Super Levitra for Patients: Uses, Dosing, Price, Side Effects - in the UK

The lay of the land

Super Levitra is the name given to a single-tablet formulation that combines two active drugs: vardenafil, a phosphodiesterase type 5 inhibitor used to treat erectile dysfunction, and dapoxetine, a short-acting selective serotonin reuptake inhibitor used for on-demand treatment of premature ejaculation. It is not a UK-licensed combined product.

At first glance:

• UK licensing regulatory status: there is no authorised tablet combining vardenafil and dapoxetine in the UK. Cast a glance at the UK legal caveats for implications on purchase and use: United Kingdom notes about legal matters.
• Common marketed strength: often described as vardenafil 20 mg plus dapoxetine 60 mg in one tablet.
• Application for which it is intended: to improve erectile function while helping delay ejaculation in the same administration.
• Principal active ingredients: vardenafil and dapoxetine..

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Manifestations

The combination is promoted for adult men who have erectile dysfunction and also seek assistance with premature ejaculation. Vardenafil aims to support erection onset and maintenance; dapoxetine can help delay ejaculation when used on demand in suitable patients.

Because the combined tablet is not licensed in the UK, clinicians usually prescribe licensed single-ingredient products where appropriate: a PDE5 inhibitor for erectile dysfunction and, if indicated, dapoxetine separately for premature ejaculation. If you have medical conditions or take other medicines, consult a prescriber before starting any treatment.

Non-pharmacological approaches and substitute medical options are discussed under Additional treatment pathways and drugs similar in effect.

Using guidelines

Follow the specific instructions given by the prescriber. The following points are general and do not replace personalised medical advice.

• Take a single dose about one hour before planned sexual activity. Individual onset can vary.
• Food: light meals are acceptable. A large, fatty meal can delay the onset of effect.
• Never take more than one dose in a 24 hour period unless your clinician advises otherwise.
• If you miss a planned dose, do not double up the next time; take a single dose when appropriate.
• Avoid grapefruit and grapefruit juice unless a prescriber confirms it is safe, because they can raise drug concentrations. See Collaborative a mutual exchange of ideass create context for decisions..

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Dosing modifications and adjustments

Dose selection and timing should be decided by a prescriber. Adjustments are commonly made for age, liver or kidney impairment, cardiovascular risk, and interacting medicines.

• Older patients and those with moderate to severe hepatic impairment may require lower doses and longer intervals between doses.
• People taking alpha-blockers for prostate symptoms or blood pressure often start at a lower dose and are monitored for dizziness or low blood pressure.
• If you are taking strong inhibitors of the enzyme CYP3A4, clinicians may reduce dosing frequency to once every 48-72 hours or choose backup treatment options.

If you are uncertain about dosing, consult your prescriber. Return to this Who should avoid using before taking any dose.

Who should not be using this medicine

Do not use Super Levitra if any of the following apply. Seek medical advice if you are unsure.

• Current treatment with nitrates or nitrite recreational drugs (poppers) due to the risk of dangerous drops in blood pressure.
• Advised to avoid sexual activity for cardiac reasons.
• Unstable or severe cardiac disease, recent heart attack or stroke within the past six months, or significant arrhythmias.
• Severe liver disorder or end-stage renal disease requiring dialysis.
• Uncontrolled high blood pressure or very low blood pressure.
• Known hypersensitivity to vardenafil, dapoxetine, or any component of the product.
• A history of certain eye disorders such as retinitis pigmentosa.
• Congenital or acquired long QT syndrome, or use of medicines that significantly prolong QT interval.
• Concurrent use of another PDE5 inhibitor such as sildenafil, tadalafil, avanafil, or single-ingredient vardenafil.
• Use of monoamine oxidase inhibitors within the previous 14 days or known use of thioridazine, because of risks with dapoxetine.

Tell your prescriber about any other medical conditions: penile anatomical problems, blood dyscrasias, prior priapism, visual or hearing problems, seizure disorders, peptic ulcer disease, pulmonary hypertension, fainting episodes, bleeding disorders, or a family history of long QT syndrome.

For interactions among teammates fuel progress. with other medicines and foods, see Interactions between parties.

