Levitra Extra Dosage: Advanced Erectile Dysfunction Therapy
Levitra
| Product dosage: 10mg | |||
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| Product dosage: 20mg | |||
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Synonyms | |||
Similar products
Levitra Extra Dosage (vardenafil hydrochloride) represents a high-potency formulation designed for men with moderate to severe erectile dysfunction (ED) who have demonstrated partial or inadequate response to standard-dose phosphodiesterase type 5 (PDE5) inhibitors. This enhanced formulation delivers a robust, targeted pharmacological action, facilitating reliable erectile function through optimized vasodilation of penile arterial supply. It is indicated for use in adult males and should be administered under appropriate medical supervision following a comprehensive cardiovascular and urological assessment. Clinical evidence supports its efficacy in diverse patient populations, including those with comorbid conditions such as diabetes mellitus and hypertension.
Features
- Active pharmaceutical ingredient: Vardenafil hydrochloride
- Dosage strength: 20 mg and 40 mg film-coated tablets
- Pharmacological class: Selective phosphodiesterase type 5 (PDE5) inhibitor
- Onset of action: As early as 25–60 minutes post-administration
- Duration of effect: Up to 5 hours
- Administration: Oral, with or without food (high-fat meals may delay absorption)
- Manufacturer: Bayer AG (under license)
- Packaging: Blister packs in quantities of 4, 8, or 12 tablets
Benefits
- Provides a potent and sustained erectile response suitable for challenging cases of ED
- Offers flexibility in sexual activity due to an extended window of efficacy
- Enhances confidence and reduces anxiety associated with sexual performance
- Supported by a well-established safety profile in appropriate patient populations
- Effective in men with underlying conditions such as diabetes and prostatectomy history
- Does not require daily dosing, allowing for on-demand intimacy
Common use
Levitra Extra Dosage is prescribed for the treatment of erectile dysfunction in adult males. It is used on an as-needed basis to achieve and maintain an erection sufficient for satisfactory sexual activity. It is not indicated for use in women, children, or adolescents. This formulation is particularly beneficial for individuals who have not achieved desired results with lower doses of vardenafil or other PDE5 inhibitors.
Dosage and direction
The recommended starting dose is 20 mg, taken approximately 60 minutes before anticipated sexual activity. Based on efficacy and tolerability, the dose may be increased to 40 mg or decreased to 10 mg. The maximum recommended dosing frequency is once per day. Tablets should be swallowed whole with a glass of water; crushing or splitting is not advised. Sexual stimulation is required for the medication to be effective.
Precautions
- Prior to initiation, assess cardiovascular status due to potential cardiac risk during sexual activity.
- Use with caution in patients with anatomical penile deformity or conditions predisposing to priapism.
- Not recommended for use with other ED treatments.
- Avoid excessive alcohol consumption (may increase risk of adverse effects).
- Caution advised in patients with severe hepatic impairment (Child-Pugh C) or severe renal impairment (CrCl <30 mL/min).
- May cause dizziness or visual changes; advise against driving or operating machinery until effects are known.
Contraindications
- Concomitant use with nitrates or nitric oxide donors in any form.
- Hypersensitivity to vardenafil or any component of the formulation.
- Concurrent administration with guanylate cyclase stimulators (e.g., riociguat).
- History of non-arteritic anterior ischemic optic neuropathy (NAION).
- Patients with severe hepatic impairment.
- Unstable angina, recent myocardial infarction, or life-threatening arrhythmia.
Possible side effects
Common adverse reactions (≥2%) include:
- Headache
- Flushing
- Dyspepsia
- Nasal congestion
- Dizziness
Less frequent side effects:
- Visual disturbances (e.g., cyanopsia, blurred vision)
- Back pain
- Myalgia
- Nausea
Rare but serious effects:
- Priapism (prolonged erection >4 hours)
- Sudden hearing loss
- Cardiovascular events
- Hypotension
Drug interaction
- Nitrates: Concomitant use is contraindicated (risk of severe hypotension).
- Alpha-blockers: Caution required due to additive blood pressure-lowering effects.
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, erythromycin): May increase vardenafil exposure; dose adjustment necessary.
- Grapefruit juice: May increase plasma concentrations; avoid concurrent use.
- Antihypertensives: Potential additive hypotensive effects.
Missed dose
Levitra Extra Dosage is taken on an as-needed basis; there is no scheduled dosing regimen. If a dose is missed, it may be taken at any time provided that the maximum once-daily frequency is not exceeded.
Overdose
In case of suspected overdose, standard supportive measures should be employed. Expected effects may include severe hypotension, syncope, and prolonged erection. Priapism requires immediate medical intervention to avoid permanent tissue damage. Hemodialysis is not expected to significantly enhance elimination.
Storage
Store at room temperature (15–30°C) in the original blister packaging. Protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.
Disclaimer
This product is a prescription medication and should be used only under the supervision of a qualified healthcare provider. The information provided here is for educational purposes and does not replace professional medical advice, diagnosis, or treatment. Always consult your physician before starting or altering any treatment regimen.
Reviews
Clinical studies and post-marketing surveillance indicate high patient satisfaction with Levitra Extra Dosage, particularly among prior non-responders to standard therapies. Users frequently report improved erectile function, reliability, and overall sexual satisfaction. Healthcare providers note its value in difficult-to-treat ED cases, though emphasize the importance of proper patient selection and monitoring.