Buy Levitra Malaysia

Package insert: Information for the user

Levitra 20 mg film-coated tablets

Vardenafil

Read this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this brochure. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has only been prescribed for you. Do not pass it on to others, even if the symptoms of the disease are the same as yours, as this can be dangerous.
• If you experience side effects, including those not listed in this leaflet, contact your doctor or pharmacist. See paragraph 4.

  Contents of this brochure:

  1. What Levitra is and what it is used for
  2. What you need to know before taking Levitra
  3. How to take Levitra
  4. possible side effects
  5. How to store Levitra
  6. Contents of the pack and other information

  1. What Levitra is and what it is used for

     Levitra contains vardenafil, which belongs to a class of medicines called phosphodiesterase type 5 inhibitors. These medicines are used to treat erectile dysfunction in adult men who have difficulty getting or maintaining an erection.

     At least one in ten men occasionally has difficulty getting or maintaining an erection. It may depend on physical or psychological causes, or a combination of both. Regardless of the cause, changes in the muscles and blood vessels do not retain enough blood in the penis to enable and maintain an erection.

     Levitra only works with sexual stimulation. The medicine reduces the effects of the chemical in the body, causing an erection to stop. With Levitra, you can achieve and maintain an erection that is long enough to satisfactorily end your intercourse.

  2. What you need to know before taking Levitra Do not take Levitra

• If you are allergic to vardenafil or any of the other ingredients in this medicine (see section 6). The signs of an allergic reaction include rash, itching, swelling of the face or lips, and difficulty breathing.
• If you are taking medicines that contain nitrates such as glycerol trinitrate for angina or nitrogen oxide sources such as amyl nitrite. Taking these medicines with Levitra can change your blood pressure dangerously.
• If you are taking ritonavir or indinavir, medicines used to treat human immunodeficiency virus (HIV) infections.
• If you are over 75 years of age and are treated with ketoconazole or itraconazole, antifungals.
• If you have severe heart or liver problems.
• If you have kidney dialysis.
• If you have recently had a stroke or heart attack.
• If you have or have had low blood pressure.
• If you have degenerative eye diseases (such as retinitis pigmentosa) in your family.
• If you have had a condition in the past characterized by loss of vision due to optic nerve damage due to insufficient blood supply, this is known as non-arteritic anterior ischemic optic neuropathy (NAION).
• If you are taking riociguat This medicine is used to treat pulmonary arterial hypertension (i.e., increased blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e., increased blood pressure in the lungs due to blood clots). PDE5 inhibitors like Levitra have been shown to increase the blood pressure lowering effects of this drug. If you take riociguat or if you have any doubts, tell your doctor.

Warnings and precautions

Talk to your doctor or pharmacist before taking Levitra.

Be extra careful with Levitra

• If you have heart problems. Sexual activities can be risky for them.
• If you suffer from an irregular heartbeat (irregular heartbeat) or hereditary heart diseases that change the electrocardiogram.
• If you have a physical condition that causes changes in the shape of the penis. These include diseases such as bowing, Peyronie's disease and fibrosis of the erectile tissue.
• If you have a disease that can cause persistent erections (priapism), such as sickle cell anemia, multiple myeloma, or leukemia.
• If you have stomach ulcers (also called stomach or stomach ulcers)
• If you have a bleeding disorder (e.g. haemophilia).
• If you use other erectile dysfunction treatments, including Levitra Orodispersible Tablets (see Other Medicines and Levitra section).
• If you notice a sudden decrease or loss of vision, stop taking Levitra and contact your doctor immediately.

Children and adolescents

Levitra is not for use in children or adolescents under the age of 18.

Other drugs and Levitra

Tell your doctor or pharmacist if you are using, have recently used, or could use other medicines, including those without a prescription.

Some medicines can cause problems, especially these:

• Nitrates, medicines for angina or nitrogen oxide sources such as amyl nitrite. Taking these medicines with Levitra can change your blood pressure dangerously. Do not take Levitra and consult a doctor.
• Medicines to treat arrhythmias such as quinidine, procainamide, amiodarone or sotalol.
• Ritonavir or indinavir, medicines for HIV. Do not take Levitra and consult a doctor.
• Ketoconazole or itraconazole, antifungals.
• Erythromycin or clarithromycin, macrolide antibiotics.
• Alpha blockers, a type of drug used to treat high blood pressure and enlarged prostate (such as benign prostatic hyperplasia).
• Riociguat. Do not use Levitra film-coated tablets in combination with other erectile dysfunction treatments, 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 effects.
• Do not drink grapefruit juice if you are taking Levitra. It can affect the way the medicine works.
• Alcoholic beverages can make erectile dysfunction worse.

