Vilitra 10mg Tablets: Vardenafil Uses, Dosage & Side Effects
Vilitra 10mg is a vardenafil tablet marketed for the treatment of erectile dysfunction (ED) in adult men. Each tablet contains 10mg of vardenafil, a PDE5 inhibitor that helps improve the natural blood-flow response involved in achieving and maintaining an erection.
The 10mg strength has an important place in vardenafil treatment because 10mg is the usual recommended starting dose for erectile dysfunction. Depending on effectiveness and tolerability, licensed vardenafil treatment may subsequently be reduced to 5mg or increased to a maximum of 20mg.
This makes Vilitra 10mg quite different from higher-strength Vilitra products such as 40mg and 60mg. Those products exceed the standard licensed vardenafil dose range, while 10mg sits squarely within it.
Vardenafil is usually taken when needed before anticipated sexual activity. It does not produce an erection automatically and does not increase sexual desire. Sexual stimulation is still required for the medicine to work.
This guide explains what Vilitra 10mg is, how vardenafil works, when 10mg is used, how it compares with 5mg and 20mg, how quickly it takes effect, how long it lasts, possible side effects, interactions, food and alcohol considerations and important UK safety information.
Vilitra 10mg at a Glance
| Active ingredient | Vardenafil |
|---|---|
| Strength | 10mg |
| Medicine class | PDE5 inhibitor |
| Main use | Erectile dysfunction in adult men |
| Usual recommended starting dose | 10mg |
| Lower standard dose | 5mg |
| Maximum recommended dose | 20mg |
| Typical timing | Approximately 25 to 60 minutes before sexual activity |
| Maximum recommended frequency | Once per day |
| Can it be taken with food? | Yes, although a high-fat meal may delay onset |
| Sexual stimulation required? | Yes |
What Is Vilitra 10mg?
Vilitra 10mg is a tablet containing 10mg of vardenafil. Vilitra is manufactured under the Centurion Laboratories product range.
Vardenafil is an established oral medicine used for erectile dysfunction. It belongs to a class of drugs known as phosphodiesterase type 5 inhibitors, commonly abbreviated to PDE5 inhibitors.
Other medicines in this family include:
- Sildenafil
- Tadalafil
- Avanafil
These medicines work through related biological pathways, but their milligram strengths should not be compared directly because each drug has its own therapeutic dose range.
For conventional vardenafil treatment, the main dose levels are:
- 5mg when a lower dose is appropriate
- 10mg as the usual recommended starting dose
- 20mg as the maximum recommended dose
Vilitra 10mg therefore corresponds to the standard starting strength rather than an unusually high dose.
What Is Vilitra 10mg Used For?
Vilitra 10mg is marketed for the treatment of erectile dysfunction.
Erectile dysfunction means repeatedly having difficulty getting an erection or keeping one firm enough for satisfactory sexual activity.
Occasional erection problems are extremely common and may occur because of temporary factors such as:
- Stress
- Tiredness
- Alcohol
- Anxiety
- Lack of sleep
Persistent ED can sometimes be associated with:
- Cardiovascular disease
- High blood pressure
- High cholesterol
- Diabetes
- Obesity
- Smoking
- Nerve damage
- Low testosterone or another hormonal problem
- Depression or anxiety
- Performance anxiety
- Certain prescription medicines
Vardenafil can improve erectile function, but recurrent ED should still be medically assessed because it can sometimes be a sign of an underlying health condition.
How Does Vardenafil Work?
Vardenafil is a PDE5 inhibitor.
When a man becomes sexually aroused, nitric oxide is released inside erectile tissue. This increases levels of cyclic guanosine monophosphate, or cGMP.
cGMP relaxes smooth muscle and allows increased blood flow into the penis.
An enzyme called PDE5 breaks cGMP down.
Vardenafil temporarily inhibits PDE5, allowing the natural erection-related chemical signal to remain active more effectively.
This can make it easier to achieve and maintain an erection when sexual stimulation occurs.
Vardenafil does not create an erection automatically. Sexual stimulation is still required.
Is Vilitra 10mg a Strong Dose?
Vilitra 10mg contains the standard recommended starting dose of vardenafil.
It is therefore neither the lowest nor the highest conventional strength.
The licensed dosing range typically works like this:
- 5mg for someone who needs a lower dose
- 10mg as the standard starting point
- 20mg when 10mg is insufficient and the higher dose is appropriate
This makes 10mg a useful middle ground for assessing how an individual responds to vardenafil.
