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Levitra is believed to be one of the best first-line medications for treatment of erectile dysfunction (ED). Today Levitra is considered as an excellent choice for those who want to get and maintain an erection just when it is needed.


Levitra therapeutic indications


Like other medications from the group of PDE-5 inhibitors, Levitra is intended for improvement of erectile function in adult males, including above 65 years olds. Levitra should not be used in women, adolescents, and children.

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Clinical studies have demonstrated Levitra efficacy and safety in treatment of psychogenic, organic or mixed ED, including patients with:


  • High blood lipid levels.
  • High blood pressure.
  • Coronary heart disease.
  • Chronic lung disease.


The mechanism of action and effects of Levitra


Levitra pills activate the erection mechanism due to relaxation of the penile smooth muscles and increased blood flow to the penis. Increased blood flow in conjunction with sexual arousal provide the condition for the penis to become hard and erected.


Due to the effects provided by Levitra pills, you can rely on a stable erection sufficient for successful sexual intercourse.


It should be noted that Levitra has no direct effect on the libido. So these pills for erectile dysfunction treatment should not be used to increase sexual desire.


Levitra acting time


Levitra pills should be taken as needed about 25 to 60 minutes before sexual intercourse. Some men can achieve an erection in 15 minutes after the recommended dose of Levitra.


If Levitra is taken after consumption of fat food, it takes longer time for the drug to start acting. Several clinical studies have shown that fat foods slow achievement of Levitra effect by 18-50%.


The total duration of Levitra action lasts up to 5 hours. After this period of time, the ability to achieve and maintain an erection is reduced.


The recommended doses of Levitra


From 2.5mg to 20mg of Levitra are used for treatment of erectile problems. The initial recommended Levitra dose makes 10mg per day for healthy men, or 5mg per day for men with mild to moderate renal insufficiency.


  • Approximately 80% of men who use Levitra 10mg pills experience satisfactory erectile response sufficient for sexual intercourse.
  • In case of unsatisfactory erection in response to a 10mg dose, a man can use a maximum daily Levitra dosage of 20mg.


Application of more than one Levitra pill of 20mg a day does not increase the effectiveness of treatment of erectile problems. Except situations when this dose is recommended by the doctor (e.g., to patients with severe ED and overweight).


Levitra dose of 2.5mg per day is indicated in rare clinical situations. For example, this dose regimen can be recommended if a man takes antiretroviral medications (Invirase, Crixivan or Reyataz).


Possible side effects


Levitra, a drug for treatment of sexual disorders contains active ingredient Vardenafil. The therapeutic effect and adverse reactions of Levitra are associated with Vardenafil pharmacokinetic properties.


Active ingredient Vardenafil enhances the blood vessel walls and this may cause a slight and transient drop in blood pressure (BP). Clinical studies have found that after taking one dose of Levitra, the maximum decrease in systolic and diastolic blood pressure makes at the average 7.5 mmHg.


The most common side effect caused by Levitra during the period of PDE-5 inhibitor application is headache. Other adverse reactions of Levitra may include facial flushing, dizziness, abdominal pain, indigestion, and nasal congestion.


It should be noted that headache is observed in elderly men by about 5% more often comparing to younger men. Risk of side effects (especially dizziness) is higher in men with low blood pressure than in those with normal blood pressure.


Contraindications and precautions


In most cases, the sexual act is accompanied by physical activity. Therefore, Levitra or any other PDE5 inhibitors are not recommended for those advised to avoid any active physical loads (for example, in unstable angina).


Men with priapism (painful long-lasting erection) should take care of their use of Levitra pills. If erection remains and the penis does not return to its flaccid state for 4 or more hours after sexual act, they should immediately seek medical help.


Men with a penile implant, soft tissue injuries or the deformed penis should not take Levitra or any other drugs for ED treatment.