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we accept: worldwide shipping shipping options: courier service ($30, 5-9 days, tracking is available) international airmail ($10, 14-21 days, tracking is not available) our billing is sertified by: languages : de - es - fr - it brand name: levitra (brand name levitra) is used for treating impotence or erectile dysfunction (ed). is used to treat male sexual function problems by blocking a certain enzyme. in combination with sexual stimulation, works by helping the blood flow into the penis to achieve and maintain an erection. levitra is an oral therapy for the treatment of erectile dysfunction generic levitra 20mg / brand levitra / levitra soft / levitra professional brand levitra 20mg / levitra super active / levitra plus what are tablets? (levitra®) is used to treat erection problems in men. what should i tell my health care provider before i take this medicine? they need to know if you have any of these conditions: anatomical deformity of the penis, peyronie's disease, or ever had an erection that lasted more than 4 hours bleeding disorder cancer diabetes frequent heartburn or gastroesophageal reflux disease (gerd) heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems high cholesterol hiv infection kidney disease liver disease sickle cell disease stroke stomach or intestinal ulcers eye or vision problems an unusual reaction to , medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding how should this medicine be used? take tablets by mouth with or without food. follow the directions on the prescription label. the dose is usually taken about 1 hour before sexual activity. swallow the tablets with a drink of water. do not take double or extra doses. at this time, this medicine is not for use in children. what if i miss a dose? this does not apply. however, do not take double or extra doses. what drug(s) may interact with ? do not take if you are taking the following medications: .nitroglycerin-type drugs for the heart or chest pain such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, even if these are only taken occasionally. this includes some recreational drugs called 'poppers' which also contain amyl nitrate and butyl nitrate. may also interact with the following medications: .alpha blockers such as alfuzosin (uroxatral®), doxazosin (cardura®), prazosin (minipress®), tamsulosin (flomax®), or terazosin (hytrin®), used to treat high blood pressure or an enlarged prostate. arsenic trioxide bosentan certain antibiotics such as clarithromycin, erythromycin, sparfloxacin, troleandomycin certain medicines used for seizures such as carbamazepine, phenytoin, and phenobarbital certain medicines for the treatment of hiv infection or aids certain medicines to control the heart rhythm (e.g., amiodarone, disopyramide, dofetilide, flecainide, ibutilide, quinidine, procainamide, propafenone, sotalol) chloroquine cisapride diltiazem grapefruit juice medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole) methadone nicardipine pentamidine pimozide rifabutin, rifampin, or rifapentine some medicines for treating depression or mood problems (amoxapine, maprotiline, fluoxetine, fluvoxamine, nefazodone, pimozide, phenothiazines, tricyclic antidepressants) verapamil tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. these may affect the way your medicine works. check with your health care professional before stopping or starting any of your medicines. what side effects may i notice from receiving ? side effects that you should report to your prescriber or health care professional as soon as possible. back pain changes in hearing such as loss of hearing or ringing in ears changes in vision such as loss of vision, blurred vision, eyes being more sensitive to light, or trouble telling the difference between blue and green objects or objects having a blue color tinge to them chest pain or palpitations difficulty breathing, shortness of breath dizziness eyelid swelling muscle aches prolonged erection (lasting longer than 4 hours) skin rash, itching side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome): flushing headache indigestion nausea stuffy nose what should i watch for while taking ? if you notice any changes in your vision while taking this drug, notify your prescriber or health care professional as soon as possible. stop using right away if you have a loss of sight in one or both eyes. contact your healthcare provider immediately. contact your physician immediately if the erection lasts longer than 4 hours or if it becomes painful. this may be a sign of priapism and must be treated immediately to prevent permanent damage. if you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after use, you should refrain from further activity and should discuss the episode with your prescriber or health care professional as soon as possible. do not change the dose of your medication. please call your prescriber or health care professional to determine if your dose needs to be reevaluated. using does not protect you or your partner against hiv infection (the virus that causes aids) or other sexually transmitted diseases. where can i keep my medicine? keep out of the reach of children in a container that small children cannot open. store at room temperature between 15 and 30 degrees c (59 and 86 degrees f). throw away any unused medicine after the expiration date. what is the shelf life of the pills? the expiry date is mentioned on each blister. it is different for different batches. the shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured. frequently asked questions: what is a generic medication? wikipedia gives the following definition: “generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. a generic must contain the same active ingredients as the original formulation. in most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. by extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use. mind that the pills you will receive from us differ in appearance from the brand name ones. the looks of medications as well as brand names are the intellectual property of the brand manufacturer. thus to avoid any accusation of copyright infringement we have to change the shape and the color of the generic pills as well as use the name of the active ingredient (generic name) instead of the brand name for printing on pills. please be aware that the generic pills differ in appearance from the brand name medications. our pills are round shaped and blister packed (10 pills per each blister). the name of the active ingredient as well as the weight are specified on the pill itself. why are generic pills cheaper than the brand name ones? the principal reason for the reduced price of generic medicines is that the creation of the generic drug runs up less cost and therefore a lower price can be offered and still maintain profitability. manufacturers of generic drugs are mainly able to avoid the following three costs that brand name pharmaceutical companies incur: (1) costs associated with the research and development of the drug; (2) costs associated obtaining regulatory approval (i.e. proving safety and efficacy of a drug); and (3) marketing costs.