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Drug	Viagra (Sildenafil) Super effective (Very high-powered)	Cialis (Tadafil) Increase her satisfaction Ready to go for 36 hours	Levitra (Vardenafil) Do it better and more often! “On-Deman”
Form	Tablet, chewable, gelatin capsule, sublingual	Tablet, chewable, gelatin capsule, sublingual	Tablet
Recommended Doasage	50mg, can be adjusted to up 100mg or cut to 25mg	10mg, can be adjusted up to 20mg	10mg, can be adjusted up to 20mg
Onset of Effect	30min - 1hr	15 - 30min	20 - 60min
Ready for Action	4 - 5hrs (single erection)	36hrs (up to three orgasms)	6 - 12hrs
Sexual Activity	1hr	2 - 3hrs	45min - 1hr
How to Use	One pill before sex on empty stomach (No fatty food)	Take one pill any time! Eat what you want	One pill on an empty stomach 30 min before sex (No fatty food)
Side Effects	Blurred vision	Back pain and headache	Flushing, vision problems

Important Safety Information

Viagra (Sildenafil)

VIAGRA and generic VIAGRA can cause your blood pressure to drop suddenly to an unsafe level if it is taken with certain other medicines. Do not take VIAGRA or generic VIAGRA if you take any other medicines called “nitrates.” Nitrates are used to treat chest pain (angina). A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke.

Do not take VIAGRA or generic VIAGRA if you take medicines called guanylate cyclase stimulators which include:

Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic-thromboembolic pulmonary hypertension. Tell all your healthcare providers that you take VIAGRA or generic VIAGRA. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took VIAGRA or generic VIAGRA.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex.

Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease. Ask your doctor if your heart is healthy enough to handle the extra strain of having sex.

VIAGRA and generic VIAGRA does not protect you or your partner from getting sexually transmitted diseases, including HIV—the virus that causes AIDS.

What are VIAGRA and generic VIAGRA?

VIAGRA and generic VIAGRA are a prescription medicine used to treat erectile dysfunction (ED). You will not get an erection just by taking this medicine. VIAGRA and generic VIAGRA help a man with erectile dysfunction get and keep an erection only when he is sexually excited (stimulated).

VIAGRA and generic VIAGRA are not for use in women or children.

It is not known if VIAGRA or generic VIAGRA are safe and effective in women or children under 18 years of age.

Who should not take VIAGRA or generic VIAGRA?

Do not take VIAGRA or generic VIAGRA if you:

take medicines called nitrates (such as nitroglycerin) use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA. See the end of this leaflet for a complete list of ingredients in VIAGRA. What should I tell my healthcare provider before taking VIAGRA or generic VIAGRA?

Before you take VIAGRA or generic VIAGRA, tell your healthcare provider if you:

Have or have had heart problems such as a heart attack,irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure
Have had heart surgery within the last 6 months
Have pulmonary hypertension
Have had a stroke
Have low blood pressure, or high blood pressure that is not controlled
Have a deformed penis shape
Have had an erection that lasted for more than 4 hours
Have problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemia
Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
Have ever had severe vision loss, including an eye problem called NAION
Have bleeding problems
Have or have had stomach or intestinal ulcers
Have liver problems
Have kidney problems or are having kidney dialysis
Have any other medical conditions
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

VIAGRA and generic VIAGRA may affect the way other medicines work, and other medicines may affect the way VIAGRA and generic VIAGRA works, causing side effects.

