High level view and Ingredients
Products sold under names like Super Levitra are marketed as dual-action oral tablets combining a phosphodiesterase type 5 inhibitor and a short-acting selective serotonin reuptake inhibitor. The typical combination promoted online pairs vardenafil, which helps produce and maintain an erection, with dapoxetine, intended to reduce premature ejaculation symptoms. A frequently cited composition is 20 mg of vardenafil plus 60 mg of dapoxetine per tablet.
Note: this combined formulation is not recorded on the Australian Register of Therapeutic Goods. The information on this page is educational and is not a substitute for clinical advice from a registered prescriber in the land of Australia.
- Key actives: vardenafil and dapoxetine
- Commonly advertised use: erectile dysfunction and premature ejaculation where allowed
- Reported online strength: around 20 mg vardenafil / 60 mg dapoxetine
Who Is This For
Promotional materials target adult men experiencing erectile dysfunction and, in some instances, men with premature ejaculation. In Australia, single-agent vardenafil medicines are prescription only. Dapoxetine is not commonly available to consumers through normal retail channels. The combined product itself is not an approved Australian medicine and should not be assumed safe or legal for use without medical supervision.
Before using any medication for sexual dysfunction, arrange a consultation with a qualified Australian clinician to evaluate medical suitabilityability with potential the exchange that happens when people meets at scale reveal systemic patterns. and underlying causes.
A Guide for Taking It Without Breaking
Only take this type of medication if prescribed by a clinician. General practical guidance commonly offered for a vardenafil plus dapoxetine tablet includes:
- Swallow the tablet whole and wash it down with water. It can be taken with or without food, but a fatty meal may delay onset of action.
- Take about one hour before planned sexual activity unless your prescriber gives other instructions.
- Do not take more than one dose in any 24-hour period unless advised by a healthcare professional.
- Avoid grapefruit and grapefruit juice unless your prescriber confirms it is safe, as grapefruit can alter drug metabolism.
- If you miss a scheduled dose and sexual activity is not imminent, follow the advice of your prescriber; do not double-dose.
Discuss alcohol use, meal timing and any lifestyle issues with your prescriber prior to using the medicine.
Dose Adjustments and Cautions
A prescriber may change the starting dose or extend dosing intervals according to age, organ function or interacting drugs. Situations that commonly require care include:
- Older adults, particularly those over 65, who may need a lower dose.
- People with significant liver impairment, where lowering the dose or avoiding use may be necessary.
- Concurrent therapy with alpha-blockers for prostate symptoms or blood pressure, which can increase the chance of symptomatic low blood pressure.
- Use with potent CYP3A4 inhibitors, such as some azole antifungals or HIV protease inhibitors, which can raise vardenafil exposure and adverse effects.
Never change your dose without specific medical advice from your prescriber.
Long term a storage facility serves as a repository for goods awaiting use. and Safekeeping
Advice for retaining tablet potency and safety:
- Store at around 25 C and avoid sustained exposure to heat or high humidity.
- Keep tablets in their original blister pack or container to limit moisture exposure.
- Store medicines out of sight and reach of children and household pets.
If packaging or a consumer information leaflet is missing, consult a pharmacist for flexible storage options adapt to changing needs. and identification help.
Contraindicators of and Safety
When not to take this medicine
- If you are allergic to vardenafil, dapoxetine or any excipient in the tablet.
- If you are taking nitrates such as glyceryl trinitrate, isosorbide dinitrate or isosorbide mononitrate, or are receiving nitroprusside.
- If you use recreational alkyl nitrites, sometimes called poppers.
- If a doctor has advised you against sexual activity because of unstable cardiovascular disease.
- If you have severe heart failure, recent myocardial infarction or stroke, uncontrolled hypertension, severe liver failure or end-stage renal disease on dialysis.
- If you have certain hereditary retinal disorders or a history of optic neuropathy associated with PDE5 inhibitors.
- If you are already taking another PDE5 inhibitor or a product containing vardenafil.
Information your prescriber needs
- All prescription, over-the-counter, herbal and complementary medicines you are using.
- Any known drug allergies or past intolerances.
- Blood disorders or penile anatomical issues that raise priapism risk, such as sickle cell disease, leukemia or multiple myeloma.
- A history of prolonged erections or priapism.
- Recent unexplained changes to vision or hearing, sudden hearing loss or tinnitus.
- Liver or kidney pathology, bleeding disorders, seizure history, pulmonary vascular disease or important valvular heart disease.
- A personal or family history of prolonged QT interval or arrhythmias.
If any of the above apply to you, obtain clinical advice before taking the medicine.
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Both vardenafil and dapoxetine have central interplay between partiess in a system describe exchanges between components.. Provide a complete medicines list to your prescriber or pharmacist. Key interacting groups include:
- Nitrates and nitroprusside: combining these with any PDE5 inhibitor can cause dangerous drops in blood pressure.
- Alpha-blockers and many antihypertensives: joint use may potentiate low blood pressure and may cause dizziness or fainting.
- Certain antiarrhythmics, for example amiodarone, quinidine, procainamide and sotalol, which increase the chance of QT prolongation.
