Executive view and Component Makeup
Online vendors often use the label Super Levitra to describe a combination tablet that contains two active agents: vardenafil, a phosphodiesterase type 5 inhibitor used for erectile dysfunction, and dapoxetine, a short-acting selective serotonin reuptake inhibitor studied for premature ejaculation. Commonly advertised strengths include 20 mg of vardenafil paired with 60 mg of dapoxetine.
The formulation is promoted for men seeking help with erectile problems and sometimes for those who also report early ejaculation. For practical directions and important safety notes before use, see the sections How to Make Use Of This and Preventive steps and cautions against use in certain patients, Warning notices, and Preventive steps.
- Key ingredients: vardenafil plus dapoxetine
- Frequently listed strength: 20 mg vardenafil and 60 mg dapoxetine
- Price and regulatory information below are presented in US dollars; consult Guidance focused on United States law before attempting to buy
Uses for which this item is designed
Products called Super Levitra are generally intended for erectile dysfunction. Vardenafil on its own is available in FDA-approved products such as Levitra and generic vardenafil, prescribed for ED. Dapoxetine, however, is not approved in the United States for premature ejaculation, and combination tablets like Super Levitra do not have FDA clearance.
If you think you might benefit from treatment for ED or premature ejaculation, consult a licensed clinician to review approved and evidence-based options. See Alternatives and Price Summary for commonly used substitutes.
How to Implement This
Always follow directions from your prescriber or the pharmacy. Typical guidance for vardenafil-containing medicines includes the following points:
- Take the tablet with a glass of water. Food is optional; a large fatty meal can delay how quickly the medicine works.
- Plan to take the dose about one hour before sexual activity to allow time for effect.
- Do not take more than one dose in 24 hours unless instructed by a healthcare professional.
- Avoid grapefruit juice unless your provider says it is safe, since it can change blood levels of the drug.
- If you forget a planned dose, take it when you remember but do not double up to compensate.
If you have questions about timing, food effects, or i failed to take my doses, contact your pharmacist or prescriber. For information on dose selection, see Dose and Adjustment Guidance. For probable subtle people relating to one anothers can reinforce culture., consult Drug Interaction Risks and Safety.
Dose and Adjustment Guidance
Only use the dose prescribed for you. Clinicians commonly begin with lower doses for some patient groups to lower the chance of adverse events.
- Older adults and people with significant liver impairment often start at reduced doses.
- Patients taking alpha-blockers for prostate symptoms or blood pressure may need dose adjustments to avoid low blood pressure.
- Concomitant use of strong CYP3A4 inhibitors can raise vardenafil levels; clinicians may lower the vardenafil dose or lengthen the interval between doses in those cases.
Never change dose or dosing frequency without medical advice from a qualified professional.
Proper Storage area and Handling
Store the product at normal room temperature, about 25 C (77 F). Protect tablets from high heat, excess moisture, and direct sunlight. Make sure medicines are out of the reach of children and pets. Dispose of expired or unneeded medicines according to local regulations.
Restrictions and Contrapointers to use in these settings
Absolute reasons not to take this medicine
- If you are using nitrates in any form, including nitroglycerin or isosorbide medicines.
- If you use recreational nitrites often called poppers (for example, amyl nitrite).
- If you have a known allergy to vardenafil, dapoxetine, or any ingredient in the tablet.
- If you are already taking another PDE5 inhibitor such as sildenafil or tadalafil.
- If a clinician has advised you to avoid sexual activity because of serious heart disease.
- If you recently had a heart attack, stroke, or have unstable angina, severe heart failure, or significant arrhythmias.
- If you have severe liver disease or kidney failure needing dialysis.
- If you have hereditary retinal disorders like retinitis pigmentosa or a history of certain serious eye conditions.
- If you have congenital or acquired long QT syndrome or take drugs known to markedly lengthen the QT interval.
If any of these apply to you, speak with a clinician before taking medication for erectile dysfunction.
Talk with your prescriber before using this medicine if you have
- A history of allergic reactions to drugs, foods, or other substances.
- Penile abnormalities such as Peyronie disease or blood disorders that increase priapism risk (for example, sickle cell disease).
- A previous episode of prolonged or painful erection.
- Recent changes in vision, sudden hearing loss, tinnitus, or other eye or ear problems.
- Impairment of hepatic or renal health, uncontrolled hypertension, seizure disorder, bleeding problems, or structural heart disease.
- There is a personal or family history of long QT syndrome.
- Use of any prescription or nonprescription drugs, herbal remedies, or supplements.
Drug Interaction Alerts
Some drug combinations can be dangerous or alter how well the medication works. Distinguished personal intercommunications build trust and rapport. include:
- Concurrent use with nitrates or nitroprusside can cause severe drops in blood pressure.
- Certain antiarrhythmic drugs such as amiodarone, sotalol, procainamide, or quinidine may increase the chance of rhythm disturbances, especially if QT prolongation is present.
