- Levitra relaxes muscles and increases blood flow to particular areas of the body.
- Levitra is used to treat erectile dysfunction (impotence).
- Levitra may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking Levitra?

- Do not take Levitra if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking Levitra with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack.

- A small number of patients have had a sudden loss of eyesight after taking Levitra. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether Levitra is the actual cause of such vision loss. Sudden vision loss with Levitra use has occurred most often in people with heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old.

How should I take Levitra?

- Ake each dose with a full glass of water.
- Avoid taking High-fat food before taking Levitra as it may cause the medicine to take more time to start working.
- Vardenafil is usually taken only when needed, 30 - 90 minutes before sexual activity. The medication can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill.

- Do not take vardenafil more than once a day. Allow 24 hours to pass between doses.
- Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

- Since vardenafil is used as needed, you are not likely to be on a dosing schedule.

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