At least one in ten men has trouble getting or keeping an erection at some time. Causes may vary, but the solution for many can be Levitra, taken 1 hour before sexual activity.

Benefits:

• Vardenafil (PGD) 10mg 4 Tablets, for the treatment of erectile dysfunction
• Contains vardenafil, a member of a class of medicines called phosphodiesterase type 5 inhibitors, trusted to treat erectile dysfunction in adult men
• Helps you to get and keep an erection (when getting sexually stimulated)
• Reduces the action of the natural chemical in your body which makes erections go away
• Allows the muscle and blood vessels to maintain enough blood in the penis for lasting erections
• Levitra allows an erection to last long enough for you to complete sexual activity

Tablet core: crospovidone, magnesium stearate, microcrystalline cellulose, colloidal anhydrous silica. Film coat: macrogol 400, hypromellose, titanium dioxide (E171), ferric oxide yellow (E172), ferric oxide red (E172).

Take One tablet approximately 25-60 minutes before sexual activity. Maximum of one tablet in 24 hours

____Adults over 18 and under 75 years old:__

Always take this medicine exactly as your doctor has told you. Check with your doctor or one of our pharmacists if you are not sure. The recommended dose is 10 mg.

Take a Levitra tablet about 25 to 60 minutes before sexual activity. With sexual stimulation, you may achieve an erection anywhere from 25 minutes up to four to five hours after taking Levitra.

Swallow one tablet with a glass of water Do not take Levitra film-coated tablets with any other forms of Levitra.

Do not take Levitra more than once a day.

Tell your doctor or one of our pharmacists if you think Levitra is too strong or too weak. They may suggest a switch to an alternative Levitra formulation with a different dose, depending on how well it works for you.

If you take more Levitra than you should:

Men who take too much Levitra may experience more side effects or may get severe back pain. If you take more Levitra than you should, tell your doctor or one of our pharmacists.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Talk to your doctor or one of our pharmacists before taking Levitra.

Take special care with Levitra:

• If you have heart trouble – it may be risky for you to have sex
• If you suffer from irregular heartbeat (cardiac arrhythmia) or inherited heart diseases affecting 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 that won’t go away (priapism). These include sickle cell disease, multiple myeloma, and leukaemia
• If you have stomach ulcers (also called gastric or peptic ulcers)
• If you have a bleeding disorder (such as haemophilia)
• If you are using any other treatments for erection difficulties, including Levitra orodispersible tablets.
• If you experience a sudden decrease or loss of vision, stop taking Levitra and contact your doctor immediately

Other medicines and Levitra:

Please tell your doctor or one of our pharmacists if you are using, have recently used or might use any other medicines, including medicines obtained without a prescription or ricreational drugs, like poppers, which will affect your heart.

Some medicines may cause problems, especially these:

• Nitrates, medicines for angina, or nitric oxide donors, such as amyl nitrite. Taking these medicines with Levitra could seriously affect your blood pressure
• Medicine for the treatment of arrhythmias, such as quinidine, procainamide, amiodarone, or sotalol
• Ritonavir or indinavir, medicines for HIV - Ketoconazole or itraconazole, anti-fungal medicines
• Erythromycin or clarithromycin, macrolide antibiotics
• Alpha-blockers, a type of medicine used to treat high blood pressure and enlargement of the prostate (as benign prostatic hyperplasia)
• Riociguat

Do not use Levitra film-coated tablets combined with any other treatment for erectile dysfunction, including Levitra orodispersible tablets.

Levitra with food, drink, and alcohol:

You can take Levitra with or without food but preferably not after a heavy or high-fat meal as this may delay the effect. Don’t drink grapefruit juice when you use Levitra. It can interfere with the usual effect of the medicine. Alcoholic drinks can make erection difficulties worse.

Driving and using machines:

Levitra might make some people feel dizzy or affect their vision. If you feel dizzy, or if your vision is affected after taking Levitra, don’t drive or operate any tools or machines.