- Strong CYP3A4 inhibitors like ritonavir, indinavir, itraconazole, ketoconazole, or some macrolide antibiotics can increase vardenafil concentration and incidental effects.
- Strong CYP3A4 inducers such as rifampin can lower vardenafil levels and reduce its effect.
The list is not comprehensive. Always provide your prescriber with a complete list of every medication, supplement, and herbal product you take. For related safety issues see Important Not recommended in these scenarios and System warnings.
Common adverse events and Serious Risks
Many people tolerate vardenafil-based products well. Most adverse reactions are mild and pass quickly. Typical undesired reactions include:
- Headache episode accompanied by facial flushing
- Lightheadedness or a dizzy sensation
- Gastrointestinal distress, heartburn, or nausea
- Stuffy nose with a runny nose
Seek immediate medical help if you notice severe or emergency symptoms such as allergic reactions with swelling or breathing difficulty, chest pain, fainting, irregular or very fast heartbeat, sudden loss of vision, sudden hearing loss or ringing, severe neurologic symptoms, or an erection lasting more than four hours (priapism).
If you experience new or unexpected symptoms after starting treatment, contact your healthcare provider for evaluation and clear guidance.
Options, Alternate options, and Pricing (USD)
Because combination tablets marketed as Super Levitra are not authorized in the United States, clinicians generally recommend single-ingredient, approved therapies or validated treatment plans. Below are common choice variations with approximate cash price levels. Actual prices depend on pharmacy, quantity, dose, coupons, and insurance coverage.
FDA-approved options for erectile dysfunction
- Tadalafil (generic Cialis) - commonly about 1 to 4 USD per tablet for 5 to 20 mg strengths when using discount programs.
- Sildenafil (generic Viagra) - often around 0.50 to 2 USD per 50 to 100 mg tablet via discount programs.
- Vardenafil (generic Levitra) - roughly 2 to 6 USD per 10 to 20 mg tablet at many retail pharmacies with discounts.
- Avanafil (Stendra or generic where available) - typically higher cost, ranging from about 15 to 75 USD per tablet depending on source.
Approaches for premature ejaculation
- Off-label daily or on demand use of certain SSRIs such as sertraline or paroxetine - generics often cost less than 1 USD per dose in many cases.
- Topical anesthetic products (lidocaine-prilocaine creams or sprays) - commonly 20 to 40 USD per package.
- Dapoxetine - not approved in the U.S. and generally not available through standard U.S. drugstore chains.
Some foreign vendors list combination tablets like Super Levitra for about 2 to 6 USD per tablet, but importing unapproved medicines carries legal and safety risks and product quality can be uncertain. For safe access in the United States, obtain prescriptions from licensed providers and use accredited pharmacies or compliant telemedicine services. See Access and status of being legally authorized in the U.S. see more details.
Access permissions and status of lawful recognition for individuals in the United States
- Regulatory status: Vardenafil as a single agent is FDA approved and requires a prescription. Dapoxetine and combination tablets marketed as Super Levitra are not FDA approved.
- Prescription rule: In the United States, PDE5 inhibitors such as sildenafil, tadalafil, vardenafil, and avanafil are available only by prescription. Telehealth evaluations are commonly used to obtain prescriptions when clinically appropriate.
- Import rules: Importing unapproved medicines, including foreign-combination tablets not cleared by the FDA, is generally unlawful and shipments may be seized by U.S. Customs and Border Protection or the FDA.
- Quality assurance: To reduce risks, use pharmacies licensed in the United States and consider pharmacy verification programs that accredit safe online sellers.
- Intended population: These medicines are for adult use only. Avoid use if you have contraindicated cardiac conditions or take interacting drugs such as nitrates.
In short: seek assessment and prescriptions through licensed U.S. providers and avoid relying on unapproved combination products purchased from overseas sources.
Frequently Posed Questions
Is Super Levitra the same as the approved brand Levitra? No. Levitra is the brand name for vardenafil alone. The term Super Levitra normally refers to an unapproved combination that adds dapoxetine.
Can I take this medicine with food? Yes. However, a very high fat meal may delay onset of effect. See How to Operate This to provide direction.
What if I feel dizzy or flushed after taking the tablet? Sit or lie down until symptoms subside. If symptoms are severe or ongoing, contact your healthcare provider or seek urgent care. For emergency signsthe review process Typical and High Severity Effects.
Is grapefruit juice safe while on vardenafil? Avoid grapefruit juice unless your clinician gives explicit approval, as it can interfere with drug metabolism. See Drug Interaction Alerts and Warning messages for more information, explore the available resources.
- Tadalista: definition, use, and FDA authorization?
- Eleven Super Levitra over the counter Secondary options cleared for use by doctors in 2026
- Cialis Soft: An Informational Brief
- Extra Super Tadarise in Review: Uses, Typical minor side effects, and Beyond
- Remeron: How To Shop With Generic Mastercard