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Pharmacy FAQ
What is online pharmacy?
Since about the year 2000, hundreds of pharmacies have begun operating over the internet.
Many such pharmacies are, in some ways, similar to community pharmacies; the primary difference is the method by which the medications are requested and recei... more >>
What does the term "generic" mean? Do generic medications produce the same effect as the brand name medicines do?
The difference between a brand name medicine and a generic one is in the name, shape and in the price. A generic drug is usually called by the name of the active i... more >>
Why are generic medicines so cheap?
Generics are much cheaper than brand-name drugs because generic companies do not have overhead cost such as research and marketing. Most generic drugs are manufactured off-shore and sold online. Since manufacturers do not spend on advertisin... more >>
Are generic drugs as reliable as brand name pills?
Generic drugs are tested under the same standards as brand-name drugs. Each generic drug is laboratory tested so that the same amount is absorbed into the body as with brand-name drugs.
The FDA (U.S Food and Drug Administr... more >>
Generic pills do not look like the brand name medication. The pills have a different name printed on them. Why?
As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the bran... more >>
Are generic drugs patented?
No, but having a patent does not make it any more reliable.
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Vardenafil
Generic name: Vardenafil
Brand names: Levitra
Why Vardenafil is prescribed
Levitra is an oral drug for male impotence, also known as erectile dysfunction (ED). It works by dilating blood vessels in the penis, allowing the inflow of blood needed for an erection.
The most important facts about Vardenafil
Levitra causes erections only during sexual excitement. It does not work in the absence of arousal and does not increase sexual desire.
How you should take Vardenafil
Take one Levitra tablet about one hour before sexual activity, with or without food.
If you miss a dose
Take Levitra only before sexual activity, but no more than once a day. Do not take two doses at once.
Storage instructions
Store Vardenafil at room temperature.
Side effects may be caused by Vardenafil
A drug cannot anticipate producing side effects. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe to continue using Levitra.
- More common possible effects include:
Indigestion, flu-like symptoms, flushing, headache, runny nose, sinus inflammation
This side effects list is not complete. If you have any questions about side effects you should consult your doctor. Report any new or continuing symptoms to your doctor right away.
When Vardenafil should not be prescribed
Do not take Levitra if you are taking any nitrate-based drug, including nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). This also includes street drugs known as "poppers," including amyl nitrate and butyl nitrate. Combining Levitra with any of these drugs can cause a dangerous drop in blood pressure.
Likewise, do not take Levitra with certain blood pressure and prostate drugs known as alpha-blockers, including Cardura (doxazosin), Flomax (tamsulosin), Hytrin (terazosin), Minipress (prazosin), and Uroxatral (alfuzosin).
If Levitra gives you an allergic reaction, do not use it again.
Special warnings about Vardenafil
If you have heart problems severe enough to make sexual activity a danger, you should avoid using Levitra. If you take Vardenafil and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.
Because Levitra has not been studied in people with cardiovascular disease, it's best to avoid Vardenafil if you've recently had a stroke or heart failure, or if you've had a heart attack within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heartbeat irregularities, or unstable angina (crushing heart pain that occurs at any time). If you develop angina after taking Levitra, seek medical attention immediately.
If you have severe kidney or liver problems, a bleeding disorder, stomach ulcer, or an inherited retinal disorder such as retinitis pigmentosa, use Vardenafil with caution. Its safety under these circumstances has not yet been studied.
Rare cases of prolonged and sometimes painful erections (known as priapism) have been reported with Levitra. If you develop an erection that lasts more than 4 hours, seek medical treatment immediately. Otherwise, permanent damage and impotence could result.
If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Levitra with caution. Also use caution if you have a genital problem or deformity such as Peyronie's disease.
Remember that Levitra offers no protection from transmission of sexually transmitted diseases, such as HIV, the virus that causes AIDS.
Food and drugs that may interact with Vardenafil
Be sure to check with your doctor about the medications that should never be taken with Levitra, including:
Alpha-blocking drugs prescribed for high blood pressure or prostate problems, including doxazosin (Cardura), tamsulosin (Flomax), terazosin (Hytrin), prazosin (Minipress), and alfuzosin (Uroxatral)
Nitrate-based drugs prescribed for chest pain, such as nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate)
Street drugs known as "poppers," including amyl nitrate and butyl nitrate
If you take Levitra with certain other drugs, the effects of either could be increased, decreased, or altered. It is extremely important to check with your doctor before combining Levitra with any of the following:
Other impotence drugs including alprostadil (Caverject), sildenafil (Viagra), and tadalafil (Cialis)
Amiodarone (Pacerone)
Erythromycin (E-Mycin, Ery-Tab, PCE)
Indinavir (Crixivan)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Nifedipine (Procardia)
Procainamide (Procanbid)
Quinidine (Quinidex)
Ritonavir (Norvir)
Sotalol (Betapace)
Special precautions if you are pregnant or breastfeeding
Levitra should not be used by women. Its effects during pregnancy and breastfeeding have not been studied.
Recommended dosage of Vardenafil
ADULT MALES
Doses range from 5 milligrams to 20 milligrams, depending on the drug's effect. The recommended starting dose is 10 milligrams for most people. However, if you're 65 or older, the doctor may start you at 5 milligrams.
Take Levitra only before sexual activity. The manufacturer recommends a maximum of one dose per day. However, your doctor may need to lower the dose if you're taking certain drugs that affect the liver, including erythromycin, indinavir (Crixivan), itraconazole (Sporanox), ketoconazole (Nizoral), and ritonavir (Norvir).
If you have moderate liver impairment, the recommended starting dose is 5 milligrams, not to exceed a daily dose of 10 milligrams. If your liver problems are mild, no dosage adjustment is required.
Overdosage
A small study found that a single 120-milligram dose of Levitra caused reversible side effects such as vision changes and back and muscle pain. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention urgently.
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