Levitra may not be effective if you have uncontrolled diabetes, very low blood pressure (hypotension) or uncontrolled
high blood pressure (hypertension), heart disease or heart failure, stroke or you are taking any nitrate drugs for angina, blood-thinning (anticoagulant) medications, antihypertensives or alpha blockers for enlarged prostate.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.