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Why choose 1st Online Pharmacy?

We are a pioneer in telemedicine offering each patient the ability to communicate directly with one of our board-certified physicians. We were one of the first, if not the first, to offer telemedicine via the Internet. We take great pride in our heritage and our ability to offer a direct patient-to-physician relationship online. We invite you to join the over 100,000 patients we've helped since 1998. Find out for yourself why 98% of our patients would recommend us to a friend or relative. We look forward to serving you!

The package price includes medication and physician consultation but does not include shipping costs.

Your credit card will have two (2) charges - one from Virtual Medical Group and one from Medical Web.

LEVITRA QUANTITY
5 (20 MG) TABLETS
$110.00
10 (20 MG) TABLETS
$200.00
15 (20 MG) TABLETS
$285.00
20 (20 MG) TABLETS
$365.00
30 (20 MG) TABLETS
$525.00
60 (20 MG) TABLETS
$990.00
90 (20 MG) TABLETS
$1,460.00

CLICK HERE TO ORDER LEVITRA

*The package price includes medication and physician consultation.


FREE REFILLS FOR 6 MONTHS
When you order from us you get free refills for at least 6 months! Since all our prescriptions are valid for 6 months, you can refill within that time period with no consult or pharmacy fee. You only pay for the medication and shipping.

What is LEVITRA?
LEVITRA is a prescription medicine taken by mouth for the treatment of erectile dysfunction (ED) in men. ED is a condition where the penis does not harden and expand when a man is sexually excited, or when he cannot keep an erection. A man who has trouble getting or keeping an erection should see his doctor for help if the condition bothers him. LEVITRA may help a man with ED get and keep an erection when he is sexually excited.
LEVITRA does not: cure ED, increase a man's sexual desire, serve as a male form of birth control, or protect a man or his partner from sexually transmitted diseases, including HIV. Speak to your doctor about ways to guard against sexually transmitted diseases.
LEVITRA is only for men with ED. LEVITRA is not for women or children. LEVITRA must be used only under a doctor's care.

How does LEVITRA work?
When a man is sexually stimulated, his body's normal physical response is to increase blood flow to his penis. This results in an erection. LEVITRA helps increase blood flow to the penis and may help men with ED get and keep an erection satisfactory for sexual activity. Once a man has completed sexual activity, blood flow to his penis decreases, and his erection goes away.

Who can take LEVITRA?
LEVITRA has been shown to be effective in men over the age of 18 years who have erectile dysfunction, including men with diabetes or who have undergone prostatectomy.

Who should not take LEVITRA?
Do not take LEVITRA if you take any medicines called "nitrates" Nitrates are commonly used to treat angina. Angina is a symptom of heart disease and can cause pain in your chest, jaw, or down your arm.
Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Nitrates can also be found in other medicines such as isosorbide dinitrate or isosorbide mononitrate. Some recreational drugs called "poppers" also contain nitrates, such as amyl nitrate and butyl nitrate. Do not use LEVITRA if you are using these drugs. Ask your doctor or pharmacist if you are not sure if any of your medicines are nitrates.
Do not take LEVITRA if you take medicines called "alpha-blockers." Alpha-blockers are sometimes prescribed for prostate problems or high blood pressure. If LEVITRA is taken with alpha-blockers, your blood pressure could suddenly drop to an unsafe level. You could get dizzy and faint.
Do not take LEVITRA if you have been told by your healthcare provider to not have sexual activity because of health problems. Sexual activity can put an extra strain on your heart, especially if your heart is already weak from a heart attack or heart disease.

What should you discuss with your doctor before taking LEVITRA?
Before taking LEVITRA, tell your doctor about all your medical problems, including if you: have heart problems such as angina, heart failure, irregular heartbeats, or have had a heart attack. Ask your doctor if it is safe for you to have sexual activity. Before taking LEVITRA, tell your doctor if you have low blood pressure or have high blood pressure that is not controlled.
Before taking LEVITRA, tell your doctor if you have had a stroke or any family members have a rare heart condition known as prolongation of the QT interval (long QT syndrome)
Before taking LEVITRA, tell your doctor if you have liver problems or have kidney problems and require dialysis, or if you have retinitis pigmentosa, a rare genetic (runs in families) eye disease.
Before taking LEVITRA, tell your doctor if you have stomach ulcers, a bleeding problem, a deformed penis shape or Peyronie's disease, have had an erection that lasted more than 4 hours, or if you have blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia.

Can other medications affect LEVITRA?
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. LEVITRA and other medicines may affect each other. Always check with your doctor before starting or stopping any medicines. Especially tell your doctor if you take any of the following: medicines called nitrates, medicines called alpha-blockers. These include Hytrin® (terazosin HCl), Flomax® (tamsulosin HCl), Cardura® (doxazosin mesylate), Minipress® (prazosin HCl) or Uroxatral® (alfuzosin HCl). Tell your doctor about any medicines you are taking that treat abnormal heartbeat. These include quinidine, procainamide, amiodarone and sotalol. Also if you are taking medicines called ritonavir (Norvir®) or indinavir sulfate (Crixivan®), ketoconazole or itraconazole (such as Nizoral® or Sporanox®), erythromycin or other medicines or treatments for ED.

How should you take LEVITRA?
Take LEVITRA exactly as your doctor prescribes. LEVITRA comes in different doses (2.5 mg, 5 mg, 10 mg, and 20 mg). For most men, the recommended starting dose is 10 mg. Take LEVITRA no more than once a day. Doses should be taken at least 24 hours apart. Some men can only take a low dose of LEVITRA because of medical conditions or medicines they take. Your doctor will prescribe the dose that is right for you.
If you are older than 65 or have liver problems, your doctor may start you on a lower dose of LEVITRA.
If you are taking certain other medicines your doctor may prescribe a lower starting dose and limit you to one dose of LEVITRA in a 72-hour (3 days) period.
Take 1 LEVITRA tablet about 1 hour (60 minutes) before sexual activity. Some form of sexual stimulation is needed for an erection to happen with LEVITRA. LEVITRA may be taken with or without meals.
Do not change your dose of LEVITRA without talking to your doctor. Your doctor may lower your dose or raise your dose, depending on how your body reacts to LEVITRA. If you take too much LEVITRA, call your doctor or emergency room right away.

What are the possible side effects of LEVITRA? The most common side effects with LEVITRA are headache, flushing, stuffy or runny nose, indigestion, upset stomach, or dizziness. These side effects usually go away after a few hours. Call your doctor if you get a side effect that bothers you or one that will not go away.
LEVITRA may uncommonly cause an erection that won't go away (priapism). If you get an erection that lasts more than 4 hours, get medical help right away. Priapism must be treated as soon as possible or lasting damage can happen to your penis including the inability to have erections. It may also cause vision changes, such as seeing a blue tinge to objects or having difficulty telling the difference between the colors blue and green.
These are not all the side effects of LEVITRA. For more information, ask your doctor or pharmacist.

For more information, please visit www.levitra.com

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*Reflects the responses of over 9500 respondents to our survey between June & July 2002