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Overview
This medicine is for your personal use only. Before using this medicine please check carefully if this is the medicine your doctor has prescribed. Verify if the name and address on the package and the name of the medicine are exactly the same as you ordered. This information may change. Therefore, read the leaflet included in the package again each time you get more of this medicine..

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Directions
Lavitra is taken orally when needed 30 – 60 minutes before sexual activity.

Patient information
Lavitra should be taken only as directed, take Lavitra usually once daily as needed. Lavitra works along with sexual stimulation to help achieve an erection. The most common side effects for Lavitra include headache, flushing, upset stomach, stuffy nose, urinary tract infection, visual changes such as mild and temporary changes in blue/green colors or increased sensitivity to light and diarrhea. If these effects persist or worsen, notify your doctor promptly.

Precautions
It is important that the doctor has your complete medical history. Before taking Lavitra, tell your doctor about all your medical problems, including if you have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack; have low blood pressure or have high blood pressure that is not controlled; have had a stroke or any family members have a rare heart condition known as prolongation of the QT interval (long QT syndrome); have liver problems; have kidney problems and require dialysis; have retinitis pigmentosa, a rare genetic eye disease; have stomach ulcers; have a bleeding problem; have a deformed penis shape or Peyronie's disease; have had an erection that lasted more than 4 hours; have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia.

Drug interactions
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Lavitra and other medicines may affect each other. Always check with your doctor before starting or stopping any medicines. Especially tell your doctor if you take medicines called nitrates; medicines called alpha-blockers - these include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl) or Uroxatral® (alfuzosin HCl); medicines that treat abnormal heartbeat - these include quinidine, procainamide, amiodarone and sotalol; ritonavir (Norvir®) or indinavir sulfate (Crixivan®); ketoconazole or itraconazole (such as Nizoral® or Sporanox®); erythromycin or other medicines or treatments for ED.
          

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