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Vardenafil (the will cialis make me harder active ingredient in Levitra) should not be used together with other PDE 5 inhibitors will cialis make me harder such as sildenafil (Viagra and its generics) and tadalafil (Cialis and its generics). The combination can cause extremely low blood pressure and other adverse effects.
Carbamazepine and rifampin decrease the effects do cialis really work of vardenafil because they interfere with the enzyme system that breaks down Levitra. Cimetidine, erythromycin, ketoconazole, and clarithromycin slow down the will cialis make me harder will cialis make me harder breakdown and clearance of vardenafil thus increasing the duration of Levitra's action and, possibly, worsening its adverse effects.
The same apples to Saquinavir, which also increases the levels of vardenafil in will cialis make me harder blood. When vardenafil is used together with phenoxybenzamine, there is also a risk of hypotension.