Vardenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED). In combination with sexual stimulation, vardenafil works by increasing blood flow to the penis to help a man get and keep an erection. This drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis). Consult your doctor or pharmacist for more details. Read the Patient Information Leaflet provided by your pharmacist before you start taking vardenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth as directed by your doctor, usually as needed. The dosage is based on your medical condition, response to treatment, and other medications you may be taking. Take vardenafil, with or without food, about 1 hour before sexual activity. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). azithromycin uk Levitra tablets and orodispersible tablets contain the active ingredient vardenafil, which is a type of medicine called a phosphodiesterase type 5 inhibitor. Vardenafil helps you to achieve and maintain an erection by helping more blood get into your penis when you are sexually aroused. An erection is produced via a complex chain of events, involving signals from the nervous system and the release of chemical messengers within the tissues of the penis. One of the messengers released when you're aroused is called cyclic GMP. Cyclic GMP relaxes and widens the blood vessels in the penis, allowing more blood to enter. Cyclic GMP is normally broken down by an enzyme in the body called phosphodiesterase type 5 (PDE5). Vardenafil works by stopping this enzyme from breaking down the cyclic GMP. 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However, since both alcohol and Levitra have vasodilating effects (causing blood vessels to open wider), it is best to be aware of the possible interactions that may arise if these two substances are mixed. Theoretically, combining alcohol with Levitra can have additive vasodilating effect which can potentially cause problems such as: If you decide to drink alcohol while taking Levitra, be sure to watch out for any of these possible side effects. According to its manufacturer, concomitant use of alcohol and Levitra is not expected to cause significant changes in the levels of alcohol and Levitra in the blood. In one of the studies participated by healthy volunteers, Levitra did not potentiate the hypotensive (blood pressure-lowering) effects of alcohol during the 4-hour observation period. Separate studies reveal that phosphodiesterase-5 (PDE5) inhibitors, which include vardenafil, sildenafil and tadalafil, may have an additive hypotensive effect when combined with alcohol. 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