Interactive encounters involving medicines and dietary items.

Several drug and food combinations can increase the risk of unwanted negative effects or reduce effectiveness. Discuss your full medicines list in the presence of your clinician.

• Nitrates and nitroprusside: strictly contraindicated because of risk of severe hypotension. See Who should not use any of this.
• Strong CYP3A4 inhibitors (for example, ketoconazole, itraconazole, ritonavir): these can raise exposure to vardenafil and dapoxetine and may require dose reductions or avoidance.
• Alpha-blockers (for example, tamsulosin, doxazosin): increased chance of symptomatic low blood pressure; stagger doses and monitor closely.
• Enzyme inducers like rifampicin: they can lower vardenafil levels and reduce effectiveness.
• Certain antiarrhythmic drugs and other medicines that affect the QT interval: there may be an elevated risk of dangerous heart rhythm changes.
• Other serotonergic agents (for example, SSRIs, SNRIs, tramadol, lithium, triptans, St John's wort): using these with dapoxetine may increase the risk of serotonin syndrome; avoid MAOIs and thioridazine.
• Grapefruit or grapefruit juice: may increase plasma levels; avoid unless your prescriber says otherwise. See How to apply.
• Spirituous beverage: combining alcohol with dapoxetine or PDE5 inhibitors can increase dizziness and fainting risk.

This list does not include everything. Always provide a comprehensive list of prescription, over-the-counter, herbal, and recreational medicines to your healthcare provider.

Reactions you may notice

Most people tolerate these medicines without serious problems, but additional effects do occur. If you have concerns, contact a healthcare professional.

Prevalent mild effects:

• Headache pain, facial redness, or feeling faint.
• Nasal airway congestion or a runny nose
• Gastric upset, nausea, or stomach discomfort.
• Dry mouth sensation or sleep disturbances
• Stool that runs loose, which are more commonly associated with dapoxetine

Seek urgent help if you notice any of the following:

• Signs of a severe allergic reaction such as rash, hives, facial or throat swelling, or breathing difficulties
• Chest pain, fainting, or a heart rate that is out of the normal range
• Sudden loss of vision or sudden hearing loss, sometimes with ringing in the ears
• An erection lasting longer than 4 hours (priapism)
• Seizure, severe or persistent dizziness, sudden severe aching head, vomiting, limb weakness, or significant changes in memory or consciousness

You can report suspected adverse reactions to the MHRA Yellow Card scheme. For safety and regulatory guidance about supply, see Key UK legal considerations.

Long term archived data is kept in long term storage.

• Store at about 25 C (77 F); brief deviations are generally acceptable if noted on the packaging.
• Keep this item beyond the reach and sight of children.
• Protect from excessive heat and moisture; leave tablets in their original blister until needed.
• Do not use past the expiry date printed on the pack.

Return to the previous page How to set it up for use or to the Introductory a gist of the main points.

Alternate therapies and related medications

If a combined, unlicensed tablet is not appropriate, licensed options exist. Discuss these with a prescriber or pharmacist to decide which is best for you.

• Sildenafil: established PDE5 inhibitor; onset 30-60 minutes; effect lasts around 4 hours. In the UK, 50 mg sildenafil (Viagra Connect) can be supplied after pharmacist assessment without a prescription.
• Vardenafil as a single ingredient: similar onset to sildenafil, duration approximately 4-6 hours; available on prescription.
• Avanafil: may act faster for some men, often 15-30 minutes to onset; duration around 6 hours.
• Tadalafil: longer duration of action, up to 36 hours; suitable for on-demand or daily low-dose regimens.
• Dapoxetine as a separate licensed product: taken on demand for premature ejaculation at doses typically 30 or 60 mg after evaluation.
• Alprostadil (injection or urethral stick): a non-oral option for men who cannot take PDE5 inhibitors or do not respond to them.
• Vacuum-assisted penile erection apparatus: a mechanical, non-drug approach that can be used alone or with another option treatments.
• Lifestyle measures and psychological support: exercise, weight control, limiting alcohol, smoking cessation, and psychosexual therapy can all help.

