How to use
Tear a corner from the sachet and swallow Vardenafil Jelly approximately 15 minutes before sexual activity. Alternatively, you can squeeze the jelly in a table spoon or mix it with juice. Vardenafil Jelly is dissolved in the mouth, unlike the conventional pills which must be swallowed and are often inconvenient for those who having difficulty swallowing pills. Take only as directed, and no more than once a day.

Overdose
Potential symptoms of a Vardenafil Jelly overdose include:

• Severe dizziness
• Fainting
• Prolonged or painful erection (more than 4 hours)

If you suspect you have taken too much of this medication, you should contact your local poison control center or the emergency medical services immediately.

Missed dose
Vardenafil Jelly should only be taken when needed before sexual intercourse, so you are unlikely to miss a dose.

Notes
Do not share this medication with others, since they may have a problem that is not effectively treated by Vardenafil Jelly.

Use of this medication does not protect you against sexually transmitted diseases (e.g. HIV, Hepatitis B, gonorrhea, syphilis).

Storage
Store Vardenafil Jelly at room temperature between 59 and 86 degrees F (15-30 degrees C) and away from light and moisture. KEEP THIS AND ALL MEDICATIONS OUT OF REACH OF CHILDREN. 

Important note
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed that the taking of this medication is safe, appropriate or effective for you.

Precautions

Before using Vardenafil Jelly, inform your pharmacist or doctor of your medical history, including allergies and medical conditions.

If you have any of these other conditions, you may need a Vardenafil Jelly dose adjustment or special tests:

• Heart disease or heart rhythm problems
• A recent history (in the past 6 months) of a heart attack, angina (chest pain), or congestive heart failure
• A recent history of stroke or blood clots
• A personal or family history of "Long QT syndrome"
• High or low blood pressure
• Liver or kidney diseases (or if you are on dialysis)
• A blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia
• A bleeding disorder such as hemophilia
• A stomach ulcer
• Retinitis pigmentosa (an inherited condition of the eye)
• A physical deformity of the penis (such as Peyronie's disease)
• If you have been told you should not have sexual intercourse for health reasons

Although Vardenafil Jelly should not be used by women, it is not expected to be harmful to an unborn baby. However, it is not known if this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. You may need a lower dose of Vardenafil Jelly if you are older than 65. Follow your doctor's instructions.

Drug Interactions
Do not take Vardenafil Jelly if you are also taking:

• Alpha blockers such as alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax), and terazosin (Hytrin)
• Nitrates such as isosorbide dinitrate (Isordril, Sorbitrate), isosorbide mononitrate (Imdur, ISMO), and nitroglycerin (Nitro-BID, Nitro-Dur, Nitroquick, Nitrostat, others)

Nitrates come as tablets, sublingual (under the tongue) tablets, sprays, patches, pastes, and ointments. Ask your doctor if you are not sure if any of your medications contain nitrates or you use street drugs containing nitrates such as amyl nitrate and butyl nitrate ('poppers') while taking Vardenafil.

Tell your doctor or pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following:

• Amiodarone (Cordarone)
• Antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral)
• Clarithromycin (Biaxin)
• Cyclosporine (Neoral, Sandimmune)
• Danazol (Danocrine)
• Delaviradine (Rescriptor)
• Diltiazem (Cardizem, Dilacor, Tiazac)
• Disopyramide (Norpace)
• Erythromycin (E.E.S. , E-Mycin, Erythrocin)
• Fluoxetine (Prozac, Sarafem)
• Fluvoxamine (Luvox)
• HIV protease inhibitors such as indinavir (Crixivan) and ritonavir (Norvir)
• Isoniazid (INH, Nydrazid)
• Medications for high blood pressure or irregular heartbeat
• Metronidazole (Flagyl)
• Other medications or treatments for erectile dysfunction
• Nefazodone (Serzone)
• Paroxetine (Paxil)
• Procainamide (Procanbid, Pronestyl)
• Quinidine (Quinidex)
• Sotalol (Betapace)
• Troleandomycin (TAO)
• Verapamil (Calan, Covera, Isoptin, Verelan)
• Zafirlukast (Accolate).

Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

Stop using Vardenafil Jelly and get emergency medical help if you experience a sudden loss of vision.

Get emergency medical help if you have any of these signs of an allergic reaction:

• Hives
• Difficulty breathing
• Swelling of the face, lips, tongue or throat.

Call your doctor right away if you experience any of the following serious side effects of Vardenafil Jelly during sexual activity:

• Dizziness or nausea
• Pain, numbness, or tingling in the chest, arms, neck, or jaw

Equally call your doctor immediately and stop using Vardenafil Jelly if you experience any of these serious side effects:

• Sudden loss of vision
• Ringing in your ears or sudden loss of hearing
• Chest pain or heavy feeling or pain spreading to the arm or shoulder
• Nausea, sweating, generally feeling ill
• Irregular heartbeat
• Swelling of the hands, ankles or feet
• Shortness of breath
• Changes in vision
• Feeling light-headed or faint
• Erection that is painful or lasts 4 hours or longer
• Seizures (convulsions)

Less serious side effects may include:

• Warmth or redness in the face, neck, or chest
• Stuffy nose
• Headache
• Memory problems
• Upset stomach
• Back pain

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.