Vardenafil (Levitra®): Uses & Side Effects

What is this medication?

VARDENAFIL (var DEN a fil) is a widely prescribed medication specifically designed to treat erectile dysfunction (ED). This condition affects many men and is characterized by the inability to achieve or maintain an erection that is firm enough for sexual intercourse. Vardenafil works by facilitating increased blood flow to the penis, enabling men to achieve a satisfactory erection when sexually aroused. By relaxing the blood vessels in the penis, it enhances erectile function and contributes to improved sexual performance.

In addition to its main use for erectile dysfunction, vardenafil may be prescribed for other medical conditions as deemed appropriate by a healthcare professional. If you have any questions or concerns regarding the potential uses of this medication, do not hesitate to consult your healthcare provider or pharmacist for more information and guidance tailored to your health needs.

COMMON BRAND NAME(S): Levitra

What should I tell my care team before I take this medication?

Before starting treatment with vardenafil, it is essential to inform your healthcare team about your medical history and any pre-existing conditions. They need to know if you have any of these conditions:

• Anatomical deformation of the penis, Peyronie's disease, or a history of priapism (painful and prolonged erection)
• Bleeding disorders that could complicate treatment
• Eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
• Heart disease, angina, a history of heart attack, irregular heartbeats, or other heart-related issues
• High or low blood pressure that could be exacerbated by medication
• History of blood diseases, such as sickle cell anemia or leukemia
• Previous incidents of stomach bleeding that may affect treatment protocols
• Kidney disease affecting medication clearance
• Liver disease that could influence drug metabolism
• Stroke that may impact overall health status
• An unusual or allergic reaction to vardenafil, other medications, foods, dyes, or preservatives that may lead to complications
• Pregnancy or plans to become pregnant, as this medication may not be suitable for women
• Breast-feeding, to ensure safety for the infant

How should I use this medication?

When using vardenafil, it is important to adhere strictly to the prescribed regimen. Take this medication by mouth, accompanied by a full glass of water, and follow the directions provided on your prescription label. This medication can be taken with or without food, allowing for flexibility based on your personal preferences. The recommended dose is typically taken about one hour prior to engaging in sexual activity to optimize effectiveness. It is crucial not to exceed this dosage more than once per day and to follow the prescribed frequency to prevent potential adverse effects.

Consult with your healthcare provider regarding the use of this medication in younger populations or children, as they may require special considerations. In the event of a suspected overdose, seek immediate medical assistance by contacting a poison control center or visiting your nearest emergency room without delay.

NOTE: This medication is specifically prescribed for your use only and should not be shared with others, as it may not be suitable for them.

What if I miss a dose?

This does not apply as vardenafil is taken as needed rather than on a scheduled basis.

What may interact with this medication?

To ensure your safety, do not take this medication in conjunction with any of the following:

• Bepridil, which may cause complications with vardenafil
• Certain antifungal medications such as fluconazole, itraconazole, ketoconazole, posaconazole, or voriconazole that could lead to increased side effects
• Cisapride, which may interact adversely
• Droperidol, a medication that can conflict with vardenafil
• Grepafloxacin, an antibiotic that may not work well with this medication
• Medications for irregular heartbeat, such as dronedarone
• Methscopolamine nitrate, which can pose risks
• Nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, or nitroglycerin, as they can cause severe drops in blood pressure when combined with vardenafil
• Nitroprusside, another medication that may be contraindicated
• Other erectile dysfunction medications such as avanafil, sildenafil, or tadalafil that could result in heightened effects or side effects
• Pimozide, which may not be safe to take concurrently
• Riociguat, which can interact unfavorably
• Thioridazine, posing additional risks

Further, this medication may also interact with:

• Antiviral medications used for treating HIV or AIDS
• Certain antibiotics like erythromycin and clarithromycin that may interfere with its efficacy
• Certain antihypertensive medications that might enhance blood pressure-lowering effects
• Medicines prescribed for prostate problems that could interact with vardenafil
• Other medications that affect heart rhythm, such as dofetilide or ziprasidone, which could elevate the risk of complications

This list may not encompass all possible interactions. It is essential to provide your healthcare provider with a complete list of all medications, supplements, herbs, and any non-prescription drugs you are currently taking. Additionally, inform them if you smoke, consume alcohol, or use any recreational drugs, as these factors may interact with vardenafil.

What should I watch for while using this medication?

While using vardenafil, it is imperative to be vigilant for any changes in your vision. If you notice any unexpected alterations in your sight while taking this medication, promptly contact your healthcare team for evaluation and guidance. Additionally, if you experience an erection that lasts longer than four hours or if it becomes painful, seek immediate medical help, as this could indicate a serious condition known as priapism that requires urgent treatment to prevent permanent damage.

Be aware of any symptoms such as nausea, dizziness, or chest pain that may arise when you begin sexual activity after taking this medication. If these symptoms occur, you should stop engaging in any activity and contact your healthcare provider as soon as possible for appropriate advice and treatment.

Moreover, it is advisable to limit or avoid excessive alcohol consumption while using vardenafil, as this can heighten the likelihood of experiencing adverse effects, including headaches, dizziness, and fluctuations in heart rate or blood pressure. For your health and safety, remember that using this medication does not provide protection against HIV infection or other sexually transmitted diseases.

What side effects may I notice from receiving this medication?

When receiving vardenafil, it is essential to be aware of potential side effects that may require prompt attention. Side effects that you should report to your healthcare team without delay include:

• Allergic reactions, which may manifest as a skin rash, intense itching, hives, or swelling of the face, lips, tongue, or throat
• Changes in hearing or persistent ringing in the ears, which may indicate complications
• Signs of a heart attack, such as pain or tightness in the chest, shoulders, arms, or jaw, alongside nausea, shortness of breath, cold or clammy skin, or feelings of faintness
• Low blood pressure symptoms, which may include dizziness, lightheadedness, or blurry vision
• Prolonged or painful erection that could signify an emergency medical situation
• Symptoms of a stroke, including sudden numbness or weakness on one side of the body, trouble speaking, confusion, loss of balance, severe headaches, or changes in vision
• Sudden loss of vision in one or both eyes, which must be addressed immediately

Additionally, there are side effects that typically do not require immediate medical attention, but you should still inform your care team if they persist or prove to be bothersome:

• Back pain that does not resolve
• Facial flushing or redness that is uncomfortable
• Headache that affects your daily function
• Muscle aches or pains that are significant
• Runny or congested nose leading to discomfort
• Upset stomach that disrupts your regular routine

This list may not encompass all possible side effects associated with vardenafil. Should you have concerns or questions regarding side effects, it is important to reach out to your doctor for tailored medical advice. You are also encouraged to report any adverse effects to the FDA at 1-800-FDA-1088 for record-keeping and safety monitoring.

Where should I keep my medication?

Storing your medication properly is crucial for maintaining its effectiveness. Be sure to keep vardenafil out of the reach of children to prevent accidental ingestion.

Store the medication at room temperature, ideally between 15 and 30 degrees Celsius (59 and 86 degrees Fahrenheit). Any unused medication should be disposed of responsibly after the expiration date to avoid potential health risks or complications.

NOTE: This information sheet serves as a summary and may not cover every possible detail regarding the medication. If you have any further questions or need clarification about vardenafil, do not hesitate to consult with your doctor, pharmacist, or healthcare provider for comprehensive insights tailored to your health needs.