The treatment Levitra, and the generic version vardenafil, are PDE5 inhibitor medications prescribed for erectile dysfunction. There are several different types of these medications, which most notably include Viagra and Cialis. When this class of medication was introduced in the late 1990s, it transformed the way in which the condition was treated, not just because it was so effective for the majority of men that used it, but because it was well tolerated and caused fewer contraindications.

That is not to say that Levitra contraindications (interactions between the drug and any pre-existing conditions you have) do not exist, however, and it is vital that you fully understand what these are before starting treatment. You will therefore need to inform your prescribing clinician of any conditions you are suffering from to ensure that the treatment you are being offered is safe.

Understanding contraindications

As Levitra and Vardenafil are generally well tolerated and their list of interactions with conditions is comparatively short, sometimes a contraindicatory condition might not necessarily prohibit use. Your doctor may decide that the benefits of the treatment will outweigh the risks and can prescribe a lower dosage than what is considered standard to minimise the risks involved, while attempting to maintain the effectiveness of the treatment. If the dose you are issued isn’t effective or causes side effects, you should let them know so they can look into adjusting it for you.

Contraindications for Levitra and Vardenafil

Not all contraindications are severe or dangerous, but even these will need to be understood fully before starting treatment. Some, however, can be life threatening and will prohibit use of Levitra and vardenafil entirely. As well as your doctor being able to inform you about everything you need to know regarding the risks involved, your medication comes with a patient information leaflet that contains all reported contraindications.

These include the following conditions, which make use of these medications unsuitable: allergies to ingredients in the medication, being over 75 years of age when taking ketoconazole or itraconazole, severe heart or liver problems, kidney dialysis, recent strokes or heart attacks, low blood pressure, family has a history of degenerative eye diseases and any condition that cause a loss of vision due to insufficient blood supply (NAION).

Conditions that may make use of these treatments unsuitable include: heart issues, physical condition affecting the shape of the penis (Peyronie’s disease and cavernosal fibrosis), illnesses that cause erections that won’t go away (priapism), sickle cell disease, multiple myeloma, leukaemia, stomach ulcers, bleeding disorders (such as haemophilia) and other treatments for erection difficulties.

Reasons why you might not be prescribed Levitra

There are other contraindications that might lead your prescribing clinician to not want to prescribe these treatments. This means they need to know about your personal circumstances and the reasons why you require the medication. It is important that you are as honest as possible during the consultation in order to provide your doctor with the necessary information to provide a safe treatment. These reasons include being in a difficult relationship, not suffering from erectile dysfunction, and alcohol or drug dependency.

If you’re having relationship problems, or think you may be having problems related to alcohol or drugs, talking therapy may benefit you more than prescription treatment.

Levitra and difficult relationships

No two relationships are the same and the same can be said for the issues that people face when in them. Emotional issues are a common cause for erectile dysfunction, which can be exacerbated by the pressures of a difficult relationship. Although erectile dysfunction treatments such as Levitra can be highly effective, your doctor may decide that counselling might be a more effective long term solution.

Levitra and recreational use

During the first years of PDE5 inhibitors being available after the release of Viagra in the late 1990s, it was wrongly understood by some that these medications could act as aphrodisiacs (drugs that lead to sexual arousal). In fact, they are only effective once sexual arousal has been instigated, having no noticeable influence otherwise. Your doctor will therefore not prescribe these treatments if they are being taken recreationally or to promote sexual arousal.

Alcohol or drug dependency and Levitra

Alcohol and drug abuse are common causes of erectile dysfunction and the condition might therefore not exist without their influence in many. It is also the case that these substances can lead to treatments such as Levitra becoming ineffective, making their use redundant. Your doctor may therefore decide that it would make more sense treating the underlying condition rather than prescribing erectile dysfunction medications.

Minimising the risk of Levitra contraindications

There are several things you can do to minimise the risk of side effects related to contraindications occurring when it comes to these medications. Firstly, follow your doctor’s instructions by taking Levitra as directed. Should you start taking supplements or other medications, you should inform your doctor, who can supervise your reaction to these treatments as well as inform you of any known issues associated with them being taken in combination.

It is also essential that you do not buy Levitra, or any other erectile dysfunction treatment, from a disreputable source. Counterfeit medications have been known to cause serious health risks, including the dosage being incorrectly labelled and them containing toxic substances. You should therefore ensure that the pharmacy in question is GPhC registered before ordering online. You should be able to find a logo showing their registration details on the website itself, but if you can’t or you aren’t sure, it’s better to contact them to ask for clarification.

Page last reviewed:  23/07/2020