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Zhewitra 60 mg, which contains vardenafil as the active ingredient, should be taken with caution when using other medications. It's important to consult with a healthcare provider before combining Zhewitra 60 mg with any other medications, especially:

Nitrates: Medications used for chest pain (angina), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. Combining nitrates with Zhewitra 60 mg can cause a severe drop in blood pressure, leading to fainting, dizziness, or even a heart attack.

Alpha-blockers: Drugs prescribed for prostate problems or high blood pressure. When taken with Zhewitra 60 mg, alpha-blockers can also lower blood pressure significantly, increasing the risk of side effects like dizziness, fainting, and headache.

Other PDE5 Inhibitors: Using multiple PDE5 inhibitors (such as sildenafil, tadalafil, or another vardenafil-containing medication) concurrently is not recommended as it can increase the risk of adverse effects and complications.

Guanylate Cyclase Stimulators: Medications used to treat pulmonary arterial hypertension (PAH), such as riociguat. Combining these with Zhewitra 60 mg can lead to a dangerous drop in blood pressure.

Certain Antibiotics and Antifungals: Some medications used to treat bacterial or fungal infections can interact with Zhewitra 60 mg, affecting how the body metabolizes the medication.

Always provide your healthcare provider with a comprehensive list of all medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. This information helps them assess the potential for drug interactions and determine if Zhewitra 60 mg is safe for you to use.

Never start or stop any medication without consulting your healthcare provider first, especially when it comes to medications like Zhewitra 60 mg used for erectile dysfunction. They can provide personalized advice based on your health status and medical history to ensure your safety and optimize treatment outcomes.