RFHL Uppsala län

Yes, there are several health conditions for which the use of Zhewitra 60 mg (which contains vardenafil, a phosphodiesterase type 5 inhibitor) may be contraindicated or require caution. These conditions include:

Cardiovascular Disease: Zhewitra 60 mg can cause a temporary decrease in blood pressure, particularly when taken with certain medications or in conjunction with nitrates. Individuals with a history of cardiovascular disease, including heart attack, stroke, or unstable angina, should use Zhewitra with caution and under the guidance of a healthcare provider.

Hypotension (Low Blood Pressure): Zhewitra 60 mg can further lower blood pressure, potentially leading to symptoms such as dizziness, fainting, or lightheadedness. Individuals with hypotension should use Zhewitra with caution and may require dosage adjustments or closer monitoring.

Liver or Kidney Impairment: Vardenafil, the active ingredient in Zhewitra, is primarily metabolized in the liver and excreted in the urine. Individuals with liver or kidney impairment may have difficulty metabolizing and eliminating vardenafil, leading to an increased risk of adverse effects. Dosage adjustments may be necessary for individuals with moderate to severe liver or kidney impairment.

Retinal Disorders: Vardenafil, like other phosphodiesterase type 5 inhibitors, has been associated with rare cases of visual disturbances, including changes in color vision or sudden loss of vision. Individuals with retinal disorders, such as retinitis pigmentosa, should use Zhewitra with caution and discuss any concerns with their healthcare provider.

Priapism: Zhewitra can occasionally cause priapism, a painful and prolonged erection lasting more than four hours. Priapism can damage the penis and requires immediate medical attention. Individuals with a history of priapism or conditions predisposing them to priapism, such as sickle cell anemia or leukemia, should use Zhewitra with caution and seek prompt medical attention if an erection lasts longer than four hours.

Allergies: Individuals with a known allergy or hypersensitivity to vardenafil or any of the ingredients in Zhewitra should not use the medication.

It's important for individuals with any underlying health conditions to discuss their medical history, current medications, and any concerns with their healthcare provider before starting Zhewitra or any other medication for erectile dysfunction. A healthcare provider can provide personalized recommendations and help ensure safe and effective treatment while minimizing the risk of adverse effects.