Especially tell your healthcare provider if you take any of the following:

Medicines called nitrates
Medicines called guanylate cyclase stimulators such as Adempas® (riociguat)
Medicines called alpha-blockers such as Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl), or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. In some patients, the use of VIAGRA® or generic VIAGRA® with alpha-blockers can lead to a drop in blood pressure or to fainting
Medicines called HIV protease inhibitors, such as ritonavir (Norvir®), indinavir sulfate (Crixivan®), saquinavir (Fortovase® or Invirase®), or atazanavir sulfate (Reyataz®)
Oral antifungal medicines, such as ketoconazole (Nizoral®) and itraconazole (Sporanox®)
Antibiotics, such as clarithromycin (Biaxin®), telithromycin (Ketek®), or erythromycin
Other medicines that treat high blood pressure Other medicines or treatments for ED
VIAGRA® and generic VIAGRA® contain sildenafil, which is the same medicine found in another drug called REVATIO®. REVATIO® is used to treat a rare disease called pulmonary arterial hypertension (PAH).
VIAGRA® and generic VIAGRA® should not be used with REVATIO® or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca [tadalafil])
Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.
Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death. How should I take VIAGRA and generic VIAGRA?

Take VIAGRA exactly as your healthcare provider tells you to take it.
Your healthcare provider will tell you how much VIAGRA to take and when to take it.
Your healthcare provider may change your dose if needed.
Take VIAGRA about 1 hour before sexual activity. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed.
VIAGRA can be taken with or without food. If you take VIAGRA after a high fat meal (such as a cheeseburger and French fries), VIAGRA may take a little longer to start working
Do not take VIAGRA more than 1 time a day.
If you accidentally take too much VIAGRA, call your doctor or go to the nearest hospital emergency room right away.
What are the possible side effects of VIAGRA and generic VIAGRA?
VIAGRA and generic VIAGRA can cause serious side effects. Rarely reported side effects include:

an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether PDE5 inhibitors directly cause the vision loss. Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes. sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA or generic VIAGRA and contact a doctor right away.
The most common side effects of VIAGRA and generic VIAGRA are:
headache
flushing
upset stomach
abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision
stuffy or runny nose
back pain
muscle pain
nausea
dizziness
rash

In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

Tell your healthcare provider if you have any side effect that bothers you or does not go away.

These are not all the possible side effects of VIAGRA and generic VIAGRA. For more information, ask your healthcare provider 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 I store VIAGRA or generic VIAGRA?

Store your medication at room temperature between 68°F to 77°F (20°C to 25°C). Keep VIAGRA, generic VIAGRA and all medicines out of the reach of children.

General information about the safe and effective use of VIAGRA and generic VIAGRA.

Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use VIAGRA or generic VIAGRA for a condition for which it was not prescribed. Do not give VIAGRA or generic VIAGRA to other people, even if they have the same symptoms that you have. It may harm them.

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

For more information, go to www.viagra.com, or call 1-888-4VIAGRA

What are the ingredients in VIAGRA?
Active ingredient: sildenafil citrate Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, lactose, triacetin, and FD & C Blue #2 aluminum lake

Important Safety Information

Cialis (Tadalafil)

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

Do not take CIALIS if you take any medicines called “nitrates.” 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 nitrite and butyl nitrite. Ask your healthcare provider or pharmacist if you are not sure if any of your medicines are nitrates. (See “Who Should Not Take CIALIS?”) Tell all of your healthcare providers that you take CIALIS. If you need emergency medical care for a heart problem, it will be important for your healthcare provider to know when you last took CIALIS.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications (see “Can Other Medicines Affect CIALIS?”).

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

See also “What Are The Possible Side Effects Of CIALIS?”

What Is CIALIS?
CIALIS is a prescription medicine taken by mouth for the treatment of: Men with erectile dysfunction (ED) Men with symptoms of benign prostatic hyperplasia (BPH) Men with both ED and BPH

CIALIS for the Treatment of ED ED is a condition where the penis does not fill with enough blood to 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 healthcare provider for help if the condition bothers him. CIALIS 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.

Some form of sexual stimulation is needed for an erection to happen with CIALIS.

CIALIS 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 healthcare provider about ways to guard against sexually transmitted diseases. Serve as a male form of birth control CIALIS is only for men over the age of 18, including men with diabetes or who have undergone prostatectomy.

