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    Before you start taking this drug, you should read carefully the data, which are presented in this article. They relate to the drug Levitra dosage of 5 to 20 mg. You should ask your doctor if you have questions regarding this material. Self-administration, change in dose or deviation from its recommendations is strictly prohibited. The drug resolves problems with erectile function and enables a man to hold sexual intercourse. This medicine is intended to treat erectile dysfunction in men. One tablet contains from 5 to 20 mg of the active ingredient vardenafil. Erection is achieved by filling of the cavernous bodies of the penis by blood. This pathology is the lack of erection and inability to conduct intercourse by a man. Normally this is possible by relaxing the smooth muscles and active inflow of arterial blood. Active ingredient Levitra blocks the enzyme that reduces the concentration of c GMP in cavernous bodies. For most patients, the recommended starting dose of LEVITRA is 10 mg, taken orally, as needed, approximately 60 minutes before sexual activity. The dose may be increased to a maximum recommended dose of 20 mg or decreased to 5 mg based on efficacy and side effects. The maximum recommended dosing frequency is once per day. Sexual stimulation is required for a response to treatment. For patients with moderate hepatic impairment (Child-Pugh B), a starting dose of 5 mg LEVITRA is recommended. The maximum dose in patients with moderate hepatic impairment should not exceed 10 mg. Do not use LEVITRA in patients with severe hepatic impairment (Child-Pugh C) The dosage of LEVITRA may require adjustment in patients receiving potent CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, atazanavir, and clarithromycin as well as in other patients receiving moderate CYP3A4 inhibitors such as erythromycin For ritonavir, a single dose of 2.5 mg LEVITRA should not be exceeded in a 72-hour period.

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