Levitra is generally not indicated for use in women. There are no trials of Levitra 20 mg in pregnant women and breastfeeding mothers. This Levitra medicine is not indicated for use in individuals less than the age of 18 years and among 65 years and older patients. A starting dose of 5 mg of Levitra medication should be considered under the supervision of an authorized doctor. However, this dose can be further increased and adjusted according to the patient’s need and tolerance.

Precautions Before Levitra 20 mg

There are certain specific conditions that must be considered before starting the treatment with Levitra 20 mg. An individual must consult with their concerned doctor and inform them of the following.

• If you are allergic or hypersensitive to Levitra (Vardenafil) or any of the other ingredients of Levitra 20 mg pills. Different signs of an allergic reaction may include rashes, itching, swollen face or lips, and shortness of breath.
• Taking certain medicines can interact with Levitra which could seriously affect your blood pressure. If you take medicines containing nitrates, such as glycerol trinitrate for angina, or nitric oxide donors, such as amyl nitrite, you must immediately inform your doctor or healthcare provider.
• If you are taking medicines for HIV, either stop using them or consult your doctor about how to use them during Levitra medication.
• If you have severe heart problems, or recently had a stroke or heart attack.
• If you are having kidney dialysis or liver problems, do not use Levitra 20 mg medicine.

Instructions to use Levitra 20 mg

Levitra tablets are usually taken orally, regardless of the diet, 30-60 minutes before having any sexual activities or intercourse. The initial recommended dose is 10 mg of Levitra. The maximum frequency of use of the Levitra 20 mg drug is once every 24 hours. Considering the effectiveness and tolerability of treatment, the daily dose can be increased up to 20 mg or decreased to 5 mg.

However, the daily dose must be limited to 40 mg of Levitra. If a dose of 40 mg of Levitra (Vardenafil) is taken twice a day, then the patient may experience severe pain in the lumbar region without signs of toxic effects on the nervous system. In healthy elderly male individuals (aged >65 years) the hepatic clearance of the Vardenafil drug is reduced as compared with a healthy young individual aged between 18-45 years. Hence, senior citizens must avoid using Levitra 20 mg tablets.

How Levitra 20 mg is Supplied

Each Levitra 20 mg tablet is supplied as a light orange to gray-orange film-coated tablet, round, biconvex, engraved with “10” (for a dosage of 10 mg) or engraved with “20” (for a dosage of 20 mg) on ​​one side and the Bayer cross on the other. Apart from that, it is also available in other variants for the convenience of the people.

• Levitra 5 mg
• Levitra 10 mg
• Levitra 40 mg
• Levitra 60 mg

Interaction with other Drugs

Levitra medication can interact with several other medications and natural substances. These interactions can result in severe side effects or worsen the previous potential side effects.

• With CYP inhibitors, the clearance rate of Levitra from the system is decreased.
• Erythromycin drug can increase the maximum concentration of Levitra threefold in the system, leading to unpleasant overdosing.
• Anti-fungal medicines like Ketoconazole or Itraconazole can increase the maximum concentration of Levitra in an individual’s system fourfold. This may require adjustment in doses.
• Simultaneous use of Levitra with HIV protease inhibitors of the active substance – indinavir
• Mostly, PDE inhibitors affect the nitric oxide/cGMP system, and PDE5 inhibitors may enhance the hypotensive effect of nitrates in an individual.
• Super therapeutic doses of Levitra 20 mg with sodium nitroprusside can cause a slight increase in the antiplatelet effect in the system.
• Between taking Levitra 20 mg tablets and alpha-blockers, it is necessary to observe the time interval and apply only with stable blood pressure.

Alcohol Compatibility of Levitra 20 mg

Alcohol is recognized as a toxic substance to the human body. It disrupts the work of several organs and systems. Ethyl alcohol has a negative effect on potency. Alcohol abuse can lead to the development of erectile dysfunction. It also disrupts the functioning of the liver and kidneys. When alcohol is taken together with Levitra 20 mg medicine, it may slow down the metabolism of the drug. As a result, an individual cannot achieve the desired goal.

In cases of chronic alcoholism, taking vardenafil drug can be harmful to health. It is strongly recommended to refrain from consuming alcohol while on Levitra treatment.

Similar medicines

The most popular analog of Levitra 20 mg medicine is the drug Viagra, which contains Sildenafil. It helps to improve blood flow to the genitals which results in getting and maintaining an erection for a longer period. Some other potent medicines available on our Rxpharmasmeds website are:

• Cialis
• Viagra
• Kamagra
• Sildenafil