The active substance is vardenafil, vardenafil (as hydrochloride trihydrate). Each tablet contains 20 mg vardenafil.

Other ingredients in the tablet are: core: crospovidone, magnesium stearate, microcrystalline cellulose, colloidal silicon coating anhidrit.Filmovo: macrogol 400, hypromellose, titanium dioxide (E171), iron oxide yellow (E172), iron oxide red (E172).

Levitra table. 20 mg. 4 table

What is Levitra and what it is used

Levitra 20 mg tablets are orange, marked with a sign Bayer Cross on one side and 20 on the other side. Each pack contains 2, 4, 8 or 12 tablets. Not all pack sizes may be permitted upotreba.Levitra is designed to treat erectile dysfunction (ED) in men - the medical name of the condition related to difficulties in getting and maintaining an erection.

Difficulties in erection

At least one in ten men has trouble getting or keeping an erection. The reasons for this can be physical or psychological, or most likely a combination of both. Whatever the cause, the effect is the same: changes in muscles and blood vessels means insufficient blood in the penis to obtain and maintain an erection.

How Levitra

Erection is usually controlled by the balance of two body substances. The first contributes to erection, the second removes erection. If these substances are out of balance, you can not get an erection. Levitra works by reducing the effects of the second substance (called PDE-5). Levitra allows an erection to last long enough for successful intercourse. It is about 25 to 60 minutes before sexual activity and Levitra works only when there is sexual stimulation.

What you should know before taking Levitra Do not use Levitra:

If you are allergic (if you're hypersensitive) to vardenafil or other ingredients of Levitra. See the ingredients on the package. Signs of an allergic reaction include rash, itching, swollen face or lips and shortness of breath.

  If you take nitrates, such as glycerol trinitrate for angina (angina) or drugs that release nitric oxide, such as amyl nitrite. Taking these medicines with Levitra, your blood pressure could be significantly affected.

 If you are taking ritonavir or indinavir, medicines for HIV (HIV, the cause of AIDS).

  If you are over 75 years old and taking ketoconazole or itraconazole, anti-fungal drugs.

  If you have a severe heart or liver problem.

  If you are on dialysis.

  If you have recently had a stroke or heart attack.

 If you have or have had low blood pressure.

  If you have a family history of degenerative eye diseases (such as retinitis pigmentosa).

If you have any of these symptoms, consult your doctor before taking Levitra. 

Consult your doctor before

  If you have heart disease. It may be risky for you if you have sex.

  If you have heart arrhythmia or other congenital heart disease, which is detrimental to your electrocardiogram.

  If you have a physical condition affecting the shape of the penis. This includes conditions called angulation, Peyronie's disease and cavernosal fibrosis.

  If you have an illness that can cause erections which will not go away (priapism). These include sickle cell anemia, multiple myeloma and leukemia.

  If you have stomach ulcers (also called gastric or peptic ulcers).

  If you have a bleeding disorder (such as haemophilia).

  If you are using other medicines to treat erection difficulties.

  If you have non-arteritic anterior ischemic optic neuropathy (NPION), which causes sudden vision loss or blindness in one or both eyes.

If you have any of these symptoms you should consult your doctor before taking Levitra.

Consumption of food and beverages with Levitra

  You can take Levitra with or without food - but preferably not after a heavy meal or a meal high in fat, as this may delay the effect.

  Do not drink grapefruit juice when taking Levitra. It can interfere with the usual effect of the medicine.

  Alcoholic drink can make erection difficulties worse.

Driving and operating machinery

Levitra may cause dizziness in some people and affect their vision. If you experience dizziness or changes in vision after taking Levitra, do not drive or operate mashini.Levitra for men over 18 years vazrastLekarstvoto is not intended for use by women, children and men under 18 years of age.

Levitra and other drugs

Tell your doctor about any medications you are taking, or have taken - even medicines you buy without a prescription, herbs and vitamins. Levitra is generally compatible with the drug. But some of them can cause problems, especially:

  Nitrates, medicines for angina (angina pectoris), or medicines that nitric oxide as amyl nitrite. Taking these medicines with Levitra, can seriously affect your blood pressure. Consult your doctor before taking Levitra.

  Medicines to treat arrhythmias such as quinidine, procainamide, amiodarone or sotalol.

  Ritonavir or indanavir, medicines for HIV. Consult your doctor before taking Levitra.

  Ketoconazole or itraconazole drugs against fungi.

  Erythromycin antibiotic.

  Alpha blockers, a type of medicine used to treat high blood pressure and benign prostatic hyperplasia.

If you have recently taken any of these medicines, tell your doctor.

 How to take Levitra How much and how to take Levitra

Your doctor will determine the appropriate dose.

 Take Levitra, always follow the instructions of your doctor. If in doubt, consult a physician.

  Tell your doctor if you think Levitra is too strong or too weak. He or she may change your dose appropriately.

Take a Levitra tablet about 25 to 60 minutes before intercourse. In the presence of sexual stimulation you can get an erection from 25 minutes to 4-5 hours after taking Levitra.

  Swallow one tablet whole with a glass of water Levitra.

  You can take Levitra with or without food - not recommended immediately following a heavy or high-fat meal.

Do not take Levitra more than once dnevno.Ako take more Levitra than you take Levitra tryabvaloAko in larger quantities than prescribed may occur more side effects or may appear severe back pain. In this case, inform your doctor.

 Possible side effects

Taking Levitra can cause side effects, although not everybody gets them. Most were mild or moderate.

Very common (affects 1 to 10 or more people)

  headache

  redness

Common (affect between 1 in 10 and 1 in 100 people)

  indigestion

 nausea

  dizziness

  nasal congestion or runny nose

Not common (affect between 1 in 100 and 1 in 1000 people)

  increased sensitivity of the skin to sunlight

  high or low blood pressure

  pain in the back or muscle pain

  effects on vision

  watery eyes

  rash

  drowsiness

  Effects on blood tests of liver function

  Increase in blood of a muscle enzyme (creatine phosphokinase)

  difficulty in breathing

 rapid pulse, palpitations

  nosebleed

 swelling of the face 

Rare (affects less than 1 in 1000 people)

 fatigue

  muscle stiffness

  increased intraocular pressure (glaucoma)

  prolonged or painful erections

  allergic reaction

  effects on the heart (such as angina)

  concern

  swelling of the larynx

Visual disturbances, including sudden blindness or loss of vision in one or both eyes have been reported in men taking medicines for erectile dysfunction, including Levitra. It is not possible to determine whether these effects are directly related to the use of these medicines or other faktori.Ako neoyuelani any of these effects occur strongly in you or not resolved while taking Levitra, should immediately notify your unwanted lekar.Ako note effects not listed in this leaflet, please tell your doctor.

 Levitra storage

Keep out of reach of detsa.Da not use after the expiry date stated on the pack.