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If you have any of these other conditions, you may need to adjust the dose of Levitra or have special tests: heart disease or heart rhythm problems; a recent history (in the past 6 months) of a heart attack, angina (chest pain), or congestive heart failure; a recent history of stroke or blood clots; a personal or family history of "Long QT syndrome"; high or low blood pressure; liver disease; kidney disease (or if you are on dialysis); a blood cell disorder such as sickle cell anemia, levitra substitute myeloma, or leukemia; levitra substitute bleeding disorder such as hemophilia; a stomach ulcer; retinitis pigmentosa (an inherited condition of the eye); a physical deformity of the penis (such as Peyronie's disease); or if you have been told you should not have sexual intercourse for health reasons. Placebo-controlled trials suggested a dose effect in the incidence of some adverse events (headache, flushing, dyspepsia, nausea, rhinitis) over levitra substitute 5 mg, 10 mg, and 20 mg doses of Levitra. Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. If you would like more information, talk with your healthcare provider. There is no clinical evidence of any additive prolongation of the bleeding time when vardenafil is administered with aspirin.

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levitra substitute that treat abnormal heartbeat. Physicians should also discuss with patients the increased risk of NAION in individuals who have already experienced NAION in one eye, including whether such individuals could be adversely affected by use of vasodilators such as PDE5 inhibitors (see POST-MARKETING EXPERIENCE, Ophthalmologic). A prolonged erection (priapism) can damage the penis. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. This has occurred in a small number of people taking Levitra, most of whom levitra substitute had heart disease, diabetes, high blood pressure, high cholesterol, levitra substitute certain pre-existing eye problems, and in those who smoke or are over 50 years old. Excretion: The total body clearance of vardenafil is 56 L/h, and the terminal half-life of vardenafil and its primary metabolite (M1) is approximately 4-5 hours. In placebo-controlled clinical trials, the discontinuation rate due to adverse events was 3.4% for Levitra compared to 1.1% for placebo. Levitra may help a man with ED get and keep an erection when he is sexually excited. Levitra has not been evaluated in patients with severe hepatic impairment (Child-Pugh C) (see CLINICAL PHARMACOLOGY, Metabolism and ExcretionWARNINGS and PRECAUTIONS). In the North American trial, Levitra significantly improved the rates of achieving an erection sufficient for penetration (SEP2) at doses of 5 mg, 10 mg, and 20 mg compared to placebo (65%, 75%, and 80%, respectively, compared to a 52% response in the placebo group at 3 months; p <0.0001). Levitra helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. In most (7/8) of these subjects, instances of standing SBP <85 mmHg were not associated with symptoms. Vardenafil did not produce clinically significant ERG or FM-100 effects in healthy men levitra substitute to placebo. In a single dose study in 25 normal males, Levitra 40 mg, twice the maximum daily recommended dose, did not alter visual acuity, intraocular pressure, fundoscopic and slit lamp findings. Transient global amnesia has also been reported postmarketing in temporal association with vardenafil.    BODY AS A WHOLE: levitra substitute reaction (including laryngeal edema),    asthenia, face edema, pain    AUDITORY: sudden decrease or loss of hearing, tinnitus    CARDIOVASCULAR: angina pectoris, chest pain, hypertension,    hypotension, myocardial ischemia, myocardial infarction, palpitation,    postural hypotension, syncope, tachycardia    DIGESTIVE: abdominal pain, abnormal liver function tests, diarrhea, dry    mouth, dysphagia, esophagitis, gastritis, gastroesophageal reflux, GGTP    increased, vomiting    MUSCULOSKELETAL: arthralgia, back pain, myalgia, neck pain    NERVOUS: hypertonia, hypesthesia, insomnia, paresthesia, somnolence,    vertigo    RESPIRATORY: dyspnea, epistaxis, pharyngitis    SKIN AND APPENDAGES: photosensitivity reaction, pruritus, rash,    sweating    OPHTHALMOLOGIC: abnormal vision, blurred vision, chromatopsia,    changes in color vision, conjunctivitis (increased redness of the eye), dim    vision, eye pain, glaucoma, photophobia, watery eyes    UROGENITAL: abnormal ejaculation, priapism (including prolonged or    painful erections) Top Side Effects by Body System Cardiovascular Cardiovascular side effects have included flushing (vasodilation) in 11% and dizziness in 2% of patients.