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Dosage adjustment is necessary when LEVITRA is administered with certain CYP3A4 inhibitors [see Long-term safety information is not available on the concomitant administration of vardenafil with There have been rare reports of prolonged erections greater than 4 hours and (painful erections greater than 6 hours in duration) for this class of compounds, including vardenafil. Vardenafil did not impair fertility in male and female rats administered doses up to 100 mg/kg/day for 28 days prior to mating in male, and for 14 days prior to mating and through day 7 of gestation in females. There were no other instances of outlier blood pressure values (standing SBP 30 mmHg).

Advise patients to contact the prescribing physician if new medications that may interact with LEVITRA are prescribed by another healthcare provider. There is a good deal of trial and error in finding the right medicine, the most effective dose, and the plan that results in the fewest side effects. Blood pressure and pulse were evaluated over the 6hour interval after vardenafil dosing. These events, which may be accompanied by tinnitus and dizziness, have been reported in temporal association to the intake of PDE5 inhibitors, including LEVITRA. One patient experienced a decrease from baseline in standing SBP of >30 mmHg following vardenafil 10 mg.

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