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This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor fildena 200 mg immediately if any of the following side effects occur: dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position fast, irregular, pounding, or racing heartbeat or pulse pain or discomfort in the arms, jaw, back, or neck puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue Some side effects may occur that usually do not need medical attention.

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If you already use medicine for high blood pressure (hypertension), vardenafil could make your blood pressure go too low. Call your doctor right away if you have blurred vision, confusion, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, sweating, or unusual tiredness or weakness. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS). Use protective measures and ask your doctor if you have any questions about this. Do not take other medicines unless they have been discussed with your doctor. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Feeling of warmth and redness of the face, neck, arms, and occasionally, upper chest burning feeling in the chest or stomach burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings feeling of constant movement of self or surroundings increased sensitivity of the eyes to sunlight sores, ulcers, or white spots on the lips or tongue or inside the mouth Other side effects not listed may also occur in some patients.

If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Cleveland Clinic is a non-profit academic medical center.

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Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For treatment of erectile dysfunction:For oral dosage form (disintegrating tablets):Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.Children—Use is not recommended.For oral dosage form (tablets):Adults 65 years and older—5 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg once per day.Adults up to 65 years—10 mg as a single dose, no more than once per day, approximately 1 hour before sexual activity. However, the dose is usually not more than 20 mg once per day.Children—Use is not recommended.

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For oral dosage form (disintegrating tablets):Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity.Children—Use is not recommended. Adults—10 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity. For oral dosage form (tablets):Adults 65 years and older—5 milligrams pills to increase sex drive male (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity. Adults 65 years and older—5 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity. However, the dose is usually not more than 20 mg once per day. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.

• Vardenafil is a prescription medication for erectile dysfunction.
• It works by relaxing blood vessels in the penis.
• The drug's effectiveness depends on sexual arousal.
• Vardenafil is often taken before planned sexual activity.
• It is not a cure but a temporary solution for ED.
• Patients should inform their doctor of all current medications.
• Report any sudden vision loss or hearing issues promptly.
• Vardenafil's safety profile is well established when used correctly.
• The medication is part of a class of PDE5 inhibitors.
• It is not recommended to combine with recreational drugs.
• Some users report relief within 15-30 minutes of intake.

VARDENAFIL (var DEN a fil) treats erectile dysfunction (ED). It works by increasing blood flow to the penis, which helps to maintain an erection.

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Do not push the tablet through the foil. Place the tablet on your tongue and allow it to melt. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

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The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. They need to know if you have any of these conditions: Anatomical deformation of the penis, Peyronie's disease, or history of priapism (painful and prolonged erection) Eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa Heart disease, angina, a history of heart attack, irregular heart beats, or other heart problems History of blood diseases, like sickle cell anemia or leukemia An unusual or allergic reaction to vardenafil, sorbitol, fructose, other medications, foods, dyes, or preservatives Place the tablet on the tongue and allow it to dissolve, then swallow. Do not crew, crush, or split the tablet.

Other uses for this medicine

Do not use this medicine if you also use riociguat (Adempas®). If you experience a prolonged or painful erection for 4 hours or more, contact your doctor right away. This condition may require prompt medical treatment to prevent serious and permanent damage to your penis. If you have a sudden loss of vision in one or both eyes, contact your doctor right away. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing with dizziness or ringing in the ears. Take the tablet as soon as it is removed from its blister packaging.

• Vardenafil's active ingredient is vardenafil hydrochloride.
• It is often preferred for its rapid onset compared to others.
• It can be used successfully in men with nerve damage.
• Vardenafil may cause temporary visual color changes.
• It is not suitable for individuals with severe heart failure.
• Alcohol can impair the effectiveness of vardenafil.
• Taking it on an empty stomach may improve absorption.
• Avoid driving or operating machinery after taking Vardenafil.
• It is important to follow-up with your healthcare provider regularly.
• Do not double dose if the first dose is ineffective.
• Use the lowest effective dose to minimize side effects.

This medication should be taken without liquid. You may take this medication with or without meals. Follow the directions on the prescription label. The dose is taken 1 hour before sexual activity. You should not take this dose more than once per day. Do not take your medication more often than directed. Talk to your care team about the use of this medication in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

• Vardenafil should not be taken with fatty foods for quick absorption.
• It is effective for men with erectile dysfunction of various causes.
• The medication is available in tablet form for oral intake.
• The onset of action is typically within 30-60 minutes.
• Use of Vardenafil can improve confidence and intimacy quality.
• It is not meant for daily use but as needed before sex.
• Some may experience prolonged erections; seek help if prolonged.
• Precautions include avoiding grapefruit juice which can affect levels.
• Patients with kidney or liver issues should inform their doctor.
• Sexual activity has inherent cardiovascular risks, which Vardenafil may potentiate.
• Discontinuation should be discussed with a healthcare provider.

NOTE: This medicine is only for you.

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Do not use more of it and do not use it more often than your doctor ordered. If you use too much, the chance of having unwanted effects is increased. This medicine should come with a patient information leaflet. Ask your doctor or pharmacist if you have any questions. You may take this medicine with or without food.

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This medicine usually begins to work within 60 minutes after taking it and stimulation of the penis is required. If you have any questions about the use of vardenafil, talk to your doctor. If you are using the disintegrating tablet, make sure your hands are dry before you handle the tablet. Do not open the blister pack until you are ready to take the tablet. Peel back the foil and take the tablet out. Do not share this medicine with others. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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Adults up to 65 years—10 mg as a single dose, no more than once per day, approximately 1 hour before sexual activity. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use.

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It is important that you tell all of your doctors that you take vardenafil. If you need emergency medical care for a heart problem, it is important that your doctor knows when you last took vardenafil. Do not use this medicine if you are also using a nitrate medicine for angina or high blood pressure. Some examples of nitrate medicines include nitroglycerin, isosorbide, Imdur®, Nitro-Bid®, Nitro-Dur®, Nitrol® ointment, Nitrolingual® spray, Nitrostat®, and Transderm Nitro®. Some illegal ("street") drugs called "poppers" also contain nitrates such as amyl nitrate and butyl nitrate. If you notice any changes in your vision while taking this medication, call your care team as soon as possible.

Stop using this medication and call your care team right away if you have a loss of sight in one or both eyes. Contact your care team right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of serious problem and must be treated right away to prevent permanent damage. If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medication, you should refrain from further activity and call your care team as soon as possible. Drinking alcohol with this medication can increase the risk of side effects. Using this medication does not protect you or your partner against HIV or other sexually transmitted infections (STIs). Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects.