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If your pill or tablet is “scored”, this usually means you can split your tablet in half, but check the product information to be sure.

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A “score” is a line or indentation that is found down the middle of the tablet that allows for easier cutting. You can see a few examples of a tablet “score” here: Keep in mind that splitting your pill in half and taking only one-half will change the dose of your medicine. For example, splitting a whole 50 mg tablet in half will typically give you two 25 mg halves. Only take half of your medicine if your healthcare provider has directed you to do this. Ultimately, the uniformity of the active ingredient in your pills will depend upon the standards of quality assurance set at the particular drug manufacturing facility.

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If you have a sudden loss of vision in one or both eyes, contact your doctor right away. Check with your doctor right away if you have a sudden decrease in hearing or loss of hearing with dizziness or ringing in the ears. If you already use medicine for high blood pressure (hypertension), vardenafil could make your blood pressure go too low. Call your doctor right away if you have blurred vision, confusion, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, sweating, or unusual tiredness or weakness. This medicine does not protect you against sexually transmitted diseases (including HIV or AIDS).

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Use protective measures and ask your doctor if you have any questions about this. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

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Check with your doctor immediately if any of the following side effects occur: dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position fast, irregular, pounding, or racing heartbeat or pulse pain or discomfort in the arms, jaw, back, or neck puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Feeling of warmth and redness of the face, neck, arms, and occasionally, upper chest burning feeling in the chest or stomach burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings feeling of constant movement of self or surroundings increased sensitivity of the eyes to sunlight sores, ulcers, or white spots on the lips or tongue or inside the mouth Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. The Drugs.com Pill Identification Wizard (Pill Finder) can help identify a pill by its imprint, size, shape, or color and link you to detailed information in the drug database. Examples of medications that should usually not be split in half include: Film-coated or enteric-coated tablets, controlled-release (CR), extended-release (ER, XR or XL), sustained-release (SR), long-acting (LA) or other timed-release medications Orally-disintegrating tablets (that dissolve on or under your tongue) Oddly shaped pills or pills that are too small to split evenly Capsules (note: certain medications in capsules can be opened and sprinkled on food for easier swallowing, but ALWAYS ask your pharmacist if you can do this) A combination drug (one pill that contains two or more medicines). Ask your pharmacist or doctor if it’s OK to split any combination tablet.

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Any other medicine where getting the exact dose is critical If a tablet is not scored, ask your pharmacist or doctor if it is safe to cut or split in half. If you split a tablet in half and it crumbles, splinters, or cuts unevenly, do not split anymore of these pills. Get a prescription from your doctor for the correct strength so you do not need to cut them in half.

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Levitra Original	20mg	48 + 4 Pills	235.14€ 223.94€	Buy
Levitra Generic	40mg	120 + 8 Pills	302.37€ 287.97€	Buy
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Learn more by reviewing the FAQs Which tablets should never be crushed?

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Extended-release (ER or XR), sustained-release (SR), long-acting (LA), and timed-release medicines are designed to slowly release medicine into your body over time.

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People may want to split pills for a variety of reasons, including: to decrease the tablet size and make it easier to swallow to adjust their medication dose, as directed by a healthcare provider to get a lower dose that's not available on the market Don’t use a knife or razor to cut tablets as this may splinter or crush pills and can be dangerous. It's best to buy a pill splitter at the pharmacy or online for the most precise splitting. Pill splitters are usually inexpensive and cost between $5 and $10. They work best for round pills that are scored, but may not work for oddly shaped pills. Use caution and cheap levitra prices read any directions as most pill splitters contain very sharp razors.

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Have your pharmacist demonstrate the proper technique. Keep tablet splitters away from children and pets. You should only split one pill at a time and use up both halves before splitting another pill. Do not split all your tabs at once. This can leave the medicine exposed to air, moisture or heat and theoretically could affect its potency. Examples include Calan SR and Effexor XR.

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Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Only split a pill if your doctor or pharmacist says it is safe. Tablets that are scored may be easier to split, but a score line does not always mean splitting is FDA-approved. Do not split extended-release, enteric-coated, capsule, chemotherapy, birth control, or narrow-therapeutic-index medicines unless specifically directed.

What should I know about vardenafil before taking it?

Check with your doctor or pharmacist if you are not sure. Pills or tablets may have a scored mark down the middle of the pill, like a line or indentation, but that does not always mean you can split it safely. Coated pills or tablets that are slowly released in your body, like extended-release (ER) or long-acting (LA) forms should not be cut. Other dosage forms, like capsules should not be split, crushed or opened unless recommended by your healthcare provider. Splitting a tablet that has a line or indentation but has not been reviewed by the FDA may not contain the same amount of drug or work the same way in the body as the whole tablet.

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You should discuss with your healthcare professional whether to split this type of tablet. To find out if you can safely split your pill in half, ask your pharmacist or check the package insert for your medicine. You can usually find this information in the "How Supplied" or "Patient Information" section. If it's not there, it may mean the FDA has not studied the medicine to determine if it can be safely split. When it doubt, it's best not to split it. Not all medicines with special release features will have abbreviations like “ER” or “XR” in the name. These medicines should usually not be split, crushed, or chewed unless your doctor or pharmacist says it is safe. Damaging the tablet or capsule can change how the medicine is released and absorbed, which may cause too much medicine to enter your body at once.

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This can be especially dangerous with some opioid pain medicines, where splitting or crushing the tablet may lead to a serious overdose or even death. Enteric-coated (EC) tablets should also not be split, crushed, or chewed. These tablets have a special coating that helps protect the medicine from stomach acid or helps protect your stomach from irritation. Examples include enteric-coated aspirin and enteric-coated naproxen. Capsules should not be opened or split unless the product instructions or your healthcare provider says it is safe.

Can I split a generic tablet?

Not all strengths or generic formulations of the same medicine may be scored, so if you are not sure if it can be split or opened (for a capsule) check with your pharmacist or other healthcare provider about splitting. In general, do NOT split tablets that are not scored unless your doctor or pharmacist has given you the okay to do this. Some tablets may be extended-release, enteric-coated or have other characteristics that might affect how the tablet is absorbed or works if you cut it in half. Even if a tablet is scored, it’s best to ask your healthcare provider before you split it. It may not be safe for certain people to split tablets on their own, especially those with: A need for daily help with their medicines Adults should split tablets for children as directed by the doctor. Some capsules can be opened and sprinkled onto soft food, such as applesauce, to make them easier to swallow.

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Always check with your healthcare provider or pharmacist before splitting any medicine, especially combination medicines that contain two or more drugs in one pill. Learn more: What are enteric-coated tablets?

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According to the FDA, if there is no information about splitting the tablet in the package insert section “How Supplied”, the FDA has not evaluated it to be sure both halves of the tablet are the same weight, contain the same amount of medicine, or work in the same way. Research studies have found inconsistencies in the amount of active ingredients in tablet halves. In one study, researchers found that the active ingredient simvastatin (a common cholesterol medicine) was distributed unevenly in tablets manufactured in foreign countries and purchased online but not in the branded product (Zocor) manufactured in the U.S. This could lead to uneven doses when cutting tablets in half. Another study found that the USP standard specification was exceeded for more than one-third of sampled half tablets for warfarin, metoprolol and lisinopril, and was greater for non-scored vs.