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If you receive medical care for heart problemstell your caregivers when you last took vardenafil.

This causes an enzymeguanylate cyclaseto produce cyclic guanosine monophosphatecGMP

A man should not use vardenafil if he is taking nitrate drugssuch as riociguatAdempasor other nitrate drugs for chest pain or heart problems.

Levitra can decrease blood flow to the optic nerve of the eyecausing sudden vision lossThis has occurred in a small number of peoplemost of whom also had heart diseasediabeteshigh blood pressurehigh cholesterolor certain pre-existing eye problemsand in those who smoked or were over 50 years oldIt is not clear whether vardenafil is the actual cause of vision loss.

CYP3A4 InhibitorsThe dosage of LEVITRA may require adjustment in patients receiving potent CYP3A4 inhibitors such as ketoconazoleitraconazoleritonavirindinavirsaquinaviratazanavirand clarithromycin as well as in other patients receiving moderate CYP3A4 inhibitors such as erythromycinsee Drug Interactions7.2For ritonavira single dose of 2.5 mg LEVITRA should not be exceeded in a 72-hour periodFor indinavirsaquinaviratazanavirketoconazole 400 mg dailyitraconazole 400 mg dailyand clarithromycina single dose of 2.5 mg LEVITRA should not be exceeded in a 24-hour periodFor ketoconazole 200 mg dailyitraconazole 200 mg dailyand erythromycina single dose of 5 mg LEVITRA should not be exceeded in a 24-hour period.

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