CIALIS for the Treatment of Symptoms of BPH BPH is a condition that happens in men, where the prostate gland enlarges which can cause urinary symptoms.

CIALIS for the Treatment of ED and Symptoms of BPH ED and symptoms of BPH may happen in the same person and at the same time. Men who have both ED and symptoms of BPH may take CIALIS for the treatment of both conditions.

CIALIS is not for women or children. CIALIS must be used only under a healthcare provider’s care.

Who Should Not Take CIALIS?
Do not take CIALIS if you:
Take any medicines called “nitrates”.
Use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. (See “What Is The Most Important Information I Should Know About CIALIS?”)
Are allergic to CIALIS or ADCIRCA®, or any of its ingredients. See the end of this leaflet for a complete list of ingredients in CIALIS.

Symptoms of an allergic reaction may include:
Rash
Hives
Difficulty breathing or swallowing
Swelling of the lips, tongue, or throat Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Before taking CIALIS, tell your healthcare provider 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 healthcare provider if it is safe for you to have sexual activity. You should not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems.
Have low blood pressure or have high blood pressure that is not controlled
Have had a stroke
Have liver problems
Have kidney problems or require dialysis
Have retinitis pigmentosa, a rare genetic (runs in families) eye disease
Have ever had severe vision loss, including a condition called 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

Can Other Medicines Affect CIALIS?
Tell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. CIALIS and other medicines may affect each other. Always check with your healthcare provider before starting or stopping any medicines. Especially tell your healthcare provider if you take any of the following*:

medicines called nitrates (see “What Is The Most Important Information I Should Know About CIALIS?”)
medicines called alpha blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl), Uroxatral® (alfuzosin HCl), Jalyn® (dutasteride and tamsulosin HCl) or Rapaflo® (silodosin). Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If CIALIS is taken with certain alpha blockers, your blood pressure could suddenly drop. You could get dizzy or faint.
other medicines to treat high blood pressure (hypertension)
medicines called HIV protease inhibitors, such as ritonavir (Norvir®, Kaletra®) some types of oral antifungals such as ketoconazole (Nizoral®), itraconazole (Sporanox®)
some types of antibiotics such as clarithromycin (Biaxin®), telithromycin (Ketek®), erythromycin (several brand names exist. Please consult your healthcare provider to determine if you are taking this medicine).
other medicines or treatments for ED.
CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®) with CIALIS.
Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm, including, in some cases, death.

How Should I Take CIALIS?

Take CIALIS exactly as your healthcare provider prescribes it. Your healthcare provider will prescribe the dose that is right for you. Some men can only take a low dose of CIALIS or may have to take it less often, because of medical conditions or medicines they take. Do not change your dose or the way you take CIALIS without talking to your healthcare provider. Your healthcare provider may lower or raise your dose, depending on how your body reacts to CIALIS and your health condition. CIALIS may be taken with or without meals. If you take too much CIALIS, call your healthcare provider or emergency room right away.
How Should I Take CIALIS for Symptoms of BPH?

For symptoms of BPH, CIALIS is taken once daily.

Do not take CIALIS more than one time each day. Take one CIALIS tablet every day at about the same time of day.
If you miss a dose, you may take it when you remember but do not take more than one dose per day.
How Should I Take CIALIS for ED?

For ED, there are two ways to take CIALIS – either for use as needed OR for use once daily.

CIALIS for use as needed:
Do not take CIALIS more than one time each day.
Take one CIALIS tablet before you expect to have sexual activity. You may be able to have sexual activity at 30 minutes after taking CIALIS and up to 36 hours after taking it. You and your healthcare provider should consider this in deciding when you should take CIALIS before sexual activity. Some form of sexual stimulation is needed for an erection to happen with CIALIS. Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition.
OR

CIALIS for once daily use is a lower dose you take every day. Do not take CIALIS more than one time each day. Take one CIALIS tablet every day at about the same time of day. You may attempt sexual activity at any time between doses. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Some form of sexual stimulation is needed for an erection to happen with CIALIS. Your healthcare provider may change your dose of CIALIS depending on how you respond to the medicine, and on your health condition. How Should I Take CIALIS for Both ED and the Symptoms of BPH?

