Prescribe Levitra cautiously, considering patient history and potential drug interactions. The recommended starting dose is 10 mg, taken approximately 60 minutes before sexual activity.
Dosage adjustments may be necessary, ranging from 5mg to 20mg, based on individual response and tolerability. Never exceed 20mg in a 24-hour period.
Common Side Effects:
- Headache Facial flushing Nasal congestion Dyspepsia Back pain Muscle aches
These are usually mild and transient. Inform patients about these possibilities and advise them to seek medical attention if experiencing severe or persistent side effects.
Serious Side Effects (Rare but Require Immediate Attention):
- Sudden vision loss Prolonged erection (priapism) Hearing loss
Patients should be instructed to stop taking Levitra and seek immediate medical help if any of these occur.
Drug Interactions:
Levitra interacts with certain medications. Concurrent use with nitrates is contraindicated due to the risk of severe hypotension. Caution is also advised with:
Alpha-blockers (potential for hypotension) CYP3A4 inhibitors (e. g., ketoconazole, erythromycin) – may increase Levitra levels CYP3A4 inducers (e. g., rifampin) – may decrease Levitra levels
A thorough medication review is crucial before prescribing Levitra. Always consult the full prescribing information for a complete list of interactions and contraindications.
