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This medicine should come with a patient information leaflet. Ask your doctor or pharmacist if you have any questions. You may take this medicine with or without food.

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Without physical action to the penis, such as that occurring during sexual intercourse, avanafil will not work to cause an erection. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines.

Incidence not known

Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Vardenafil is not indicated for use in children. Safety and efficacy have not been established. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of vardenafil in the elderly. This medicine usually begins to work within 60 minutes after taking it and stimulation of the penis is required. If you have any questions about the use of vardenafil, talk to your doctor. If you are using the disintegrating tablet, make sure your hands are dry before you handle the tablet. Do not open the blister pack until you are ready to take the tablet.

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Peel back the foil and take the tablet out.

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Phenylalanine is found in vardenafil oral tablets and vardenafil orally disintegrating tablets. This substance can be harmful to people with PKU. Tell your healthcare provider if you have PKU. They can suggest a different treatment option for you. Tell your healthcare provider if you have any of the following.

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Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see during an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked People who can become pregnant are not usually prescribed vardenafil. It is not known if or how vardenafil could affect pregnancy or harm an unborn baby. Tell your healthcare provider if you are or plan to become pregnant. People who can breastfeed are not usually prescribed vardenafil. It is not known if vardenafil passes into breast milk. Do not push the tablet through the foil.

Place the tablet on your tongue and allow it to melt. Use only the brand of this medicine that your doctor prescribed.

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Take it as your healthcare provider recommends, which is usually about one hour before planned sexual activity. Do not take double or extra doses. This survey is being conducted by the WebMD marketing sciences department. Vardenafil is used to treat men with erectile dysfunction (sexual impotence). It belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors.

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These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works. Erectile dysfunction is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. When a man is sexually stimulated, his body's normal response is to increase blood flow to his penis to produce an erection. By controlling the enzyme, avanafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Different brands may not work the same way.

Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

Warnings & Precautions

Tell your healthcare provider if you are breastfeeding or plan to breastfeed. Grapefruit or grapefruit juice can raise vardenafil levels in your body, which can increase the risk of side effects. Vardenafil orally disintegrating tablets should not be taken with water or liquids. Let it dissolve on your tongue without crushing it. There are no known interactions between vardenafil and alcohol.

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Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking vardenafil. Tell your healthcare provider about all medicines that you take or have recently taken. This may not be a complete list of medicines that can interact with vardenafil. If you or someone else has taken too much vardenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

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The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For treatment of erectile dysfunction:For oral dosage form (disintegrating tablets):Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.Children—Use is not recommended.For oral dosage form (tablets):Adults 65 years and older—5 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.

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The effects may be increased because of slower removal of the medicine from the body. Phenylketonuria (PKU)—The Staxyn® disintegrating tablet contains aspartame, which can make this condition worse. Use this medicine exactly as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. If you use too much, the chance of having unwanted effects is increased. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg once per day.Adults up to 65 years—10 mg as a single dose, no more than once per day, approximately 1 hour before sexual activity. However, the dose is usually not more than 20 mg once per day.Children—Use is not recommended.

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Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Abnormally shaped penis, including a curved penis and birth defects or Crowded disc or low cup to disc ratio in the eye (an eye disorder) or Hyperlipidemia (high fats in the blood) or Multiple myeloma (cancer of the blood) or Non-arteritic anterior ischemic optic neuropathy (NAION; serious eye condition), history of or Smoking—May increase the chance for a serious side effect in the eye called NAION.

What should I tell my healthcare provider before taking vardenafil?

Blood vessel problems (eg, aortic stenosis, idiopathic subaortic stenosis) or Heart attack (within the last 6 months) or Retinitis pigmentosa (an inherited eye disorder) or Stroke, history of—Should not be used in patients with these conditions. Stomach ulcers—Chance of problems occurring may be increased. It is not known if the medicine is safe for use in these patients. Fructose intolerance—The Staxyn® disintegrating tablet contains sorbitol, which can make this condition worse. QT prolongation (rare heart condition), or history of—Use with caution. For oral dosage form (disintegrating tablets):Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.Children—Use is not recommended. Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.

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India Legal with limits Yes Yes Check local laws

For oral dosage form (tablets):Adults 65 years and older—5 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.

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There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks levitra 20 mg tablet before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.

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The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.