Always inform your doctor about all medications you’re taking, including over-the-counter drugs, herbal supplements, and recreational drugs. This includes nitrates (found in some heart medications), alpha-blockers (used to treat high blood pressure or enlarged prostate), and certain antifungal medications. Combining Levitra with these can cause a dangerous drop in blood pressure.
Specific Medication Interactions:
Ritonavir and indinavir (HIV protease inhibitors) significantly increase Levitra’s concentration in the body, potentially leading to side effects. Erythromycin and ketoconazole (antibiotics and antifungals) can also increase Levitra levels. Grapefruit juice inhibits the enzymes that metabolize Levitra, resulting in higher blood levels and increased risk of side effects. Avoid grapefruit and grapefruit juice while taking Levitra. Consult your doctor for safe alternatives if you’re on medications that interact with Levitra. Careful monitoring may be needed if you’re using Levitra concurrently with other medications metabolized by the same liver enzymes.
Alcohol and Other Substances:
Excessive alcohol consumption can worsen Levitra’s side effects, particularly dizziness and low blood pressure. Mixing Levitra with recreational drugs like cocaine or other stimulants isn’t recommended and may be dangerous. Always follow your doctor’s instructions and be honest about your lifestyle choices. Open communication is key to safe and effective treatment.