For price level comparisons in GBP, see Typical pricing tiers levels in the United Kingdom. For legal and safety concerns to addressa review process UK statutory notes and guidance.

Typical price levels across the UK (private supply, per tablet where applicable)

Prices depend on brand, strength, pharmacy and order size. These figures are approximate and for private purchase; NHS prescribing for erectile dysfunction is limited.

• Generic sildenafil 50-100 mg: roughly 1 to 3 GBP per tablet; branded Viagra often costs around 8 to 10 GBP per tablet when bought privately.
• The cost of generic vardenafil 10-20 mg is about 2 to 6 GBP per tablet.
• Generic tadalafil 10-20 mg: about 1.50 to 3 GBP per tablet; low-dose daily tadalafil can be 0.80 to 2 GBP per tablet depending on pack size.
• Avanafil aka Spedra 100-200 mg: commonly 6 to 9 GBP per tablet.
• Dapoxetine 30-60 mg as a licensed separate product: usually 2 to 5 GBP per tablet.
• Unlicensed single-tablet combinations marketed as Super Levitra: prices vary widely online, for example 3 to 10 GBP per tablet; quality and legitimacy may be uncertain.

Extra expenses to consider: online consultation or private prescription fees often add 10 to 30 GBP per order. Devices such as vacuum pumps typically range from 30 to 120 GBP depending on quality and features.

When comparing cost and safety, prefer UK-licensed products supplied via pharmacies registered with the General Pharmaceutical Council. See UK legal commentary notes.

Essential notes on UK law and regulation

• Vardenafil and dapoxetine are prescription-only medicines in the UK. A UK-registered prescriber must assess suitability before supply.
• No UK-authorised product combines vardenafil and dapoxetine in a single tablet. Advertised combination products may be unlicensed and could be seized by Border Force or deemed unsafe.
• When buying online, choose pharmacies registered with the General Pharmaceutical Council. Legitimate UK services display a GPhC registration number and clear contact key information.
• Sildenafil 50 mg (Viagra Connect) is available as a pharmacy medicine after pharmacist assessment; other PDE5 inhibitors remain prescription-only.
• NHS prescribing for erectile dysfunction is limited and often restricted to certain clinical signs indicating. Private prescriptions are commonly used for these medicines.
• Patients must be at least 18 years old for these treatments and will usually complete a consultation so a prescriber can check notes on when to avoid this treatment with the addition of the networked exchange of ideass between people can shape outcomes..
• If you experience dizziness or visual disturbance on these medicines, avoid driving or operating machinery until you know how the medicine affects you.
• The MHRA warns that importing unlicensed medicines may be unsafe; prefer UK-licensed products from registered suppliers.
• Please report suspected adverse reactions to the MHRA Yellow Card scheme.

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FAQs

• Can I buy Super Levitra in the UK without a prescription? No. Both vardenafil and dapoxetine are prescription-only, and no combined tablet like Super Levitra is UK-licensed. See United Kingdom notes about the law.
• How much time does the effect persist? Vardenafil effects typically last 4 to 6 hours. Dapoxetine works within the dose window on the day it is taken and does not provide long-term daily antidepressant effects.
• Is tablet splitting recommended? Splitting may change the dose balance between the two ingredients. Only split a tablet if your prescriber specifically instructs you to do so.
• Is it okay to consume alcohol? Limit alcohol because it can increase the risk of dizziness and fainting, particularly when combined with dapoxetine.
• What if PDE5 inhibitors do not work for me? Discuss dose, timing and suitability developed with input from your prescriber. More choices include other PDE5 inhibitors, daily tadalafil, alprostadil, vacuum devices, or psychosexual therapy. See Different tracks.

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Further data

How the active ingredients work: vardenafil increases blood flow to the penis during sexual stimulation by blocking the PDE5 enzyme in the corpus cavernosum. Dapoxetine enhances serotonergic neurotransmission in pathways that can delay ejaculation when taken on demand.

For personalised advice about whether these medicines are suitable for you, discuss your medical history, current medicines, and lifestyle with a doctor or pharmacist. In the event of severe or sudden symptoms, seek emergency care.

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