How it works
Vardenafil inhibits PDE-5, preserving cGMP in penile smooth muscle. With arousal, this relaxes penile vessels and improves blood inflow while reducing outflow, supporting a firm erection.
How much to take (safe, guideline-based)
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Start: 10 mg as needed about 1 hour before sex
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Adjust: 5 mg (if sensitive) or max 20 mg (if needed), no more than once in 24 h
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Do not self-escalate to 60 mg. If 20 mg feels insufficient, review timing, food, alcohol, arousal, and drug interactions with your clinician or consider an alternative agent.
How to use it
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Swallow the tablet with water 30–60 minutes before sexual activity.
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With or without food, but avoid heavy/high-fat meals near dosing.
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Limit alcohol; it blunts response and raises dizziness risk.
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Do not combine with other ED medicines the same day unless your clinician directs.
Side effects
Common, usually mild: Headache, flushing, nasal congestion, dyspepsia, dizziness; sometimes back/muscle pain, nausea, visual tint.
Serious—stop and seek urgent care: Chest pain, severe dizziness/syncope, priapism (erection >4 h), sudden vision or hearing loss, irregular heartbeat, allergic reaction.
Warnings & who should not use it
Do not use if you:
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Take nitrates (e.g., nitroglycerin) or riociguat
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Had recent MI/stroke, have unstable angina, severe hypotension/uncontrolled hypertension
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Have significant hepatic impairment, severe renal disease without supervision
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Have known QT prolongation or take Class IA/III antiarrhythmics (e.g., quinidine, amiodarone, sotalol)
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Have certain retinal disorders (e.g., retinitis pigmentosa)
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Are allergic to vardenafil or tablet excipients
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Are women or under 18
Drug and food interactions
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Contraindicated: Nitrates, riociguat
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Caution/adjust: Alpha-blockers (e.g., tamsulosin), strong CYP3A4 inhibitors (ketoconazole, itraconazole, clarithromycin, ritonavir), some antihypertensives, SSRIs/SNRIs, antihistamines
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Grapefruit can raise levels—avoid around dosing.
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High-fat meals delay onset.
Storage
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Store below 25 °C (77 °F), protected from heat and light
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Keep in original packaging
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Keep out of reach of children and pets
FAQs
Is Vilitra 60 mg more effective?
Higher isn’t safer. Most men respond within 5–20 mg. If not, check timing/food/alcohol/anxiety and consult a clinician.
Can I take it daily at the same time?
Vardenafil is typically as-needed, not a daily fixed-time regimen. Do not exceed one dose per 24 h.
Does it work without arousal?
No. Sexual stimulation is required.
What if I get side effects?
Hydrate, avoid alcohol, consider a lower dose. Seek urgent care for chest pain, severe dizziness, vision/hearing changes, or priapism.