Pregnancy and breast feeding period

Levitra is not for use in women.

Drive and use machines

Levitra can cause dizziness or vision problems in some people. If you feel dizzy or notice vision problems after taking Levitra, do not drive or operate any tools or machines.

1. How to take Levitra

   Always take this medicine exactly as your doctor has told you. If you are not sure, contact your doctor or pharmacist. The recommended dose is 10 mg.

   Take a Levitra tablet about 25-60 minutes before sexual activity. If sexually stimulated, he may get an erection 25 minutes and up to four to five hours after taking Levitra.

• Swallow a tablet with a glass of water

Do not take Levitra film-coated tablets with other Levitra formulations.

Do not take Levitra more than once a day.

If you have the impression that the effects of Levitra are too strong or too weak, talk to your doctor. He may advise you to take an alternate formulation of Levitra with a different dosage, depending on how the medicine affects you.

If you take more Levitra than you should

Patients who take excessive Levitra may have several side effects or severe low back pain. If you take more Levitra than you should, consult your doctor.

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

1. possible side effects

   Like all medications, this medication can cause side effects, although not everyone gets them. The effects are usually mild or moderate.

   Some patients have reported partial, sudden, temporary, or permanent loss or loss of vision in one or both eyes. Stop taking Levitra and contact your doctor immediately.

   A sudden decrease or loss of hearing has been reported.

   The following categories describe the probability of an undesirable effect:

   Very often

   may affect more than 1 in 10 users

   • a headache
   • together
   • may affect up to 1 in 10 users
   • dizziness
   • Flushes
   • Stuffy or runny nose
   • Poor digestion
   • Occasionally
   • may affect up to 1 in 100 users
   • Swelling of the skin and mucous membranes including swelling of the face, lips or throat
   • Sleep disorder
   • Deafness and reduced tactile perception
   • drowsiness
   • Effects on eyesight; red eyes, effects on color perception, eye pain and discomfort, sensitivity to light
   • Ringing in the ears; dizziness
   • Accelerated heartbeat or palpitations
   • breathlessness
   • Closed nose
   • Acid reflux, gastritis, abdominal pain, diarrhea, vomiting; Nausea, dry mouth
   • Increased liver enzyme levels in the blood
   • Rash, red skin
   • Back or muscle pain, increased levels of a muscle enzyme (creatine phosphokinase) in the blood, muscle stiffness
   • Longer erections
   • malaise

   Rare

   • may affect up to 1 in 1,000 users
   • Eye inflammation (conjunctivitis)
   • Allergic reaction
   • anxiety
   • Unconscious
   • amnesia
   • Cramp
   • Increased eye pressure (glaucoma), increased tearing
   • Effects on the heart (such as heart attack, heartbeat disorders or angina pectoris)
   • High or low blood pressure
   • Nosebleeds
   • Influence on liver function test results
   • Skin sensitivity to sunlight
   • Painful erections
   • Chest pain

   Very rare or unknown:

   • May affect fewer than 1 in 10,000 users or frequency cannot be estimated from the available data
   • Blood in urine (hematuria)
   • Loss of blood from the penis (bleeding from the penis)
   • Presence of blood in the sperm (hematospermia)

   Reporting of side effects

   If you get any side effects, including those not listed in this leaflet, talk to your doctor. You can also report side effects directly via the national reporting system listed in Appendix V.

   Reporting side effects may help provide more information on the safety of this medicine.

2. How to store Levitra

   Keep this medicine out of the sight and reach of children.

   Do not use this medicine after the expiry date which is stated on the carton after "EXP". The expiry date refers to the last day of this month.

   Do not throw medication into wastewater or household waste. Ask your pharmacist how you can get rid of medicines you no longer use. This helps protect the environment.

3. Contents of the pack and other information What Levitra contains

• The active substance is vardenafil. Each tablet contains 20 mg vardenafil (as hydrochloride).