Product composition and summary

On many internet sites the product called Super Levitra is presented as a single tablet that combines two active drugs: vardenafil, which belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and improves erectile response, and dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI) used for treating premature ejaculation. Frequently quoted strengths are 20 mg of vardenafil plus 60 mg of dapoxetine per tablet.

From a brief glance:

  • Two active ingredients in one pill: vardenafil and dapoxetine.
  • Suggested use is to manage both erectile dysfunction and premature ejaculation simultaneously.
  • Commonly listed strength: approximately 20 mg vardenafil with 60 mg dapoxetine.
  • Notice of importance for UK residents: no licensed UK product currently combines these two agents in one tablet. Verifying the commentary on legislation and regulatory oversight matters before making any purchase decisions.

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When to consider this combination

This combination is marketed for men who have both erectile dysfunction and bothersome premature ejaculation. Vardenafil targets the physiological the system of erection, while dapoxetine aims to delay ejaculation. The decision to try combined therapy should follow a professional assessment to ensure it is appropriate and safe for the individual.

If you are thinking about this approach, seek assessment from a UK prescriber who can evaluate suitabilityexamine this. for tracking the networked exchange of ideass helps measure engagement., and identify any red flags against use of this medication. See factors that make therapy unsuitable for critical exclusions.

How to survive it

Always follow directions supplied by a clinician or pharmacist. The guidance below is general and not a substitute for personalised medical advice.

  • Typically one tablet is taken about one hour before anticipated sexual activity.
  • Tablets can usually be swallowed with or without food; a large high-fat meal may delay onset of effect.
  • Do not exceed one dose in any 24-hour period unless specifically advised by a healthcare professional.
  • If a dose is missed, do not double up; return to your normal dosing plan at the next intended time.
  • Avoid grapefruit and grapefruit juice unless your prescriber confirms it is safe, because grapefruit can raise blood levels of both actives.

For additional keeping materials in storage ensures their availability for future operations. details and dosing adjustments see a storage solution should balance access and protection. maintenance guidance and dose adjustments.

Dose tweaking and special considerations

A prescriber will tailor dose and frequency to the patient. Typical reasons to lower dose or increase interval include older age, reduced liver function, or the pattern of the act of connecting with otherss determines group dynamics. with other medicines.

  • Older patients and those with hepatic impairment often begin with lower doses and longer intervals between doses.
  • Concurrent treatment with alpha-blockers for prostate symptoms or hypertension increases the risk of symptomatic hypotension; careful choice and tracking and monitoring of performance are required.
  • Strong CYP3A4 inhibitors, for example certain azole antifungals or HIV protease inhibitors, can substantially increase exposure to vardenafil and dapoxetine. In such cases a clinician may advise spacing doses (for example once every 48 to 72 hours) or selecting a contingency option therapy.

If in doubt about suitable dosing for your situation, consult your healthcare provider. Explore related content drug the process of interaction possibilities and safety exclusions.

Keeping and handling advice

Proper external storage expands available space for files. helps preserve efficacy and safety.

  • Store at around 25 C (77 F); short deviations from this temperature are usually acceptable as described on the packaging.
  • Keep tablets in their original blister or container until used to protect from moisture and light.
  • Keep out of reach and sight of children at all times.
  • Do not use after the expiry date marked on the packaging.

Return to the original page administration advice.

Who should not put it to use

Do not take this combination if any of the following apply. If you are unsure, seek professional advice before the treatment starts.

  • You use nitrate medications (for example glyceryl trinitrate or isosorbide) or recreational amyl nitrite; combining these with PDE5 inhibitors can cause dangerous drops in blood pressure.
  • You have a known hypersensitivity to vardenafil, dapoxetine, or any component of the tablet.
  • You have severe cardiac disease or have been advised by a cardiologist to avoid sexual activity.
  • You have had a heart attack, stroke, or unstable angina in the past six months.
  • You have very low blood pressure or poorly controlled high blood pressure.
  • You have severe liver impairment or end stage renal disease requiring dialysis.
  • You have inherited retinal disorders such as retinitis pigmentosa.
  • You or your family have long QT syndrome, or you take medicines that markedly prolong QT interval.
  • You are already taking another PDE5 inhibitor like sildenafil, tadalafil, or avanafil.

Tell your prescriber about other relevant medical issues such as penile deformities, blood disorders (for example sickle cell disease), a history of priapism, significant eye disease, sudden hearing changes, seizures, neurological or musculoskeletal disorders, bleeding tendencies, pulmonary vascular disease, or recent gastrointestinal bleeding.

Important user two-way communication in actions drive engagement and learning. to note between medications

A number of medicines and foods can change how vardenafil or dapoxetine behave in the body, leading to higher risks or reduced benefit.

  • Alpha-blockers (for example doxazosin) plus PDE5 inhibitors can cause symptomatic hypotension; careful coordination and supervision and monitoring are needed.
  • Nitrates and nitroprusside are absolutely contraindicated with PDE5 inhibitors because of the risk of severe falls in blood pressure.
  • Certain antiarrhythmic drugs (for example amiodarone, sotalol, quinidine, procainamide) may increase the risk of arrhythmia or excessive QT prolongation when combined with dapoxetine.
  • Strong CYP3A4 inhibitors such as some azole antifungals, ritonavir and some macrolide antibiotics can increase plasma concentrations of both actives and raise side effect risk.
  • Strong CYP3A4 inducers like rifampicin can reduce vardenafil exposure and lower effectiveness.
  • Grapefruit and grapefruit juice may increase blood levels of the active substances and should generally be avoided unless a prescriber says otherwise.

This is only a partial list. Provide a full list of prescription medicines, over-the-counter products, herbal remedies and supplements to your clinician before treatment begins. Move back to the product summary.

Potential adverse reactions and be aware of safety notifications of danger

Many people tolerate PDE5 inhibitors and dapoxetine well, but unwanted effects can occur because the combined profile will include reactions typical of both drug classes.

Common and generally mild latent effects reported include:

  • Painful head, facial warmth or flushing, and lightheadedness
  • Blockage of the nasal passages or a runny nose
  • An upset stomach with nausea or indigestion.

Seek urgent medical care if you experience any of the following:

  • Signs of a severe allergic reaction such as widespread rash, hives, swelling of the face or throat, or breathing difficulty
  • Worsening chest pain, collapse, fainting, or severe heart rhythm problems
  • Sudden loss or marked decrease of vision in one or both eyes
  • Sudden hearing loss or severe new tinnitus
  • An erection that is painful or lasts more than four hours (priapism)
  • Seizure, sudden severe severe head pain, new confusion, weakness or numbness in a limb

If serious symptoms occur, stop the medicine and contact emergency services or your prescriber without delay. For more information see those who should refrain from using it and interacting as a shared activitys in the user journey shape satisfaction..

Optional solutions and other therapies

If a combined tablet is unsuitable, unavailable, or unlicensed, there are other approaches to managing erectile dysfunction and premature ejaculation either separately or together.

  • Sildenafil (Viagra) - a commonly used PDE5 inhibitor. Onset is generally 30 to 60 minutes and effects may last about 4 hours. In the UK sildenafil 50 mg (Viagra Connect) can be supplied by a pharmacist after a suitability check.
  • Tadalafil (Cialis) - a longer-acting PDE5 inhibitor with effects lasting up to 36 hours; low-dose daily regimes are an a contingency option for some patients.
  • Vardenafil - available as a single-ingredient product with an onset similar to sildenafil.
  • Avanafil and Spedra - a newer PDE5 inhibitor that may act faster in some individuals.
  • Alprostadil - non-oral options (urethral suppository or intracavernosal injection) for men who do not respond to oral agents.
  • Dapoxetine alone - when premature ejaculation is the main problem, dapoxetine is available on prescription in the UK as a single-ingredient medicine.
  • Non-drug approaches - lifestyle measures such as weight reduction, regular exercise, reduced alcohol intake, stopping smoking, and psychosexual therapy can all improve sexual function and may be used alongside or instead of medication.

Discuss the advantages, adverse reactions and costs of each option alongside your prescriber. See price trend estimates to provide a rough cost comparison.

UK price previews (private purchase, per tablet)

Private prices vary by brand, pack size, whether the product is branded or generic, and the supplier. NHS availability differs across regions and is frequently subject to local prescribing policies.

  • Generic sildenafil 50-100 mg: around 1 to 3 GBP per tablet. Branded Viagra typically costs about 8 to 10 GBP per tablet when bought privately.
  • Generic tadalafil 10-20 mg: roughly 1.50 to 3 GBP per tablet; daily low-dose 2.5-5 mg costs depend on pack size and may be cheaper per tablet.
  • 10-20 mg generic vardenafil tablets have a price range of 2 to 6 GBP per tablet.
  • Avanafil brand Spedra 100-200 mg: commonly 6 to 9 GBP per tablet.
  • Dapoxetine 30-60 mg (private prescription): typically 2 to 5 GBP per tablet.
  • Unlicensed online combinations marketed as Super Levitra: reported prices vary widely, often in the range 3 to 12 GBP per tablet; quality and legal condition are uncertain and riskier than licensed products.

These numbers are for reference only. To lower risk, buy from reputable, registered pharmacies and discuss NHS-supplied or prescription options with your clinician or pharmacist.

Return to that point advice on legal compliance.

Further reading and resources

The active substances reviewed here are vardenafil and dapoxetine. If you have additional questions, speak with your GP, a UK-registered prescriber or a pharmacist. In the event of severe or urgent symptoms seek immediate medical attention.

Speedy links from this page: additional effects, how to take, price trend estimates.

Additional aspects about Super Levitra