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Levitra is taken when needed but not more often than once daily so missed dose is not supposed.
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Levitra's metabolism is inhibited by erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir). Levitra reduces the concentration of ritonavir and indinavir. In patients treated with nitrates Levitra Professional may aggravate chest pain by increasing heart rate and lowering blood pressure. Levitra is able to exaggerate the blood pressure lowering effects of alpha-blocking drugs (terazosin or Hytrin). Levitra never should be administered in patients who are treated with organic nitrates.
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Brand Levitra was developed by the pharmaceutical company Bayer/GlaxoSmithKline and uses Vardenafil HCl as main component of the medication. Levitra is an oral drug used to treat erectile dysfunction. Sexual stimulation causes the production and release of nitric oxide from the nerves endings of the cavernous bodies of the penis hereby activating enzyme guanylate cyclase. Guanylate cyclase in its turn is responsible for production of cyclic guanosine monophosphate (cGMP). The cGMP causes widening and relaxation of the blood vessels carrying blood to the penis. Levitra prevents phosphodiesterase-5 enzyme from destroying cGMP and thus helps to support blood flow to the penis.
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