Levitra (Vardenafil)

A prescriber reads every answer. Answer honestly: a wrong answer here is not a shortcut, it is the thing that makes a medicine unsafe for you.

1About your health
2About this treatment
3About you

Allergies

Do you have any allergies to medicines? * Yes No I am not sure

Which medicines, and what happened? *

Current Medications

List any medicines you take, including anything you buy without a prescription. *

Medical History

Are you being treated for any long-term condition? * Yes No

Which conditions? *

Current Medications

Do you take any of these medicines? *

Tick everything that applies. If you are not sure of a name, check the box or the leaflet.

A nitrate for chest pain: GTN spray or tablets, isosorbide mononitrate or dinitrate Nicorandil Amyl nitrite, sometimes called poppers Riociguat, for high blood pressure in the lungs An alpha blocker: alfuzosin, doxazosin, tamsulosin or prazosin A medicine for HIV: ritonavir or saquinavir Erythromycin or clarithromycin Cimetidine for indigestion

Medical History

Have you ever had any of these? * Sudden loss of sight in one eye Retinitis pigmentosa, an inherited eye condition An erection lasting more than 4 hours Sickle cell disease, leukaemia or myeloma A curved or bent penis, or Peyronie's disease Liver problems Kidney problems A stomach ulcer or a bleeding disorder

Allergies

Have you ever had a bad reaction to a treatment for erectile dysfunction? *

The active ingredients are sildenafil, tadalafil, vardenafil and avanafil. Brands include Viagra, Cialis, Levitra and Spedra.

Yes No I have never taken one

What happened, and which treatment was it? *

Medical History

Have you taken a treatment for erectile dysfunction before? * Yes No

Which treatment, at what dose, and how well did it work? *

Lifestyle

Do you use any of these? *

We ask because some of these are dangerous with this treatment. Your answer stays in your pharmacy record.

Poppers, amyl or butyl nitrite GHB or GBL Cocaine Ketamine MDMA or ecstasy Cannabis Opioids such as heroin or methadone

Medical History

Have you spoken to a GP or another healthcare professional about this? * Yes No I have an appointment booked

Your answers are seen by the prescriber reviewing your order and the dispensing pharmacist. They are not used for marketing.

Online Pharmacy

Prescription and pharmacy medicines supplied by registered UK pharmacies, after a consultation reviewed by an independent prescriber.

Information on this site is not a substitute for medical advice.

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