Generic Name: Levitra Brand Name(s): Generics only. No brands available.

Uses

What is Levitra® (vardenafil) used for?

Levitra® 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.

How should I take Levitra® (vardenafil)?

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.

How do I store Levitra® (vardenafil)?

Levitra® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Levitra® in the bathroom or the freezer. There may be different brands of Levitra® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Levitra® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Levitra® (vardenafil)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of Levitra® or other medications.
  • You have any other illnesses, disorders, or medical conditions.

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.

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
  • Seizures
  • 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)
  • 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.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Levitra® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Levitra®. Levitra® is pregnancy risk category B, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Levitra® (vardenafil)?

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:

  • Vision changes
  • Ringing in your ears, or sudden hearing loss
  • Heart attack symptoms – chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating
  • Irregular heartbeat
  • 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
  • Seizure (convulsions)

Common side effects may include:

  • Flushing (warmth, redness, or tingly feeling)
  • Stuffy nose
  • Headache, dizziness
  • Upset stomach
  • Back pain

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Levitra® (vardenafil)?

Levitra® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products that may interact with this drug are:

  • 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
  • HIV/AIDS medicine – atazanavir, indinavir, ritonavir, saquinavir, and others

Does food or alcohol interact with Levitra® (vardenafil)?

Levitra® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Levitra® (vardenafil)?

Levitra® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Levitra® (vardenafil).

What is the dose of Levitra® (vardenafil) for an adult?

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

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

What is the dose of Levitra® (vardenafil) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Levitra® (vardenafil) available?

Levitra® is available in the following dosage forms and strengths:

  • Tablet, film coated: vardenafil hydrochloride trihydrate 2.5mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Levitra®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: September 2, 2017 | Last Modified: September 2, 2017