If 10mg works reliably, there is no automatic reason to increase to 20mg simply because a higher-strength tablet exists.
Why Is Vardenafil Usually Started at 10mg?
The purpose of a starting dose is to balance effectiveness with tolerability.
A 10mg dose provides enough vardenafil for many men to obtain a meaningful erectile response while allowing the prescriber to see how the medicine is tolerated.
After that:
- If the effect is inadequate but side effects are acceptable, 20mg may be considered.
- If side effects are troublesome or a lower exposure is appropriate, 5mg may be used.
The aim is not to climb to the largest number on the box. The aim is to find the lowest dose that produces satisfactory results with acceptable side effects.
How Do You Take Vilitra 10mg?
Licensed vardenafil film-coated tablets are generally taken approximately 25 to 60 minutes before anticipated sexual activity.
Vardenafil can be taken with or without food, although a particularly high-fat meal may delay its onset.
General vardenafil guidance includes:
- Use only the dose recommended for you.
- Do not take vardenafil more than once per day.
- Do not take another dose simply because the first one feels slow.
- Do not combine vardenafil with another ED medicine without medical advice.
- Sexual stimulation is required for vardenafil to work.
Someone who does not respond to 10mg should not automatically take another tablet during the same day.
How Long Before Sex Should You Take Vardenafil 10mg?
Vardenafil is generally taken around 25 to 60 minutes before sexual activity.
The timing is not an exact countdown.
Some men may notice an effect relatively early, while others may require more time.
Several factors can influence onset, including:
- Food
- Individual metabolism
- Age
- Other medicines
- Underlying health
- The degree of sexual stimulation
If an erection has not appeared after 15 minutes, that does not mean the medicine has failed.
How Quickly Does Vardenafil Work?
Vardenafil is absorbed relatively quickly after oral administration.
Studies have found that maximum blood concentrations can occur quite early in some individuals, although peak concentrations generally occur across a wider time range.
This is why claims such as “works in exactly 15 minutes” should be treated cautiously.
Peak blood concentration is also not identical to the first moment a person experiences a useful erectile effect.
A practical expectation remains the standard 25-to-60-minute pre-sex dosing window.
How Long Does Vilitra 10mg Last?
Vardenafil has a terminal half-life of approximately four to five hours.
Its practical erectile treatment window is therefore usually measured in hours.
This does not mean an erection lasts continuously for four or five hours.
Instead, vardenafil remains available to support the natural erectile response whenever sexual stimulation occurs during the period in which the medicine remains active.
An erection should still subside normally after sexual activity.
Does Vilitra 10mg Cause an Automatic Erection?
No.
Vardenafil does not create erections in the absence of sexual stimulation.
It strengthens the natural blood-flow pathway that becomes active when a man is sexually aroused.
If sexual stimulation is absent, the medicine does not normally switch an erection on by itself.
Does Vardenafil Increase Libido?
No. Vardenafil treats erectile function rather than sexual desire.
A man may have perfectly normal libido but struggle to achieve a firm erection. Vardenafil can potentially help with that problem.
Someone with normal erections but persistently little interest in sex has a different issue.
Low sexual desire can be associated with:
- Low testosterone
- Depression
- Stress
- Poor sleep
- Medication side effects
- Relationship factors
- Other health conditions
Vardenafil does not directly treat these causes.
Vilitra 5mg vs Vilitra 10mg
Five and 10mg sit at different points in the standard vardenafil dosing range.
| Feature | Vardenafil 5mg | Vardenafil 10mg |
|---|---|---|
| Standard starting dose? | Lower-dose option | Yes |
| May be used for better tolerability? | Yes | Standard starting point |
| Typical timing | 25–60 minutes before sex | 25–60 minutes before sex |
| Sexual stimulation required? | Yes | Yes |
A 5mg dose may be more appropriate in people who experience side effects at 10mg or whose health, age or interacting medicines make lower exposure preferable.
Vilitra 10mg vs Vilitra 20mg
This is the most important comparison within the normal vardenafil dose range.
| Feature | Vilitra 10mg | Vilitra 20mg |
|---|---|---|
| Vardenafil content | 10mg | 20mg |
| Usual starting dose? | Yes | No |
| Maximum standard dose? | No | Yes |
| Used if lower dose is inadequate? | Starting point | May be |
| Maximum frequency | Once daily | Once daily |
Twenty milligrams contains twice as much vardenafil as 10mg, but that does not mean it provides twice the erection.
