I tend to treat Vlad like Morde: force him to CS or harass. Never let him E both you and minions.
Don't let him regen all his health either. If you do then the trades are pointless. Riven dumps on Vlad as does Teemo. Riven with Hexdrinker, Teemo with Wit's.
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Realo won gold at the Sex Olympics with a BROKEN FRIGGIN NECK.-Voltch