When not to use Levitra:

• If you are having kidney dialysis
• If you have recently had a stroke or heart attack
• If you have or have had low blood pressure
• If your family has a history of degenerative eye diseases (such as retinitis pigmentosa).
• If you have ever had a condition involving loss of vision due to damage to the optic nerve from insufficient blood supply known as non-arteritic ischemic optic neuropathy (NAION)
• If you are taking riociguat: this drug is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as Levitra, have been shown to increase the hypotensive effects of this medicine. If you're taking riociguat, or are unsure, speak to your doctor or one of our pharmacists.
• If you are allergic to vardenafil or any other ingredients of this medicine
• If you experience signs of an allergic reaction including a rash, itching, swollen face or lips, and shortness of breath
• If you are taking medicines containing nitrates, such as glycerol trinitrate for angina, or nitric oxide donors, such as amyl nitrite: taking these medicines with Levitra could seriously affect your blood pressure
• If you take ritonavir or indinavir, medicines used to treat human immunodeficiency virus (HIV) infections
• If you are over 75 years of age and take ketoconazole or itraconazole, anti-fungal medicines
• If you have a severe heart or liver problem

It is important to have a check-up with your doctor as soon as possible within the first 6 months of using Vardenafil 10mg Tablets to ensure that your erection problems are not caused by another serious health condition. Even if you feel healthy, your erection problems may be linked to other serious health conditions. Erectile dysfunction may be an early sign of:

• Heart and blood vessel problems.
• Diabetes.
• High blood pressure.
• High cholesterol.
• You should discuss your symptoms and these conditions with your doctor if you have not already done so.

Like all medicines, this medicine can cause side effects, although not everybody gets them. Most of the effects are mild or moderate.

Partial, sudden, temporary or permanent decrease or loss of vision in one or both eyes has been experienced by some patients. Stop taking Levitra and contact your doctor immediately if that happens to you.

Sudden decrease or loss of hearing has also been reported.

Cases of sudden death, fast or altered heartbeat, heart attack, chest pain, and trouble in cerebral circulation (including temporarily decreased blood flow to parts of the brain and bleeding in the brain) have also been reported in men taking vardenafil. Most men who experienced these side effects had heart problems before taking this medicine. It isn't possible to determine whether these events were directly related to vardenafil.

The following categories describe the chance of having a side effect:

Very common (may affect more than 1 in 10 users):

• Headache

Common (may affect up to 1 in 10 users):

• Dizziness
• Flushing
• Blocked or runny nose
• Indigestion

Uncommon (may affect up to 1 in 100 users):

• Swelling of skin and mucous tissue including swollen face, lips or throat
• Sleep disorder
• Numbness and impaired perception of touch
• Sleepiness
• Effects on vision, redness of the eye, effects on colour vision, eye pain and discomfort, light sensitivity
• Ringing in the ears, vertigo
• Fast heartbeat or pounding heart
• Breathlessness
• Stuffy nose
• Acid reflux, gastritis, abdominal pain, diarrhoea, vomiting; feeling sick (nausea), dry mouth
• Raised levels of liver enzymes in your blood
• Rash, reddened skin
• Back or muscle pain, increase in blood of a muscle enzyme (creatine phosphokinase), muscle stiffness
• Prolonged erections
• Malaise

Rare (may affect up to 1 in 1,000 users):

• Inflammation of the eyes (conjunctivitis)
• Allergic reaction
• Anxiety
• Fainting
• Amnesia
• Seizure
• Increased pressure in the eye (glaucoma), lacrimation increased
• Effects on the heart (such as heart attack, altered heartbeat or angina)
• High or low blood pressure
• Nose bleed
• Effect on results of blood tests to check liver function
• Sensitivity of the skin to sunlight
• Painful erections
• Chest pain
• Temporarily decreased blood flow to parts of the brain

Very rare or not known (may affect less than 1 in 10,000 users or frequency cannot be estimated from the available data):

• Blood in the urine (Haematuria)
• Penile bleeding (Penile Haemorrhage)
• Presence of blood in the semen (Haematospermia)
• Sudden death
• Bleeding in the brain
• Reporting of side effects

If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly (see details below). By reporting side effects, you can help provide more information on the safety of this medicine.