If 10mg works satisfactorily, there is generally little reason to expose the body to a higher dose simply for the sake of using the maximum.
Vilitra 10mg vs Vilitra 40mg
The difference between these strengths is substantial.
Ten milligrams is the conventional starting dose.
Forty milligrams contains four times that amount and twice the maximum recommended standard vardenafil dose.
| Feature | Vilitra 10mg | Vilitra 40mg |
|---|---|---|
| Vardenafil content | 10mg | 40mg |
| Standard ED dose? | Yes | No |
| Usual starting dose? | Yes | No |
| Above 20mg maximum? | No | Yes |
Commercial availability of a higher-strength tablet does not automatically make it part of standard vardenafil treatment.
Vilitra 10mg vs Vilitra 60mg
Vilitra 60mg contains six times the vardenafil found in a 10mg tablet.
It also contains three times the maximum recommended standard dose.
The established vardenafil treatment pathway moves from 10mg to either 5mg or 20mg according to effectiveness and tolerability.
There is no standard treatment ladder that automatically progresses from 10mg to 20mg, 40mg and then 60mg.
What If Vilitra 10mg Does Not Work?
If an appropriate 10mg dose does not provide enough erectile improvement, several possibilities should be considered before deciding that the medicine has failed.
These include:
- Not allowing sufficient time
- A high-fat meal delaying absorption
- Insufficient sexual stimulation
- Heavy alcohol intake
- Performance anxiety
- Diabetes
- Cardiovascular disease
- Nerve-related erectile dysfunction
- Hormonal problems
- Another medicine contributing to ED
If 10mg is inadequate but otherwise tolerated, licensed guidance allows an increase to 20mg where appropriate.
If vardenafil continues to fail at an appropriate dose, another PDE5 inhibitor or a different erectile dysfunction treatment may be considered.
Can You Take Two Vilitra 10mg Tablets?
Two 10mg tablets contain a total of 20mg vardenafil.
Twenty milligrams is the maximum recommended standard dose, but that does not mean someone should independently double their dose.
Dose escalation should take account of:
- Response to 10mg
- Side effects
- Other medicines
- Kidney and liver function
- Age
- Cardiovascular health
If 10mg appears inadequate, discuss whether 20mg is appropriate rather than automatically adding a second tablet.
Can You Take Vilitra 10mg Every Day?
The maximum recommended dosing frequency for licensed vardenafil is once per day.
Vardenafil is normally used as an on-demand ED treatment rather than a routine daily medicine.
Someone who expects to need ED treatment very frequently may benefit from discussing other treatment strategies with a healthcare professional.
Once daily is a maximum frequency, not an instruction to take a tablet every day regardless of need.
Does Food Affect Vilitra 10mg?
Vardenafil film-coated tablets can generally be taken with or without food.
However, a high-fat meal can delay onset.
A particularly fatty meal may slow the time at which maximum vardenafil concentrations are reached.
A normal meal is less likely to produce a clinically meaningful delay.
If predictable timing matters, swallowing vardenafil immediately after an enormous high-fat dinner may not be the ideal setup.
Can You Drink Alcohol With Vardenafil?
A controlled study did not identify a major pharmacokinetic interaction between vardenafil and moderate experimental alcohol exposure.
That should not be interpreted as a recommendation for heavy drinking.
Large amounts of alcohol can:
- Make erections harder to achieve
- Increase dizziness
- Reduce sexual performance
- Impair judgement
Keeping alcohol intake modest makes it easier to judge whether the ED medicine itself is providing a useful effect.
What Are the Side Effects of Vardenafil 10mg?
Vardenafil can cause side effects even at standard doses.
The most commonly reported adverse effect is headache.
Other common effects include:
- Dizziness
- Facial flushing
- Nasal congestion
- Indigestion
Other reported effects can include:
- Nausea
- Abdominal discomfort
- Acid reflux
- Visual disturbances
- Changes in colour perception
- Light sensitivity
- Palpitations
- Fast heartbeat
- Back pain
- Muscle aches
When to Seek Urgent Medical Help
Seek urgent medical attention for:
- Chest pain
- Severe dizziness or fainting
- A seizure
- A severe allergic reaction
- Sudden significant deterioration or loss of vision
- Sudden significant hearing loss
- A painful erection lasting four hours or longer
- Serious or unusual heart-rhythm symptoms
A painful erection lasting four hours or more is a medical emergency.
Can Vardenafil Lower Blood Pressure?
Yes.
Vardenafil has vasodilating effects and can produce a temporary reduction in blood pressure.
For many medically suitable men using standard doses, this effect is modest.
The concern becomes more important when vardenafil is combined with other medicines that also lower blood pressure.
Vardenafil and Nitrates
Vardenafil must not be combined with nitrate medicines or nitric oxide donors.
Nitrates are commonly prescribed for angina and certain other cardiovascular conditions.
Combining them with vardenafil can cause a dangerous fall in blood pressure.
This restriction also applies to recreational nitrites commonly referred to as “poppers.”
Nicorandil also needs consideration because it contains a nitrate component.
Vardenafil and Riociguat
Vardenafil must not be combined with riociguat.
Riociguat is used to treat certain forms of pulmonary hypertension.
Both medicines influence the nitric oxide and cGMP pathway, which can produce excessive blood-pressure lowering when used together.
Vardenafil and Alpha-Blockers
Alpha-blockers are commonly used for high blood pressure and urinary symptoms associated with an enlarged prostate.
Examples include:
- Tamsulosin
- Alfuzosin
- Doxazosin
- Terazosin
Both vardenafil and alpha-blockers can lower blood pressure.
When the two are combined, symptomatic hypotension can occur in some patients.
Licensed guidance recommends that patients should be stable on their alpha-blocker before vardenafil is introduced and that vardenafil is generally started at the lowest dose.
That means the normal 10mg starting dose may not be the right starting point for every patient.
Vardenafil Drug Interactions
Vardenafil can interact with several medicines.
Important examples include:
- Nitrate medicines
- Riociguat
- Alpha-blockers
- Certain blood pressure medicines
- Ketoconazole
- Itraconazole
- Erythromycin
- Clarithromycin
- Ritonavir
- Indinavir
- Other erectile dysfunction medicines
- Certain heart-rhythm medicines
Vardenafil is metabolised mainly through the CYP3A4 enzyme system.
Medicines that strongly inhibit CYP3A4 can dramatically increase vardenafil exposure.
For example, when vardenafil is used alongside erythromycin or clarithromycin, licensed guidance limits the vardenafil dose to 5mg.
This is an important reminder that 10mg may be the standard starting dose, but it is not automatically the correct dose for every person.
Vardenafil and Grapefruit
Grapefruit and grapefruit juice can interfere with CYP3A4 metabolism and increase vardenafil concentrations.
Licensed prescribing information recommends avoiding the combination.
This is one of those drug interactions that can be easy to overlook because grapefruit does not exactly look like medication, but the liver enzymes are unmoved by appearances.
Vardenafil and the QT Interval
Vardenafil has an additional cardiovascular consideration involving the QT interval.
The QT interval represents part of the heart’s electrical cycle and is measured using an ECG.
Controlled studies have found small increases in QTc after vardenafil.
Extra caution is therefore appropriate for people with:
- Congenital long QT syndrome
- Low potassium
- Certain abnormal heart rhythms
- Medicines that also prolong QT
The significance varies between individuals, but this interaction distinguishes vardenafil from a simple “take it and forget it” ED medicine.
Vardenafil and Heart-Rhythm Medicines
Vardenafil should generally be avoided with certain Class IA and Class III antiarrhythmic medicines.
Examples include:
- Quinidine
- Procainamide
- Amiodarone
- Sotalol
These medicines can prolong the QT interval themselves.
Anyone being treated for an abnormal heart rhythm should make sure that treatment is reviewed before vardenafil is used.
Vilitra 10mg vs Sildenafil 50mg
Vardenafil and sildenafil are closely related PDE5 inhibitors, and these strengths represent the typical starting doses of each medicine.
| Feature | Vardenafil 10mg | Sildenafil 50mg |
|---|---|---|
| Typical starting dose? | Yes | Yes |
| Medicine class | PDE5 inhibitor | PDE5 inhibitor |
| Sexual stimulation required? | Yes | Yes |
| Primarily on-demand? | Yes | Yes |
| Food can delay onset? | High-fat meal can | Yes |
Ten milligrams of vardenafil should not be compared numerically with 50mg sildenafil.
