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Levitra is a proven effective medication that relaxes the muscles and allows the inflow of blood to the penis helping to maintain erection long enough to have sex. Although Levitra may be used for a number of medical conditions its primary use is for the treatment of male impotence (erectile dysfunction). Taking the following medications is a contraindication in case of Levitra – nitroglycerin, isosorbide mononitrate and isosorbide dinitrate; other nitrates can be found in a number of recreational drugs – the combination with Levitra may lead to a sudden drop of blood pressure, fainting and even a heart attack. In some cases patients report dizziness, tingling (jaw, neck, arms, chest), numbness, nausea, pain while having sex. In this case it’s recommended to stop the activity and contact your health care provider as soon as possible. If you experience erection for longer than 4 hours and it’s painful you may have priapism that can damage the penis, so it’s strongly recommended to seek immediate medical attention. 24 hours should pass between two tablets of Levitra. In very rare cases Levitra can decrease the bloodflow to the optic nerve of the eye leading to a sudden vision loss (this happened primarily with people with other medical issues – high cholesterol, high blood pressure, diabetes, heart disease and pre-existing eye problems, as well as with smokers and people older than 50 years).