UK Registered prescribers & pharmacists
100% Discretion on all consultations and orders
Express next day delivery available when ordering before 2 PM
Verified & registered pharmacy online
- Precautions & Interactions
- Side effects
- Exclusions from supply
- Erectile dysfunction medicines
Dose
Initially recommended dose 10mg approximately 25-60 minutes before sexual intercourse subsequent doses adjusted according to initial response up to a maximum of 20mg as a single dose. Maximum one dose in 24 hours
Which strength is right for me?
Vardenafil is available in various strengths to adapt to the individual needs of each patient.
The recomended dosage of 10mg is deemed as efficient in most cases and should not be increased without prior medical check.
The maximum daily dose is 20mg and can be taken as one tablet, if a 10 mg treatment has been proven as ineffective.
5mg: Recommended dosage for patients older than 65 or with higher risk of side effects.
10mg: Standard dosage for most patients.
20mg: Issued for patients where standard dose proves ineffective
Vardenafil Patient Information
Before our pharmacists can supply this medicine, you will need to complete a short online questionnaire, which will determine if the product is suitable for you.
One of the effects of Vardenafil is a lowering of the blood pressure which is compounded by alcohol intake, therefore large quantities of alcohol should be avoided while using Vardenafil. Otherwise light-headedness, fainting and heart palpitations are possible. Alcohol can also make it more difficult to achieve an erection.
Caution should be taken if you are suffering from cardiovascular disease.
Dizziness and altered vision were reported in clinical trials hence take care if driving or operating machinery .
Grapefruit and grapefruit juice decreases the ability of the body to process the medication, which can increase the risk of dangerous side effects.
All simultaneously used medications should be discussed with your doctor or pharmacist before first usage of Vardenafil, to avoid interactions.
Other Interactions:
• Co-administration with potent CYP3A4 inhibitors (such as ketoconazole, erythromycin, cimetidine, ritonavir)
• Co-administration with nitric oxide donors (such as amyl nitrite) or nitrates .
• Co-administration with guanylate cyclase stimulators, such as riociguat
• Patients should be stable on alpha-blocker therapy prior to initiating ED treatment.
• Nicorandil is a hybrid of potassium channel opener and nitrate. Due to the nitrate component it has the potential to have serious interaction with sildenafil and vardenafil .
• Combinations of vardenafil and treatments for arrythmias, (e.g. quinidine, procainamide) .
For most patients Vardenafil is highly tolerable and side effects are infrequent or minimal.
If you suffers from any of the following side effects you should see your GP as soon as possible :
• Loss of vision or hearing • Chest pain • Continuous painful erection lasting 4 or more hours •
The most common side effects of Vardenafil include headache, flushed face and chest, indigestion, nausea and congestion. Muscle or back ache are also possible.
Less common side effects are, among others, palpitations, stomach pain, insomnia and abnormal vision.
We are unable to supply this medicine to you if you:
•have hypersensitivity to the active substance(s) or to any of the excipients or trace residuals in selected oral phosphodiesterase type-5 inhibitor (PDE5).
•are under 18 years.
•are Female.
•are a man who has severe or mild erectile dysfunction as defined by scoring outside the 8-16 point SHIM score range.
• are taking concomitantly other PDE5 inhibitors or other treatments for erectile dysfunction or concomitant use with other treatments that are contraindicated (see Product Interactions).
Patients who suffer from any of the following conditions are also excluded:
• Severe renal impairment (creatinine clearance < 30 mL/min).
• Hepatic impairment
•Where vasodilation or sexual activity are inadvisable (e.g. patients with severe cardiovascular disorders such as unstable angina or severe cardiac failure [New York Heart Association Class 2 or greater heart failure in the last 6 months]).
• History of non-arteritic ischaemic optic neuropathy (NAION).
• Uncontrolled blood pressure.
• Hypotension (blood pressure < 90/50 mmHg)
• Hypertension (blood pressure > 170/100 mmHg).
N.B. If it is suspected that you have hypertension or hypotension, it is recommended to have your blood pressure checked and consult one of our pharmacists or your doctor
• Recent history of stroke or myocardial infarction (within the last 6 months).
• Hereditary degenerative retinal disorders (including genetic disorders of retinal phosphodiesterases)
• Uncontrolled arrhythmias. • Left ventricular outflow obstruction, e.g., aortic stenosis and idiopathic hypertrophic subaortic stenosis
.• Anatomical deformation of the penis (e.g. angulation, cavernosal fibrosis, Peyronie’s disease)
.• Pre-disposition to priapism (e.g. sickle cell disease, multiple myeloma or leukaemia)
.• Bleeding disorders (such as haemophilia).
• Active peptic ulceration
Please Note - Erectile dysfunction medicines can br supplied on The NHS . If you have to any of the following conditions you may be eligible:
Multiple sclerosis, Parkinson’s disease, polio, prostate cancer, severe pelvic or spinal injury, spina bifida certain genetic conditions, such as Huntington's disease. You can also get ED medication on the NHS if you have had any of the following treatments: pelvic surgery, surgical removal of the prostate gland (prostatectomy), dialysis for kidney failure and kidney transplant
All erectile dysfunction medicines supplied by Numark Pharmacy are exclusively for oral administration and require sexual stimulation in order to facilitate erection
• Swallow tablets whole with water.
• The onset of action may be delayed in some ED medication when taken with food
• Combinations of sildenafil citrate, vardenafil hydrochloride, tadalafil and avanafil should not be taken in combination without a break of at least 36 hours between one medication and another .
Need some assistance?
Give one of our friendly team members a call on 01509 506564 or email us at mail@numark-chemist.com
