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Before prescribing any medication for erectile dysfunction, the following must be taken into consideration: - The cardiovascular condition of a patient. The reason for this is because a degree of cardiac risk has been associated with sexual activity. - Men in whom sexual activity is not recommended due to their underlying cardiovascular status. - Patients with anatomical deformation of the penis (cavernosal fibrosis, Peyronie’s disease, angulation) or in patients who have conditions which may predispose them to priapism.
If you are having problems of erectile dysfunction and was prescribed to take Levitra, this bit of information might be useful.
- The safety and efficacy of combinations of Levitra with other treatments with erectile dysfunction have not been studied. Therefore, this is not suggested until further information is available.
- Since the safety of Levitra has not been studied in the following subgroups of patients therefore Levitra is not recommended until further information is available.
a) severe hepatic impairment, end stage renal disease requiring dialysis, b) hypotension (resting systolic blood pressure of < 90 mm Hg), c) recent history of stroke for myocardial infarction (for the last 6 months), d) unstable angina, and e) known hereditary degenerative retinal disorder like retinitis pigmentosa.
- Higher plasma levels increase the efficacy and incidence of adverse effects of Levitra. Although no increase of adverse events was observed in healthy volunteers and in patients when Levitra was administered concomitantly with strong CYP344 inhibitors ketoconazole or indinavir, a maximum dose of 5 mg should not be exceeded.
- Marked increased of vardenfil plasma levels can be excpected with the concomittant use of the potent cytochrome P-450 344 inhibitors ketoconazole, itraconazole, indinavir.
- Levitra has been administered to bleeding disorders and/or significant active peptic ulceration. Careful benefit-risk assessment must be conducted in giving Vardenafil to these patients.
