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Potential For Drug Interactions With Potent Or Moderate CYP3 A4 Inhibitors. LEVITRA should be used with caution by patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronies disease) or by patients who have conditions that may predispose them to priapism (such as why cialis causes back pain sickle cell anemia, multiple myeloma, or leukemia).
Physicians should advise patients to stop why cialis causes back pain use of all phosphodiesterase type 5 (PDE5) inhibitors, including LEVITRA, and seek medical attention in the event of sudden loss of vision in one or both eyes. Such an event may be a sign of nonarteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision, including permanent loss of vision, that has been reported rarely postmarketing in why cialis causes back pain temporal association with the why cialis causes back pain use of all PDE5 inhibitors. Neither the rare postmarketing reports, nor the association of PDE5 inhibitor use and NAION in the observational studies, substantiate a causal relationship between PDE5 inhibitor use and NAION (see ADVERSE REACTIONS) Therefore, why cialis causes back pain PDE5 inhibitors, including LEVITRA, should be used with caution why cialis causes back pain in these patients and only when the anticipated benefits outweigh the risks.