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ED pills can only be purchased with a prescription from a licensed healthcare professional. You can either visit a doctor’s office or use a number of telemedicine companies that partner with doctors to prescribe ED pills online levitra pill.
Viagra is usually the first ED medication prescribed, Tesfu says. “It has been available for over 20 years and is often very effective,” she said. However, it’s important to know that one ED medication may not work the same for everyone.
A risk management plan has been developed to ensure that Levitra is used as safely as possible. Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Levitra, including the appropriate precautions to be followed by healthcare professionals and patients.
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Generic medications are produced after the patent on the original brand-name drug expires. This means that the generic version is essentially a copy of the original drug, but without the expensive marketing and research costs associated with the brand name. As a result, generic medications are often available at a fraction of the price of the original drug.
Vardenafil is metabolized predominantly by the hepatic enzyme CYP3A4, with contribution from the CYP3A5 and CYP2C isoforms. The major circulating metabolite, M1, results from desethylation at the piperazine moiety of vardenafil. M1 is subject to further metabolism. The plasma concentration of M1 is approximately 26% that of the parent compound. This metabolite shows a phosphodiesterase selectivity profile similar to that of vardenafil and an in vitro inhibitory potency for PDE5 28% of that of vardenafil. Therefore, M1 accounts for approximately 7% of total pharmacologic activity.
Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely postmarketing in temporal association with the use of PDE5 inhibitors, including vardenafil. Most, but not all, of these patients had underlying anatomic or vascular risk factors for development of NAION, including but not necessarily limited to: low cup to disc ratio (“crowded disc”), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking .
Medicines are sometimes prescribed for conditions other than those described in patient information leaflets. Do not use LEVITRA for a condition for which it was not prescribed. Do not give LEVITRA to other people, even if they have the same symptoms that you have. It may harm them.
Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers. PDE5 inhibitors, including LEVITRA, and alpha-adrenergic blocking agents are both vasodilators with blood-pressure lowering effects. When vasodilators are used in combination, an additive effect on blood pressure may be anticipated. In some patients, concomitant use of these two drug classes can lower blood pressure significantly leading to symptomatic hypotension (for example, fainting) . Consideration should be given to the following:
Inform patients that there have been rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) for LEVITRA and this class of compounds. In the event that an erection persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result.
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It is essential to read the patient leaflet carefully and to discuss any questions or concerns you have with your healthcare provider or pharmacist. They can provide you with personalized guidance and ensure that you understand how to take Levitra safely and effectively.
If you have phenylketonuria (PKU, an inherited condition in which a special diet must be followed to prevent damage to your brain that can cause severe intellectual disability), you should know that the rapidly disintegrating tablets are sweetened with aspartame, a source of phenylalanine.
To ensure you are obtaining safe and authentic Levitra, it is essential to consult with your healthcare provider and obtain a prescription. They can determine if Levitra is the right treatment option for you and discuss any potential risks or benefits.
Levitra’s role is to facilitate this blood flow by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which breaks down cyclic guanosine monophosphate (cGMP). By preventing the breakdown of cGMP, Levitra allows for sustained smooth muscle relaxation, leading to increased blood flow to the penis. This enhanced blood flow is essential for achieving and maintaining an erection that is firm enough for sexual intercourse.
I know that the scars of ED may never fully disappear, but I am equipped with the tools to manage its impact on my life. I have learned to embrace my vulnerabilities and seek support when needed. Through open and honest communication with my partner, we have strengthened our bond and created a space where intimacy can flourish.