Erectile Dysfunction information and side effect
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Levitra
Generic Name:
VARDENAFIL (var-DEN-a-fil)Product DescriptionCOMMON USES: This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into the penis to achieve and maintain an erection. |
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Prescription Levitra Drug Information
BEFORE USING THIS MEDICINE: Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking any form of nitroglycerin, other nitrates such as isosorbide, nitroprusside or any "nitric oxide donor" medicine, or recreational drugs called "poppers" containing amyl or butyl nitrate because very serious interactions may occur. If you are not sure whether a certain medicine is a nitrate, contact your doctor or pharmacist before taking this medicine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicine for impotence; certain antifungal medicines (such as itraconazole or ketoconazole); rifampin; cimetidine; erythromycin; medicine for irregular heartbeats such as quinidine, procainamide, amiodarone, or sotalol; medicine for high blood pressure or enlarged prostate (such as doxazosin, prazosin, or terazosin); HIV protease inhibitors (such as ritonavir or indinavir); or St. John's wort.ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking other medicines which may change the way the heart beats such as phenothiazines, tricyclic antidepressants, quinolone antibiotics, and others. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor or any other medical conditions including penis problems, history of painful or prolonged erection, sickle cell anemia, blood system cancers (such as leukemia or myeloma), vision problems (such as retinitis pigmentosa) or a history of vision loss, kidney or liver disease, bleeding disorders, active stomach ulcers, heart problems, irregular heartbeat, stroke, very high or low blood pressure, or allergies. DO NOT TAKE this medicine if you have been told by your healthcare provider to not have sexual activity because of certain health problems, especially heart problems. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
HOW TO USE THIS MEDICINE: Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. TAKE THIS MEDICINE by mouth as needed 1 hour before sexual activity or as directed by your doctor. DO NOT TAKE THIS MEDICINE more often than once daily as needed. If you are taking certain other medicines you may only be able to take this medicine one time every three days. Contact your doctor or pharmacist for more information. This medicine may be taken on an empty stomach or with food. However, taking this medicine with a high-fat meal may reduce the amount of medicine that your body absorbs. STORE THIS MEDICINE at roomtemperature 77 degrees P (25 degrees C) in a tightly-closed container, away from heat and light. Brief storage between 59 and 86 degrees P (IS and 30 degrees C) is permitted. CAUTIONS: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it in the past or to any other ingredient that is found in it. THIS MEDICINE MAY CAUSE VISION CHANGES. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TO MINIMIZE DIZZINESS OR LIGHTHEADEDNESS, sit up or stand slowly when rising from a seated or lying position. Your dose is based on your medical condition, response to therapy, and the other medicines you are taking. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. Rarely, this medicine may change heart rhythm, especially if taken with other medicines that can change the heart rhythm. This change in heart rhythm can result in serious, rarely fatal, irregular heartbeats. Ask your doctor for more information and if you should stop taking any of your other medicines to reduce the risk of this side effect. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the side effects of this medicine. THIS MEDICINE SHOULD NOT BE USED IN WOMEN OR CHILDREN.
POSSIBLE SIDE EFFECTS: SIDE EFFECTS that may occur while taking this medicine include headache, flushing, stomach upset or nausea, heartburn, stuffy or runny nose, diarrhea, dizziness, or lightheadedness. Rarely vision changes such as increased sensitivity to light, blurred vision, or impaired blue/green color discrimination may also occur. If these continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience vision loss in one or both eyes, or fast, slow, or irregular heartbeats. SEXUAL ACTIVITY may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any serious side effects while having sex, stop having sex and tell your doctor immediately. These side effects include severe dizziness, fainting, chest pain, or nausea. In the unlikely event that you have a painful or prolonged erection (lasting more than 4 hours), stop using this medicine and seek immediate medical attention or permanent problems could occur. AN ALLERGIC REACTION to this medicine is unlikely but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include back pain, muscle pain, and abnormal vision. ADDITIONAL INFORMATION: If your symptoms do not improve or if they become worse, check with your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed, since they may have a problem that is not effectively treated with this medicine, or they may have a condition that is complicated by this medicine. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out. The information in this monograph is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist, or nurse.
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Headache
Headaches can be caused by many illnesses. There are several types of headaches, including migraine, tension, and cluster headaches. Headaches can also result from sinusitis, trigeminal neuralgia, giant cell arteritis, or brain tumors. The treatment of the various kinds of headaches varies depending on the kind of headache and the severity of the pain. Often, non-opioid medicines are used. But, in some cases, opioid therapy is needed.
Migraines are often on one side of the head. They can be associated with nausea and vomiting, photophobia (light hurting the eyes), phonophobia (sound hurting the ears), and scintillating scotomata (parallel lines that vibrate at the edges of objects, especially at the borders between light and dark places). Sometimes these auras appear before the headache starts and alert you that a migraine is coming. Migraine pain can vary in intensity from mild to severe. There are many specific medications for migraine. Sumatriptan (Imitrex) is particularly useful for some, but not all, migraine sufferers.
Cluster headaches come in groups, sometimes several times a day, lasting for days to weeks. Many cluster headaches are severely painful. Oxygen therapy may be helpful for some cluster headaches.
Sinusitis can cause facial pain and is frequently worse in the morning. Sinus pain may respond to antibiotic treatment along with decongestants. Sometimes sinus surgery is needed.
Trigeminal neuralgia is actually a peripheral neuropathy (nerve pain) that is severe. It occurs on one side of the head and face and has a "trigger point," usually on the side of the face, which causes intense pain if it is touched. Anticonvulsants (antiseizure medicine) are often helpful for this type of pain.
Measuring Pain
Mild pain: Mild pain is self-limited. It goes away either with no therapy at all or with the use of nonprescription medication such as acetaminophen (Tylenol), aspirin, or other nonsteroidal anti-inflammatory drugs (NSAIDs).
Moderate pain: Moderate pain is worse than mild pain. It interferes with function. You may be unable to ignore the pain and go on with all of the activities of daily living, but it goes away after a while and doesn't come back after it has been treated. Moderate pain may need stronger medications than acetaminophen or nonprescription NSAIDs. Most NSAIDs, including ibuprofen (Motrin), have been found to be as effective at relieving pain as codeine.
Severe pain: Severe pain is defined as pain that interferes with some or all of the activities of daily living. You may be confined to bed or chair rest because of the severity of the pain. Often, it doesn't go away, and treatment needs to be continuous for days, weeks, months, or years. For severe pain, the World Health Organization recommends strong opioids, such as morphine, oxycodone, hydrocodone, hydromorphone, methadone, or fentanyl, as well as other medications (called adjuvant therapies) as needed for the particular kind of pain.