Buy Levitra 20 mg in Ukraine

Levitra 20 mg: The Maximum Standard Dose of Vardenafil for a Reliable Erection

Levitra 20 mg is the original, brand-name medication (or its generics, such as VILITRA 20, ZHEWITRA 20, VALIF 20), containing 20 mg of Vardenafil. This dosage is the maximum recommended daily dose for the treatment of erectile dysfunction (ED). The medication is intended for men with moderate to severe ED who require a guaranteed and potent effect.

What is Levitra 20 mg?

Levitra 20 mg is an oral medication whose active ingredient is Vardenafil. It belongs to the "big three" of PDE5 inhibitors (along with Viagra and Cialis) and is valued for its balanced action and high selectivity.

1. Indication and Target Dosage

The 20 mg Vardenafil dose is indicated for men who:

• Did not achieve a sufficient therapeutic effect from the starting 10 mg dose.

• Have moderate to severe ED, where maximum standard efficacy is required.

• Have coexisting conditions, such as diabetes (Vardenafil has shown high efficacy in this group).

• Tolerate Vardenafil well but need a stronger effect.

2. Key Advantages of Vardenafil (Levitra)

Vardenafil is valued for its high selectivity for the PDE5 enzyme. This provides:

• Low Risk of Visual Disturbances: Unlike Sildenafil (Viagra), which can affect PDE6 in the retina, Vardenafil very rarely causes vision-related side effects (e.g., "blue haze").

• Rapid Onset of Action: The effect often begins faster than Sildenafil, usually within 25-60 minutes.

• Compatibility: It is considered the most "friendly" toward moderate alcohol consumption and is less dependent on fatty food.

Detailed Mechanism of Action of Levitra 20 mg

The mechanism of action of Levitra 20 mg is identical to other PDE5 inhibitors.

1. Trigger (Stimulation): The drug requires sexual arousal to work. During arousal, nerve endings in the penis release nitric oxide (NO).

2. Erectile Cycle: NO activates an enzyme that produces cyclic GMP (cGMP). cGMP is the key substance that relaxes the smooth muscles of the blood vessels in the corpus cavernosum.

3. Result (Engorgement): Muscle relaxation allows the vessels to widen, leading to a powerful inflow of blood and an erection.

4. PDE5 Blockade: Normally, the PDE5 enzyme quickly breaks down cGMP, and the erection subsides. Vardenafil blocks this enzyme. This allows cGMP to accumulate and last longer, ensuring a stable and firm erection.

Key takeaway: Levitra 20 mg is not an aphrodisiac and does not cause a mechanical erection. It only enhances the natural physiological response to sexual stimulation.

Instructions for Using Levitra 20 mg

Strict adherence to the instructions is necessary for safety and maximum efficacy.

1. Dosage

• Starting Dose (10 mg): The recommended initial dose.

• Maximum Dose (20 mg): Levitra 20 mg is the maximum daily dose. It is prescribed if 10 mg proves insufficient.

• Frequency: It is strictly prohibited to take more than 20 mg of Vardenafil within 24 hours.

2. Method and Time of Intake

• Method: The tablet should be swallowed whole with water.

• Time of Intake: Take 30–60 minutes before planned sexual activity.

• Duration of Action: The effect lasts an average of 4-6 hours.

3. Influence of Food and Alcohol

• Food: Vardenafil can be taken regardless of food. However, a very high-fat meal (over 55% fat) may slightly delay the onset of action.

• Alcohol: Vardenafil is considered the most alcohol-compatible PDE5 inhibitor. Moderate doses of alcohol (e.g., a glass of wine) do not usually affect the drug's action. However, excessive alcohol use itself inhibits erectile function.

Critical Contraindications

The list of contraindications related to the vasodilating effect is strict.

• Interaction with Nitrates: Absolutely forbidden! Taking Vardenafil with any form of organic nitrates (Nitroglycerin, isosorbide dinitrate) or nitric oxide donors ("poppers") causes a life-threatening drop in blood pressure.

• Severe Cardiovascular Diseases: Recent heart attack or stroke (within 6 months), severe heart failure, unstable angina.

• Blood Pressure: Persistent hypotension (pressure < 90/50 mmHg) or uncontrolled hypertension.

• Alpha-blockers: (for BPH) – requires caution and medical advice.

• Severe hepatic or renal impairment.

• Congenital QT prolongation on an ECG.

Side Effects of Levitra 20 mg (Increased Risk)

At the 20 mg dose, the risk of side effects is higher than at 10 mg, but due to Vardenafil's selectivity, they are usually well-tolerated.

• Common: Headache (most common), facial flushing, nasal congestion, dyspepsia (indigestion).

• Rare: Dizziness, back pain (significantly less common than with Tadalafil).

• Very Rare: Visual disturbances (due to high selectivity for PDE5).

Seek immediate medical attention if: An erection lasts longer than 4 hours (priapism), or if you experience sudden vision/hearing loss.

Professional Advice on Using

1. Pill Splitting: Levitra 20 mg is ideal for splitting. If you are a new user, start with 1/2 a tablet (10 mg). If this dose works, there is no need to take 20 mg and increase the risk of side effects.

2. Choice for Diabetics: If you have diabetes, Vardenafil is often the drug of choice, as it has shown high efficacy in this patient group.

3. Not for Prolongation: Vardenafil does not affect the time to ejaculation. For treating both ED and PE, combination drugs are used (e.g., Super Vilitra, containing Vardenafil + Dapoxetine).

Levitra 20 mg: Extended Q&A Section

• How does Levitra (20 mg) differ from Viagra (100 mg)? These doses are roughly equivalent in strength. Levitraacts slightly faster, is less affected by food, and has a significantly lower risk of visual side effects.

• How does Levitra (20 mg) differ from Cialis (20 mg)? The main difference is duration. Levitra lasts 4-6 hours; Cialis lasts up to 36 hours. However, Cialis is more likely to cause back pain and muscle aches.

• What if 10 mg didn't work? Ensure you took the drug 30–60 minutes prior and had sufficient sexual stimulation. If the effect is insufficient, consult your doctor about switching to 20 mg.