Vardenafil relaxes muscles within the penis. This allows increased blood flow into the penis which is necessary to achieve and maintain an erection.
Vardenafil is used to treat erectile dysfunction (impotence).
Vardenafil may also be used for purposes other than those listed in this medication guide.
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Penile erection is a hemodynamic process initiated by the relaxation of smooth muscle in the corpus cavernosum and its associated arterioles. During sexual stimulation, nitric oxide is released from nerve endings and endothelial cells in the corpus cavernosum. Nitric oxide activates the enzyme guanylate cyclase resulting in increased synthesis of cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the corpus cavernosum. The cGMP in turn triggers smooth muscle relaxation, allowing increased blood flow into the penis, resulting in erection. The tissue concentration of cGMP is regulated by both the rates of synthesis and degradation via phosphodiesterases (PDEs).
Vardenafil (INN) is a PDE5 inhibitor used in the treatment of erectile dysfunction. It can assist men with this disorder in achieving and maintaining an erection during sexual activity. It is commonly marketed under the trade name Levitra (Bayer AG).
Levitra usually begins to work within 60 minutes after taking
it. It continues to work for up to 4 hours. Stimulation is required
for an erection. If you have any questions about the use and benefits
of vardenafil ask your health care professional.
If you experience any of the following serious side effects, stop
taking vardenafil and seek emergency medical attention or contact
your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat;
swelling of the lips, tongue, or face; or hives);
chest pain or an irregular heartbeats;
swelling of the ankles or legs;
shortness of breath;
prolonged or severe dizziness;
fainting;
a prolonged (lasting longer than 4 hours) or painful erection;
dizziness, nausea, or angina (pain, tightness, discomfort, numbness,
or tingling in the chest, arms, neck, or jaw); or
back pain
Other, less serious side effects may be more likely to occur. Continue
to take vardenafil and talk to your doctor if you experience
flushing;
mild dizziness;
headache;
nasal congestion;
stomach upset;
sensitivity of the eyes to light; or
temporary blue tint in vision or other vision abnormalities
The maximum dose of LEVITRA for which human data are available is a single 120 mg dose administered to eight healthy male volunteers. The majority of these subjects experienced reversible back pain/myalgia and/or “abnormal vision.”
In cases of overdose, standard supportive measures should be taken as required. Renal dialysis is not expected to accelerate clearance because vardenafil is highly bound to plasma proteins and is not significantly eliminated in the urine.
Do not take Levitra if you:
-Take any form of medication known as "nitrates" (Type of medicine used to relieve chest pain that can occur as a result of heart disease). Taking Levitra in combination with nitrates may result in serious side effects.
-Take medicines called "alpha-blockers" (sometimes prescribed for prostate problems or high blood pressure). Taking Levitra with alpha-blockers may drop your blood pressure to an unsafe level.
-Your doctor determines that sexual activity poses a health risk for you.
You have a known sensitivity or allergy to any component of Levitra. The use of Levitra offers no protection against sexually transmitted diseases. Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered.