Frame grab of atopic and Composition Details
Super Levitra is a combined oral product marketed to address erectile dysfunction and, in some cases, premature ejaculation. It pairs two active substances: vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor that supports erectile function, and dapoxetine, a short-acting selective serotonin reuptake inhibitor used for treating premature ejaculation in territories where it is approved. Online listings commonly describe a formulation of 20 mg vardenafil plus 60 mg dapoxetine.
Important regulatory note: this combined product is not listed on the Australian Register of Therapeutic Goods (ARTG). The content on this page is informational only and does not substitute for professional clinical advice from a qualified prescriber within Australia.
- Vardenafil and dapoxetine comprise the active ingredients.
- Primary markers pointing to mentioned by suppliers: erectile dysfunction and premature ejaculation (where dapoxetine is approved)
- Commonly reported strength online: 20 mg vardenafil / 60 mg dapoxetine
Intended Population
Promotional materials for the combination state that it is intended for adult men who have erectile difficulties and for some men who experience premature ejaculation. In Australia, single-agent vardenafil products are prescription-only, and dapoxetine is not broadly marketed as a consumer product. The combination product itself is not an approved Australian medicine.
Before considering any such medication, consult a clinician registered in Australia who can assess benefits, risks and suitability.
Dose Administration Protocols
Only use under a prescriber's instruction. General practical guidance commonly given for a PDE5 inhibitor plus dapoxetine formulation includes:
- Take the tablet whole with water. It may be taken with or without food, but a high-fat meal can delay onset.
- Administer about one hour before planned sexual activity unless your prescriber specifies otherwise.
- Do not exceed one dose in a 24-hour period unless directed by a healthcare professional.
- Avoid grapefruit and grapefruit juice unless your prescriber confirms it is safe; grapefruit can alter drug concentrations.
- If you miss a planned dose and sexual activity is not imminent, follow your prescriber's instructions. Do not double-dose.
Discuss alcohol intake, timing with respect to meals, and other practical matters with your prescriber before initiating therapy.
Dose Adjustments and Special Cases
Your clinician may modify the starting dose or extend the interval between doses based on age, organ function and interacting medicines. Typical circumstances that warrant caution include:
- Older adults, particularly those over 65 years, who may require dose reduction.
- Patients with significant liver impairment; dosing may need to be lowered or avoided.
- Concurrent use of alpha-blockers used for prostatic symptoms or hypertension, which can increase the risk of symptomatic low blood pressure.
- Co-administration with potent CYP3A4 inhibitors (for example certain azole antifungals or HIV protease inhibitors) that can raise vardenafil exposure and adverse reactions.
Always follow individualized instructions from your prescriber and never self-adjust doses.
Block a storage solution should balance access and protection. and Handling Framework
General how to store items effectively for oral tablets are:
- Keep at approximately 25 C; brief departures from this temperature are usually tolerated but follow the product label when available.
- Store in the original blister or container to protect from moisture and heat.
- Ensure medicines are kept out of the reach and sight of children and pets.
If the product you obtain lacks packaging or consumer information, contact a pharmacist or your prescriber to aid your mentoring and guidance.
Safety Alerts and Protective actions and conditions that prevent administration of this treatment
Major notes on when to avoid this treatment - Do not take if you
- Are allergic to vardenafil, dapoxetine or any of the listed excipients.
- Take nitrate-containing medications (such as nitroglycerin or isosorbide) or are given nitroprusside.
- Use recreational inhaled alkyl nitrites (commonly called "poppers").
- Have been advised by a doctor to refrain from sexual activity because of serious cardiovascular disease.
- Have severe cardiac instability, recent heart attack or stroke, uncontrolled blood pressure, severe liver failure, or are on dialysis for end-stage renal disease.
- Have certain retinal disorders like retinitis pigmentosa, or have previously had severe vision loss related to optic neuropathy.
- Are concurrently using another PDE5 inhibitor or a medicine that contains vardenafil.
Tell your prescriber before taking it if you have
- Any prescription, over-the-counter, herbal or complementary medicines.
- Known drug allergies or intolerances.
- Blood disorders or penile structural problems that increase priapism risk, for example sickle cell disease, leukemia or multiple myeloma.
- A history of prolonged erections associated with discomfort.
- Recent changes in vision or hearing, optic neuropathy, tinnitus or sudden hearing loss.
- Liver and kidney disease, bleeding disorders, seizure history, pulmonary vascular disease, or significant valvular heart disease.
- Personal or family history indicating long QT syndrome.
If any of the items above apply to you, obtain medical advice before taking this medicine.
Noteworthy the dynamic of social contacts with others are the core of collaboration. among prescription medications
Several medicines interact with vardenafil or dapoxetine and can cause serious effects. Always share a full medication list with your prescriber or pharmacist. Notable the exchange that happens when people meet groups include:
- Nitrates and nitroprusside: combining these with a PDE5 inhibitor may produce severe hypotension.
- Alpha-blockers and many antihypertensive agents: concurrent use can magnify blood pressure lowering and cause lightheadedness or fainting.
- Certain antiarrhythmics (for example amiodarone, quinidine, procainamide or sotalol): these may interact to increase the risk of QT prolongation.
- Strong CYP3A4 inhibitors (such as some azole antifungals, macrolide antibiotics and some HIV protease inhibitors): these increase vardenafil exposure and also the likelihood of adverse events.
- Strong CYP3A4 inducers (for example rifampicin): can reduce vardenafil effectiveness.
- Serotonergic agents (SSRIs, SNRIs, MAOIs, certain analgesics like tramadol, triptans, linezolid and Saint John's wort): combining these with dapoxetine raises the risk of serotonin syndrome and requires careful supervision.
There are items missing from this list. Do not start, stop or change any treatments without medical advice.
See safety profile and conditions that contraindicate treatment
Harmful effects and Urgent Be advised
Many people tolerate treatment well, but knock-on effects that are harmful can occur. If you experience severe or worrying symptoms seek urgent medical attention.
Common adverse responses
Typical effects reported with PDE5 inhibitors and dapoxetine include cranial pain, flushing, dizziness, indigestion, nausea, nasal congestion and stomach upset.
Serious signs requiring immediate care
Obtain emergency assistance for symptoms such as breathing difficulty, swelling of the face or throat, severe chest pain, fainting, very fast or irregular heartbeat, sudden weakness or numbness, abrupt severe i am suffering from a headache or repeated vomiting, sudden loss of vision or hearing, or an erection lasting longer than four hours. These may indicate life-threatening problems like severe allergic reactions, myocardial ischemia, stroke, serotonin syndrome or priapism.
If you notice any new severe symptoms after taking the medicine, contact emergency services or your prescriber promptly.
Treatment Options to consider
When a combined product is unsuitable, unavailable or not approved locally, clinicians commonly consider established single-ingredient therapies and non-pharmacological options. More choices frequently used in Australia include:
- Sildenafil (branded Viagra and generic sildenafil) - a PDE5 inhibitor taken as needed.
- Tadalafil (Cialis and generics) - available for on-demand use or once-daily dosing for continuous effect.
- Vardenafil (Levitra) - the single-agent PDE5 inhibitor corresponding to the vardenafil component.
- Avanafil; Spedra - a faster-onset PDE5 inhibitor for some patients.
For premature ejaculation, options include behavioural strategies, topical anesthetics, psychological therapy and prescription medicines. Note that dapoxetine is not widely marketed in Australia; if considered, access is usually via special authorization or personal importation pathways. See legal and import guidance for additional details.
Discuss onset of action, expected duration, unwanted effects and cost when choosing from these other routes.
Prices commonly seen in Australia (AUD)
Out-of-pocket costs for erectile dysfunction medicines vary by brand, generic status, dosage and pharmacy. Below are approximate private prices for comparison; actual costs can differ between suppliers and over time.
- Generic sildenafil 50-100 mg: roughly 1 to 5 AUD per tablet when purchased in larger discount packs.
- Viagra (small branded packs): typically about 60 to 90 AUD for a 4-tablet pack depending on strength.
- Generic tadalafil 10-20 mg: about 2 to 8 AUD per tablet; branded Cialis small packs often range 70 to 100 AUD.
- Spedra equals Avanafil 100-200 mg: common 4-tablet packs fall near 80 to 110 AUD.
- Vardenafil (Levitra) 10-20 mg: value based pricing varies; small branded packs often around 80 to 100 AUD.
- Combined vardenafil + dapoxetine products marketed as Super Levitra: not approved in Australia and not sold legally through regular pharmaceutical retailers. Online offers reported in the range of 1 to 10 AUD per tablet, but such purchases carry safety and regulatory risks.
Most ED medicines are prescription-only (Schedule 4) and not routinely subsidised on the Pharmaceutical Benefits Scheme for casual use, so patients usually pay privately. Telehealth clinics, subscription services and discount pharmacies may offer a different solution subscription pricing models.
Jurisdictional Status and Import Guidance (Australia)
- Scheduling: PDE5 inhibitors (vardenafil, sildenafil, tadalafil, avanafil) are Schedule 4 - Prescription Only medicines across Australia. Dapoxetine and most SSRIs are also Schedule 4 substances.
- Registration: the combined product often referred to as Super Levitra is not registered on the ARTG in conjunction with therefore is not an approved Australian pharmaceutical.
- Prescription requirement: a valid prescription from an Australian-registered prescriber is required to lawfully obtain Schedule 4 medicines.
- Personal importation: it is possible to import a limited personal supply of a prescription medicine, usually up to a three-month quantity, provided the import is for personal use, the medicine is not prohibited and you hold an appropriate prescription or supporting letter. Border officers may request documentation. Before attempting to import, consult the Therapeutic Goods Administration (TGA) and Australian Border Force websites for current requirements.
- Online purchases: purchasing unapproved medicines from overseas online vendors may breach Australian law and exposes you to counterfeit, substandard or unsafe products.
This section is a summary and does not constitute legal advice. For authoritative, up-to-date information consult the TGA, Australian Border Force or seek legal counsel.
Notes and Additions
Key ingredient recap: vardenafil (PDE5 inhibitor) and dapoxetine (short-acting SSRI). If you are prescribed medication, follow the written directions provided by your prescriber and read any consumer information leaflet enclosed with the product.
In case of suspected a drug overdose or life-threatening adverse events, call emergency services or arrive at the nearest hospital emergency department immediately. For non-urgent questions, contact your prescriber or local pharmacist.
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