- Strong CYP3A4 inhibitors such as some azole antifungals, macrolide antibiotics and some HIV protease inhibitors: these raise vardenafil levels conjoined with the risk of damaging effects.
- Strong CYP3A4 inducers like rifampicin can reduce vardenafil effectiveness.
- Drugs that raise serotonin levels, including SSRIs, SNRIs, MAOIs, tramadol, triptans, linezolid and Perennial herb Hypericum perforatum: combining these with dapoxetine increases the risk of serotonin syndrome and must be managed carefully.
This list does not cover every possible the process of interaction. Do not change, stop or start medicines without medical advice.
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Adverse Effects and Indicators of imminent danger
Many patients tolerate therapy, but side effects can occur. Seek urgent medical attention for chest pain severe or alarming reactions.
Standard unwanted effects
Typical unwanted incidental outcomes associated with PDE5 inhibitors and dapoxetine include head pain, flushing, dizziness, indigestion, nausea, nasal congestion and stomach discomfort.
Emergency signs
Call emergency services immediately if you experience severe symptoms such as difficulty breathing, swelling of the face or throat, chest pain, fainting, very fast or irregular heartbeat, sudden weakness or numbness on one side, abrupt severe tension headache, sudden loss of vision or hearing, repeated vomiting or an erection lasting longer than four hours. These may signal life-threatening problems including severe allergic reaction, a cardiac event, stroke, serotonin syndrome or priapism.
If you notice any sudden or severe new symptom after taking the medicine, contact emergency services or your prescriber without delay.
Treatment Alternative Choices and Comparative Analysis
If a combined product is inappropriate or not legally available, healthcare professionals commonly recommend established single-agent drugs or non-drug measures. Options used in Australia include:
- Sildenafil (generic sildenafil, branded Viagra) - a commonly used PDE5 inhibitor taken when needed.
- Tadalafil (generic tadalafil, branded Cialis) - versatile for on-demand use or daily low-dose treatment for continuous effect.
- Vardenafil (branded Levitra) - the single-agent version of the vardenafil component.
- Avanafil (branded Spedra) - a faster-acting PDE5 inhibitor for some patients.
For premature ejaculation, non-drug approaches such as behavioral techniques, topical anesthetics and psychological therapy are often effective. Prescription medicines can also be used; dapoxetine is available in some countries but is not widely marketed in Australia and may require special arrangements or personal importation. When choosing an option consider onset of action, duration, side effect profile and cost.
Typical price levels in Australia in AUD
Out-of-pocket prices vary by brand, generic status, pack size and pharmacy. The following are approximate private retail ranges for comparison; actual prices fluctuate between suppliers and over time.
- Generic sildenafil 50-100 mg: about 1 to 5 AUD per tablet when bought in larger discount packs.
- Branded Viagra small packs: roughly 60 to 90 AUD for a pack of 4 tablets depending on strength.
- Generic tadalafil 10-20 mg: around 2 to 8 AUD per tablet; branded Cialis small packs often 70 to 100 AUD.
- Spedra is Avanafil 100-200 mg: small packs typically near 80 to 110 AUD.
- Vardenafil (Levitra) 10-20 mg: small branded packs commonly about 80 to 100 AUD.
- Combined vardenafil plus dapoxetine products labeled Super Levitra: not registered in Australia and not legally sold through regular drugstore providers. Online offers have been reported in a wide range from about 1 to 10 AUD per tablet, but such purchases carry safety and legal risks.
Most erectile dysfunction medicines are Schedule 4 prescription-only items and are not routinely subsidised for casual use under the Pharmaceutical Benefits Scheme, so private payment is common. Telehealth services, discount pharmacies and subscription clinics may provide a second possibility cost and pricing model models.
Status Under the Law and Import Guidance (Australia)
- Scheduling: PDE5 inhibitors such as vardenafil, sildenafil, tadalafil and avanafil are Schedule 4 prescription-only medicines in Australia. Dapoxetine and most SSRIs are Schedule 4 as well.
- Registration: combined products marketed as Super Levitra are not registered on the ARTG coupled with therefore are not approved Australian pharmaceuticals.
- Prescription requirement: a valid prescription from an Australian-registered prescriber is required to lawfully obtain Schedule 4 medicines within the land of Australia.
- Personal importation: Australians may be able to import a limited personal supply of a prescription medicine (commonly up to a three-month supply) for personal use, provided the product is not prohibited and appropriate prescription documentation is available. Border authorities may request supporting paperwork. Check current rules with the Therapeutic Goods Administration and Australian Border Force before importing.
- Online purchases: buying unapproved medicines from overseas online sellers may breach Australian regulations and increases the risk of counterfeit, substandard or unsafe products.
This summary is informational and does not constitute legal advice. For authoritative, current guidance consult the TGA, Australian Border Force or seek legal counsel.
Final Notes
Recap: the products described typically combine vardenafil (a PDE5 inhibitor) with dapoxetine (a short-acting SSRI). If you are prescribed any medicine, follow the instruction leaflet and your prescriber's directions exactly.
In a suspected deliberate overdose or life-threatening reaction call emergency services or arrive at the nearest emergency department immediately. For routine questions, contact your prescriber or a local pharmacist.
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