For both ED and the symptoms of BPH, CIALIS is taken once daily.

Do not take CIALIS more than one time each day. Take one CIALIS tablet every day at about the same time of day. You may attempt sexual activity at any time between doses. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Some form of sexual stimulation is needed for an erection to happen with CIALIS. What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments while taking CIALIS. Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure. What Are The Possible Side Effects Of CIALIS?

See “What Is The Most Important Information I Should Know About CIALIS?”

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days.
Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon side effects include:
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 (shade) 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 CIALIS) 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 CIALIS, and call a healthcare provider 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 CIALIS. 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 CIALIS and contact a healthcare provider right away. These are not all the possible side effects of CIALIS. For more information, ask your healthcare provider or pharmacist.

How Should I Store CIALIS?

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

General Information About CIALIS:

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

This is a summary of the most important information about CIALIS. If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for information about CIALIS that is written for health providers. For more information you can also visit www.cialis.com, or call 1-877-CIALIS1 (1-877-242-5471).

What Are The Ingredients In CIALIS?

Active Ingredient: tadalafil

Inactive Ingredients: croscarmellose sodium, hydroxypropyl cellulose, hypromellose, iron oxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, sodium lauryl sulfate, talc, titanium dioxide, and triacetin.

Important Safety Information

Levitra (Vardenafil)

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 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.

LEVITRA may cause serious side effects, including:
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. If you are experiencing priapism, seek medical help right away.

Changes in vision. 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 uncertain whether PDE5 inhibitors directly cause the vision loss. 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. 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.

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.

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, and is not intended for women and children.
LEVITRA must be used only under a doctor’s care.

WHO SHOULD NOT TAKE LEVITRA? Do not take LEVITRA if you:

Take any medicines called “nitrates”. 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. 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 I TELL MY PROVIDER 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.
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Especially tell your doctor if you take any of the following:
Medicines called nitrates.
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.
Medicines that treat abnormal heartbeat. These include quinidine, procainamide, amiodarone and sotalol. Other medicines or treatments for ED.

HOW SHOULD I TAKE LEVITRA?
Take Levitra as prescribed by your doctor. 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 take more LEVITRA than prescribed.

WHAT ARE THE MOST COMMON SIDE EFFECTS OF LEVITRA?

Headache
Flushing
Stuffy or runny nose
indigestion
Upset stomach
Dizziness or back pain

Call your doctor if you get a side effect that bothers you or one that will not go away.

You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800- FDA-1088.
Levitra (vardenafil HCl) is a trademark of Bayor HealthCare Pharmaceuticals, Inc. Norvir (ritonavir) is a trademark of Abbott Laboratories Crixivan (indinavir sulfate) is a trademark of Merck & Co., Inc.
Invirase or Fortavase (saquinavir mesylate) is a trademark of Roche Laboratories Inc.
Reyataz (atazanavir sulfate) is a trademark of Bristol-Myers Squibb Company Nizoral (ketoconazole) is a trademark of Johnson & Johnson
Sporanox (itraconazole) is a trademark of Johnson & Johnson
Hytrin (terazosin HCl) is a trademark of Abbott Laboratories
Flomax (tamsulosin HCl) is a trademark of Yamanouchi Pharmaceutical Co., Ltd.
Cardura (doxazosin mesylate) is a trademark of Pfizer Inc.
Minipress (prazosin HCl) is a trademark of Pfizer Inc.
Rapaflo (silodosin) is a trademark of Watson Pharma Inc.
Uroxatral (alfuzosin HCl) is a trademark of Sanofi-Synthelabo

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