Erectile Dysfunction
Male erections depend on an increased blood flow
to the penis. This is brought about by a complex
interaction between the body’s vascular and
nervous systems when a man is in a state of arousal.
Many men suffer, or will suffer from Erectile Dysfunction
(ED) and impaired erection quality (EQ) at some
time during their life. It is estimated that up
to 30 million men have experienced ED or EQ at some
time during their lives. A number of things can
contribute to this problem including:
• Stress, depression and psychological
factors such as heightened concerns about intimacy
can affect the nervous system’s functions
that contract and dilate the arteries that control
blood flow to the penis when a man is aroused.
• A man’s overall state of health,
especially the cardio vascular system, can affect:
1. The ability to attain an erection
2. The capacity to sustain it satisfactorily and
successfully complete intercourse
3. Erection hardness
Common conditions such as Diabetes, Hypertension,
Vascular Disease and Drug Interaction are often
causes of ED.
In clinical trials the majority of the men who
suffered from ED experienced improved erectile
function when Levitra was taken an hour before
intercourse.
Dosage and Administration
For the majority of patients, 10 mg taken orally
an hour or so before intercourse is the recommended
starting dose. The dosage range, limited to one
dose per day, is from 5 to 20 mg so depending
on efficacy and individual tolerance, you can
increase or decrease the amount. It is recommended
that patients 65 and older however limit their
dosage to 5 mg per day. For patients with Child
Pugh category B, the initial dosage is 5 mg daily
as needed, but the maximum recommended is 10 mg.
Adverse Reactions
A small minority of patients taking Levitra suffers
from the following side effects
• Headaches and dizziness.
• Flushing
• Rhinitis and sinusitis
• Dyspepsia and nausea
• Back pain
• Flu-like symptoms
• Nausea
Drug and Food Interactions
• Alpha-blockers and nitrates may interact
with Levitra and heighten hypotensive effects,
so it is not recommended they be taken together.
• Antiarrhythmics of class 1A and class
111 may interact with Levitra so you should avoid
using together
• Erythromycin, Indinavir, Itraconazole,
Ketoconazole, Ritonavir may interact so advise
your ezEpills dispensing pharmacist or physician
if you are taking any of these medications.
• High fat meals may reduce peak level of
Levitra. You should avoid having high fat meals
when taking Levitra.
Contraindications & Cautions
Levitra is not recommended in patients hypersensitive
to the drug or its constituent parts or for patients
taking nitrates or alpha-blockers. Also, Levitra
is contraindicated in patients with hypotension
and uncontrolled hypertension (over 170/110 mm
Hg), life-threatening arrhythmia, myocardial infarction
during the last 6 months, end-stage renal disease
requiring dialysis or hereditary degenerative
retinal disorders. Caution is also advised for
patients with bleeding disorders, significant
peptic ulceration or those with anatomical penis
abnormalities or conditions.
General Information
Be aware that sexual activity may increase cardiac
risk and assess other possible causes for erectile
dysfunction. You should also seek immediate medical
care if an erection lasts for longer than four
hours, and cease using if you become aware of
any visual impairment. It is important to remember
that Levitra offers no protection against HIV
or other sexually transmitted diseases (STD).
General Health
Improved overall health, especially cardiovascular
health will help alleviate ED. One indicator of
poor cardiovascular health is hypertension or
high blood pressure. This condition affects approximately
60 million Americans, more than two thirds of
who are under the age of 65. This has caused many
health professionals and researchers to conclude
it is not a disease of aging but of lifestyle
with risk factors such as smoking, caffeine, obesity,
stress, excessive alcohol consumption, and a diet
high in fats and sodium chloride (salt).
A diet low in fat, sugar and salt, but high in
foods that contain potassium, magnesium and calcium
is recommended for all who suffer from hypertension.
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Allergies