Vardenafil is not “five times stronger” simply because its standard dose uses fewer milligrams.
Different medicines require different amounts to produce their therapeutic effect.
Vilitra 10mg vs Tadalafil 10mg
Both happen to use a 10mg dose, but that numerical similarity hides important differences.
| Feature | Vardenafil 10mg | Tadalafil 10mg |
|---|---|---|
| Medicine class | PDE5 inhibitor | PDE5 inhibitor |
| Standard on-demand starting dose? | Yes | Yes |
| Typical timing | 25–60 minutes before sex | At least 30 minutes before sex |
| Approximate half-life | 4–5 hours | About 17.5 hours |
| Relative duration | Shorter acting | Long acting |
Tadalafil’s major advantage is duration, with erectile responsiveness potentially supported for up to 36 hours.
Vardenafil provides a shorter, more contained on-demand treatment window.
Neither approach is universally superior. Individual response and preference matter.
Who Should Not Take Vardenafil?
Vardenafil is not suitable for everyone.
It must not be combined with nitrates or riociguat and may be inappropriate for men whose cardiovascular condition makes sexual activity unsafe.
Extra assessment or avoidance may be necessary in people with:
- Very low blood pressure
- Recent heart attack
- Recent stroke
- Unstable angina
- Severe heart failure
- Severe liver impairment
- End-stage kidney disease requiring dialysis
- Certain hereditary retinal disorders
- Previous NAION-related vision loss
- Relevant QT-prolongation risk factors
Vardenafil 10mg and Liver Problems
The standard 10mg starting dose is not appropriate for every person with liver impairment.
Licensed prescribing information recommends considering a 5mg starting dose in people with mild or moderate hepatic impairment.
In moderate liver impairment, 10mg is the maximum recommended dose.
Vardenafil is contraindicated in severe hepatic impairment.
Vardenafil 10mg and Kidney Problems
No dose adjustment is normally required for mild to moderate kidney impairment.
For severe renal impairment, however, a 5mg starting dose should be considered.
The dose may subsequently be increased depending on effectiveness and tolerability.
Vardenafil is contraindicated under standard prescribing guidance in end-stage renal disease requiring dialysis.
Vardenafil 10mg in Men Over 65
Standard prescribing information does not require an automatic dose adjustment simply because a man is over 65.
However, older men can have greater vardenafil exposure than younger adults because clearance from the body is reduced.
Increasing the dose to 20mg should therefore be considered carefully according to individual tolerability.
Age alone is only part of the picture. Cardiovascular health, kidney and liver function and other medicines matter as well.
Is Vilitra 10mg Available in the UK?
Vilitra 10mg is manufactured for international markets and is offered by overseas medicine suppliers.
Vardenafil 10mg itself is an established prescription strength in the UK, and authorised 10mg vardenafil products are available.
That does not automatically mean every overseas brand containing 10mg vardenafil is authorised for the UK market.
I could not verify Vilitra itself as a currently authorised UK vardenafil brand.
Anyone seeking vardenafil in the UK should use an appropriately regulated healthcare provider or registered pharmacy that can assess suitability and supply an authorised medicine where appropriate.
Buying Vardenafil Online in the UK
There is nothing inherently wrong with obtaining erectile dysfunction treatment through an online healthcare service.
For many men, privacy and convenience make online assessment attractive.
The important distinction is whether there is an actual healthcare process behind the website.
A responsible provider should normally ask about:
- Your ED symptoms
- Your cardiovascular health
- Your blood pressure
- Nitrate medicines
- Heart-rhythm problems
- Current prescription medicines
- Kidney and liver health
- Previous ED treatment
Those questions are not bureaucratic decoration. They are how a prescriber works out whether even the standard 10mg starting dose is appropriate.
Frequently Asked Questions About Vilitra 10mg
What is Vilitra 10mg?
Vilitra 10mg is a tablet containing 10mg of vardenafil, a PDE5 inhibitor marketed for erectile dysfunction in adult men.
What is Vilitra 10mg used for?
Vilitra 10mg is marketed for erectile dysfunction. Vardenafil helps improve blood flow to the penis during sexual stimulation, making it easier to achieve and maintain an erection.
Is vardenafil 10mg a normal dose?
Yes. Ten milligrams is the standard recommended starting dose for licensed vardenafil treatment in most adult men.
Is Vilitra 10mg strong?
