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The safety and efficacy of LEVITRA employed in combination with other treatment options for erectile dysfunction have not been analyzed. Consequently, using such combos is not really advisable.
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There's no info on the presence of vardenafil and its key metabolite in human milk, the consequences around the breastfed toddler, or the results on milk generation. Vardenafil is present in rat milk of lactating rats (see Information).
LEVITRA has systemic vasodilatory Houses that resulted in transient decreases in supine hypertension in healthy volunteers (indicate maximum lower of seven mmHg systolic and eight mmHg diastolic) [see Medical PHARMACOLOGY].
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These results weren't noticed when LEVITRA 20 mg was taken 24 several hours prior to the nitroglycerin (NTG). Potentiation of the hypotensive consequences of nitrates for individuals with ischemic cardiovascular disease hasn't been evaluated, and concomitant utilization of LEVITRA and nitrates is contraindicated [see CONTRAINDICATIONS and Medical PHARMACOLOGY].
In People patients already using an optimized dose of PDE5 inhibitor, alpha-blocker therapy really should be initiated at the lowest dose. Stepwise boost in alpha-blocker dose might be linked to additional lowering of blood pressure in sufferers taking a PDE5 inhibitor.
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The dose could be increased to your utmost suggested dose of twenty mg or lowered to five mg determined by efficacy and Negative effects. The most advisable dosing frequency is once a day. Sexual stimulation is necessary for any reaction find more to remedy.