil and alcohol. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

Storage Condition Temperature Range Shelf Life Precautions Notes
Cool, Dry Place 15-25°C 2-3 years Keep out of reach of children, avoid humidity Store in original container
Temperature-controlled Environment Room temperature 2-3 years Keep away from direct sunlight Do not refrigerate unless specified
Expired Pills N/A N/A Do not use Dispose of safely according to local laws

In particular, make sure that you discuss if you are using any of the following before taking vardenafil. Tell your healthcare provider about all medicines that you take or have recently taken.

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This may not be a complete list of medicines that can interact with vardenafil. If you or someone else has taken too much vardenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. Take it as your healthcare provider recommends, which is usually about one hour before planned sexual activity.

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Phenylalanine is found in vardenafil oral tablets and vardenafil orally disintegrating tablets. This substance can be harmful to people with PKU. Tell your healthcare provider if you have PKU. They can suggest a different treatment option for you. Tell your healthcare provider if you have any of the following. Do not take double or extra doses. This survey is being conducted by the WebMD marketing sciences department. This medication is a phosphodiesterase inhibitor used to treat erectile dysfunction (male impotence).

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Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Vardenafil does not protect against sexually transmitted infections, including HIV. Vardenafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension.

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You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if vardenafil is right for you. In particular, make sure that you discuss any of the following. It works by relaxing muscles and increasing blood flow to the penis during sexual stimulation.

  • Vardenafil is also available in an orally disintegrating tablet (ODT) form.
  • The ODT form may be available as a generic in some cases.
  • ODT tablets are placed on the tongue and dissolve without water.
  • This can be convenient for discretion and for those who dislike swallowing.
  • The efficacy and safety profile is similar to standard tablets.
  • Not all Canadian pharmacies or generic makers supply the ODT form.
  • Check with your pharmacist for availability and potential cost differences.
  • The ODT form may have different storage requirements.

This helps men achieve and maintain an erection. It only works with sexual stimulation and does not increase sexual desire. The recommended starting dose is 10 mg, taken approximately 60 minutes before sexual activity. However, some men may experience results as early as 25 to 30 minutes after ingestion. A systematic review and meta-analysis published in 2021 (Ji et al.) reaffirmed the clinical efficacy and safety of vardenafil (Levitra) for treating erectile dysfunction across a diverse patient population. The study, which combined data from 14 randomized controlled trials, concluded that vardenafil significantly improves erectile function scores, including the International Index of Erectile Function (IIEF-EF) and successful penetration rates (SEP2/SEP3), compared to placebo.

Why Does Erectile Dysfunction Exist?

Stop taking vardenafil and get help right away if you have sudden vision loss in one or both eyes. Sudden hearing loss has been reported after taking vardenafil. This may occur along with dizziness and ringing in the ears. Stop taking vardenafil and get help right away if you have sudden hearing loss or suddenly have trouble hearing as well as usual. Vardenafil may cause a rare, dangerous heart rhythm problem called QT prolongation.

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Some people may have a higher risk of this, including people born with long QT syndrome and those taking certain medicines for heart rhythm problems. Tell your healthcare provider right away if you faint or have changes in your heart rate or rhythm, such as a fast or skipping heartbeat. Vardenafil may cause a mild and temporary drop in blood pressure. You may be at a higher risk if you have certain health conditions or take blood pressure medicines. If you feel faint or dizzy, lie down. Additionally, the analysis emphasized that vardenafil is generally well tolerated, with a safety profile characterized by transient, mild-to-moderate side effects, reinforcing its role as a reliable, potent, and highly selective PDE5 inhibitor for both initial and long-term ED management. Centurion makes the generic vardenafil Filtra, while Ajantha produces Valif. It may also come from other suppliers worldwide. Other known names include Savitra (by Sava Medica) and Vilitra (by Centurion).

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Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. People who are allergic to any of the following should not take vardenafil. Any of the ingredients in the specific product dispensed Your pharmacist can tell you all of the ingredients in the specific vardenafil products they stock. Vardenafil should not be taken while you are using certain other medicines. Before taking vardenafil, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

What should I know about vardenafil before taking it?

See the Interactions section for more details. Do not take vardenafil unless it has been prescribed to you by a healthcare provider. Do not share vardenafil with other people, even if they have the same condition as you. Keep vardenafil out of the reach of children. Do not chew, cut, or crush vardenafil orally disintegrating tablets. Levitra is available as tablets and dispersible (sublingual) tablets, with three strengths: 5 mg, 10 mg, and 20 mg. The information below lists potential side effects and risks.

Side Effect Frequency Severity Recommended Action
Headache Common Mild Hydration, OTC pain relief
Flushing Common Mild Relaxation techniques
Dizziness Less Common Moderate Avoid driving, stand slowly
Nasal Congestion Less Common Mild Use decongestants cautiously
Vision Changes Rare Severe Seek immediate medical advice

It is crucial to discuss these with your doctor or pharmacist. Common Side Effects – The following are common side effects. Contact your doctor if you experience these side effects and they are severe or bothersome.

  • After receiving your shipment, inspect the packaging for tampering.
  • Check that the medication name, dosage, and expiry date are clear.
  • The pills should be consistent in appearance, not chipped or discolored.
  • If anything seems suspicious, contact the pharmacy immediately.
  • Do not consume medication from damaged or unsealed blister packs.
  • Register your email with the pharmacy for shipment tracking.
  • Keep a record of your order confirmation and tracking number.
  • Report any delivery issues or concerns to the pharmacy's support.

• Dizziness • Flushing (warmth or redness in the face/neck) • Headache • Indigestion (Dyspepsia) • Nasal congestion (Stuffy nose) • Nausea • Runny nose (Rhinitis) Other Potential Side Effects: (less common) – These effects are reported less frequently but can still occur: • Abdominal pain • Back pain • Blurred vision • Changes in color vision (e.g., seeing a blue tinge) • Drowsiness • Muscle aches (Myalgia) • Sensitivity to light (Photosensitivity) • Watery eyes Serious Side Effects - These are rare but potentially severe. Seek your doctor or call medical emergency services immediately if any of the following occur: • Cardiovascular Events: Chest pain, irregular heartbeat (arrhythmia), or shortness of breath. • Hearing Loss: Sudden decrease or loss of hearing, sometimes accompanied by ringing in the ears (tinnitus). • Hypotension: A sudden drop in blood pressure, which may lead to fainting or severe dizziness. • Priapism: A painful or prolonged erection lasting longer than 4 hours; this requires immediate medical attention to prevent permanent tissue damage.

  • Some men may not respond adequately to vardenafil.
  • If ineffective after several attempts, consult your doctor.
  • Your doctor may adjust the dosage or recommend a different PDE5 inhibitor.
  • Alternatives include generic sildenafil (Viagra) or tadalafil (Cialis).
  • Underlying health issues may need better management for ED improvement.
  • Do not combine different ED medications unless directed by a doctor.
  • Psychological support can be crucial if performance anxiety is a factor.
  • Patience and open communication with your partner are important.

• Vision Loss: Sudden loss of vision in one or both eyes, which may be a sign of Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). The primary clinical concern with Levitra (vardenafil) is its potential to cause a sudden, life-threatening drop in blood pressure when combined with certain vasodilators.