How to Use

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

Overdose

Potential symptoms of a Valif Jelly (Vardenafil) 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

Valif Jelly (Vardenafil) 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 Valif Jelly (Vardenafil).

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

Storage

Store Valif Jelly (Vardenafil) 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 Valif Jelly (Vardenafil), inform your doctor of your medical history, including:

• 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

If you currently suffer or ever have suffered from any of the above conditions, you may not be able to use Valif Jelly (Vardenafil) or you may need a dosage adjustment.

Valif Jelly (Vardenafil) is not indicated for use by women.

You may need a lower dose of Valif Jelly (Vardenafil) if you are older than 65. Follow your doctor's instructions.

Drug Interactions

Do not take Valif Jelly (Vardenafil) 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).

This is only a partial list and other medications may negatively interact with Valif Jelly (Vardenafil). Inform your doctor of all other prescription and non-prescription medication you are currently using, including vitamins, minerals, herbal pills, dietary supplements and medicines prescribed by other doctors. Do not start or stop using any medication without consulting your doctor first.

Stop using Valif Jelly (Vardenafil) 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 Valif Jelly (Vardenafil) 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 Valif Jelly (Vardenafil) 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. Contact your doctor as soon as possible if you experience any side effects other than the ones mentioned above.