Vilitra 10mg contains the standard starting vardenafil dose. Treatment may be reduced to 5mg or increased to a maximum of 20mg depending on effectiveness and tolerability.
How long before sex should vardenafil 10mg be taken?
Licensed vardenafil film-coated tablets are generally taken approximately 25 to 60 minutes before anticipated sexual activity.
How long does Vilitra 10mg last?
Vardenafil has a terminal half-life of approximately four to five hours. Its practical erectile treatment window varies between individuals.
Does Vilitra 10mg work in 15 minutes?
Some individuals may absorb vardenafil relatively quickly, but a 15-minute onset should not be treated as guaranteed. Standard guidance recommends taking it approximately 25 to 60 minutes before sex.
Does Vilitra 10mg cause an automatic erection?
No. Vardenafil requires sexual stimulation to produce its beneficial erectile effect.
What is the difference between Vilitra 10mg and 20mg?
Ten milligrams is the usual recommended starting dose, while 20mg is the maximum standard dose and may be considered if 10mg provides insufficient benefit and is otherwise tolerated.
What is the difference between Vilitra 10mg and 40mg?
Ten milligrams is a standard licensed vardenafil dose. Vilitra 40mg contains four times as much vardenafil and exceeds the standard maximum dose of 20mg.
Can I take two Vilitra 10mg tablets?
Two 10mg tablets provide 20mg vardenafil, which is the maximum recommended standard dose. Dose increases should be medically assessed rather than performed automatically.
Can you take Vilitra 10mg every day?
The maximum recommended frequency for vardenafil is once per day. Vardenafil is generally used on demand rather than taken routinely every day.
Does food affect vardenafil?
Vardenafil film-coated tablets can be taken with or without food, but a high-fat meal may delay their onset.
Can you drink alcohol with vardenafil?
Moderate alcohol did not cause a major pharmacokinetic interaction in controlled studies, but heavy alcohol consumption can worsen erectile function and contribute to dizziness.
Can vardenafil be taken with nitrates?
No. Vardenafil must not be combined with nitrate medicines or recreational nitrites because the combination can cause a dangerous fall in blood pressure.
Can vardenafil be taken with riociguat?
No. Vardenafil and riociguat are contraindicated together because of the risk of excessive blood-pressure lowering.
Does grapefruit interact with vardenafil?
Yes. Grapefruit and grapefruit juice can increase vardenafil concentrations by affecting CYP3A4 metabolism and should be avoided.
Can vardenafil affect heart rhythm?
Vardenafil can prolong the QT interval. Particular caution is required in people with relevant heart-rhythm risk factors or medicines that also prolong QT.
Can Vilitra 10mg be combined with Viagra?
Do not independently combine vardenafil with sildenafil or another PDE5 inhibitor because combining ED medicines can increase adverse effects and blood-pressure changes.
Can Vilitra 10mg be combined with tadalafil?
Do not independently combine vardenafil with tadalafil. Both are PDE5 inhibitors and their combination is not a standard ED treatment.
What are the common side effects of vardenafil 10mg?
Headache is the most frequently reported side effect. Dizziness, facial flushing, nasal congestion and indigestion are also common.
What if Vilitra 10mg does not work?
Check timing, food, alcohol and sexual stimulation and seek medical advice if the response remains inadequate. Where appropriate, the vardenafil dose may be increased to a maximum of 20mg.
Can you buy Vilitra 10mg in the UK?
Vilitra may be offered by international suppliers. Vardenafil 10mg is an established UK prescription strength, but online availability of an overseas brand does not establish UK marketing authorisation for that brand.
Important Medical Information
This page provides general information about Vilitra 10mg, vardenafil and erectile dysfunction. It is not personalised medical advice and should not replace assessment by a doctor, pharmacist or appropriately qualified prescriber.
Ten milligrams is the usual recommended starting dose for licensed vardenafil treatment. Depending on effectiveness and tolerability, the dose may be reduced to 5mg or increased to a maximum of 20mg.
Vardenafil must not be combined with nitrate medicines or riociguat. Important interactions also exist with certain CYP3A4 inhibitors, alpha-blockers, grapefruit and medicines that can prolong the QT interval.
Seek urgent medical attention for chest pain, fainting, serious heart-rhythm symptoms, a severe allergic reaction, sudden significant vision or hearing problems, a seizure or a painful erection lasting four hours or longer.


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