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You should not take Levitra in any of the following situations unless you have first discussed the risks with your doctor. The doctor may want to adjust the dosage of Levitra you take or give you separate treatment for any of the other illnesses or conditions that you may have before you take Levitra.

• Is there any evidence of a cardiovascular disease including high or low blood pressure, arrhythmia or angina? Perhaps there is a family history of strokes or blood clots. Have you experienced any symptoms suggesting the possibility of a heart attack?
• Do you have any of the blood cell disorders including leukaemia and sickle cell anaemia, or conditions that may make you bleed without real control including stomach ulcers and the more serious haemophilia?
• Do you suffer from liver or kidney disease requiring you to be on dialysis?
• Do you have any physical symptoms including any change to the shape and size of your testicles or your penis? Do you have any localised pain in your groin or when you urinate?
• Do you have any night blindness, tunnel vision or other eye problems with a genetic origin?
• Have you ever been advised by a doctor not to have sexual intercourse?

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