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Isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking vardenafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. & 149; If you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw during sexual activity, stop and call your doctor right away. You could be having a serious side effect of vardenafil. & 149; Do not take vardenafil more than once a day. Allow 24 hours to pass between doses. & 149; Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. & 149; A small number of patients have had a sudden loss of eyesight after taking vardenafil. This type of vision loss is caused by decreased blood flow to the optic nerve of the eye. It is not clear whether vardenafil is the drug levitra


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