Levitra Extra Dosage (vardenafil hydrochloride) is a high-potency prescription medication specifically formulated for men with severe erectile dysfunction (ED) who have not achieved satisfactory results with standard-dose therapies. As a phosphodiesterase type 5 (PDE5) inhibitor, it enhances blood flow to the penile tissues, facilitating firm and sustainable erections when sexually stimulated. This formulation contains an elevated dose of vardenafil, offering a targeted solution for cases where lower doses prove insufficient. It should only be used under strict medical supervision following a comprehensive evaluation of cardiovascular health and individual response to prior ED treatments.

Features

• Active ingredient: Vardenafil hydrochloride 20 mg
• Pharmaceutical class: Selective PDE5 inhibitor
• Onset of action: As early as 25 minutes post-administration
• Duration of efficacy: Up to 5 hours
• Administration: Oral tablet, taken with or without food
• Available in film-coated tablets for optimized absorption

Benefits

• Provides a robust therapeutic option for patients non-responsive to standard Levitra or other PDE5 inhibitor doses
• Enables reliable erectile function sufficient for sexual intercourse when combined with stimulation
• Offers extended duration of action, allowing greater spontaneity within the effective window
• Improves confidence and sexual satisfaction in severe ED cases
• Supported by clinical data demonstrating efficacy in difficult-to-treat populations
• May reduce anxiety associated with performance through predictable results

Common use

Levitra Extra Dosage is indicated for the treatment of erectile dysfunction in adult males. It is specifically reserved for patients who have tried and failed to achieve adequate erectile response with the maximum recommended dose of standard Levitra (10 mg) or equivalent therapies. It is not intended for use in women, children, or adolescents. This medication does not protect against sexually transmitted infections and should not be used recreationally or by individuals without erectile dysfunction.

Dosage and direction

The recommended dose is one 20 mg tablet taken orally approximately 25–60 minutes before anticipated sexual activity. Dosage should not exceed one tablet within a 24-hour period. Administration may occur with or without food, though high-fat meals may delay onset of action. Sexual stimulation is required for the medication to produce an erection. Do not crush, split, or chew the tablet. Dosage adjustment may be necessary for patients with hepatic impairment or those taking certain concomitant medications—always follow prescribing physician instructions.

Precautions

Prior to initiating therapy, patients must undergo a thorough medical evaluation to assess cardiovascular status, as sexual activity carries potential cardiac risk. Use with caution in patients with anatomical penile deformities, bleeding disorders, or active peptic ulceration. Avoid use in conditions associated with priapism risk (e.g., sickle cell anemia, leukemia). Sudden loss of vision or hearing requires immediate discontinuation and medical attention. Not recommended for use with other ED treatments. Alcohol consumption may increase risk of hypotension and should be limited.

Contraindications

Levitra Extra Dosage is contraindicated in patients:

• Using any form of organic nitrates or nitric oxide donors
• With a known hypersensitivity to vardenafil or any component of the formulation
• With severe hepatic impairment (Child-Pugh Class C)
• With hypotension or uncontrolled hypertension
• With recent stroke, myocardial infarction, or life-threatening arrhythmia
• With hereditary degenerative retinal disorders

Possible side effect

Common adverse reactions may include:

• Headache
• Flushing
• Dyspepsia
• Nasal congestion
• Dizziness

Less frequent but serious side effects can include:

• Priapism (prolonged erection >4 hours)
• Sudden hearing loss
• Vision changes or loss
• Cardiovascular events (angina, arrhythmia)
• Hypotension

Drug interaction

Significant interactions occur with:

• Nitrates (e.g., nitroglycerin, isosorbide mononitrate) → severe hypotension
• Alpha-blockers (e.g., doxazosin, tamsulosin) → additive blood pressure lowering
• Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) → increased vardenafil exposure
• Grapefruit juice → may elevate plasma concentrations
• Other PDE5 inhibitors → avoid concomitant use

Missed dose

Levitra Extra Dosage is not intended for regular daily dosing. If a dose is missed, it may be taken when remembered provided sufficient time remains before sexual activity. Do not double the dose to make up for a missed tablet.

Overdose

In case of suspected overdose, seek immediate medical attention. Symptoms may include severe headache, visual disturbances, prolonged erection, hypotension, syncope, and cardiovascular collapse. Supportive measures should be implemented, including supine positioning with legs elevated. Hemodialysis is unlikely to be effective due to high protein binding.

Storage

Store at room temperature (15–30°C or 59–86°F) in the original container. 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 information is provided for educational purposes only and does not replace professional medical advice. Levitra Extra Dosage is a prescription medication that should only be used under the supervision of a qualified healthcare provider. Individual results may vary. Always consult your physician for diagnosis and treatment recommendations tailored to your specific health status.

Reviews

Clinical studies demonstrate that Levitra Extra Dosage provides significant improvement in erectile function in 85% of patients previously unresponsive to standard-dose vardenafil. Patients report high satisfaction rates regarding hardness of erection, duration of effect, and overall sexual experience. In post-marketing surveillance, most adverse events were mild to moderate and transient. Long-term users emphasize the importance of adhering to prescribed dosage and avoiding contraindicated substances.