ZHEWITRA ORAL JELLY 20

In the therapy of erectile dysfunction (ED), men often seek a medication that combines high efficacy with the fastest possible onset of action. ZHEWITRA ORAL JELLY 20 is a generic that combines the maximum standard dose of Vardenafil (20 mg) with the innovative form of an oral jelly. This liquid release form ensures accelerated absorption, which is critical for preserving spontaneity in intimate life.

What is ZHEWITRA ORAL JELLY 20?

ZHEWITRA ORAL JELLY 20 is an oral medication containing 20 mg of Vardenafil. Vardenafil is the active substance of the original "Levitra," known for its high selectivity and efficacy. The drug is packaged in single-dose sachets as a gel that is easy to swallow.

1. Key advantage — speed and convenience

The oral jelly form is designed for maximally fast absorption:

• Accelerated Effect: Vardenafil begins to absorb through the oral mucosa and then quickly absorbs in the gastrointestinal tract due to its liquid consistency. The effect can begin in as little as 15–25 minutes after intake, which is significantly faster than for a regular tablet.

• Convenience: The jelly does not require water for intake, making it discreet and comfortable.

2. The 20 mg target dosage

The 20 mg Vardenafil dose is the maximum recommended daily dose and is indicated for the treatment of moderate to severe ED. Vardenafil is effective for most men, including patients with diabetes.

Detailed mechanism of action of ZHEWITRA ORAL JELLY 20

The mechanism of action of ZHEWITRA ORAL JELLY 20 is based on Vardenafil 20 mg being a highly selective inhibitor of the PDE5 enzyme.

1. Trigger: Sexual arousal causes the release of nitric oxide (NO).

2. Erectile Cycle: NO stimulates the formation of cyclic GMP (cGMP), which is the key substance that relaxes the smooth muscles of the penile blood vessels.

3. Blockade: Vardenafil blocks the PDE5 enzyme that degrades cGMP. Blocking this enzyme allows cGMP to persist longer, manifold enhancing the natural blood flow and ensuring a stable, firm erection.

Key takeaway: Vardenafil in ZHEWITRA ORAL JELLY 20 works as an enhancer of the natural response. Sexual arousal is required for the effect to occur.

Instructions for using ZHEWITRA ORAL JELLY 20

Strict adherence to the instructions is necessary for safety and maximum speed of action.

1. Dosage and method of intake

• Dosage: 20 mg (the content of one sachet) – is the maximum daily dose. It is strictly prohibited to take more than 20 mg within 24 hours.

• Initial Dose: If you are trying Vardenafil for the first time, it is recommended to start with 10 mg (half a sachet) to assess tolerability.

• Method: Squeeze the contents of the sachet directly into the mouth and swallow. It is advisable to dissolve it before swallowing for the fastest possible effect.

• Timing: Take 15–25 minutes before planned sexual activity. The effect lasts 4–6 hours.

2. Influence of food and alcohol

• Food: Vardenafil is considered the least food-dependent PDE5 inhibitor. The jelly can be taken regardless of food, but on an empty stomach, the effect will be fastest.

• Alcohol: Vardenafil is considered the most alcohol-friendly drug in its class. However, it is not recommended to combine ZHEWITRA ORAL JELLY 20 with excessive amounts of alcohol, as this can increase the risk of dropping blood pressure and dizziness.

Critical contraindications for ZHEWITRA ORAL JELLY 20

The list of contraindications must be reviewed with a doctor.

• Interaction with Nitrates: Absolutely forbidden! Taking ZHEWITRA ORAL JELLY 20 with any form of organic nitrates (Nitroglycerin) or nitric oxide donors ("poppers") causes a life-threatening drop in blood pressure.

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

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

• Liver and Kidneys: Severe hepatic or renal failure.

Side effects of ZHEWITRA ORAL JELLY 20

Vardenafil 20 mg is generally well-tolerated.

• Common: Headache (the most frequent effect), facial flushing, nasal congestion.

• Less Common: Dyspepsia (indigestion), dizziness, back pain.

• Visual Risk: Vardenafil has a very low risk of color vision disturbances.

Immediate medical attention is required for: An erection that lasts longer than 4 hours (priapism), or sudden loss of vision/hearing.

Professional advice on using ZHEWITRA ORAL JELLY 20

1. Speed and Spontaneity: The jelly form is ideal for situations requiring fast and discreet intake, as it acts very quickly and requires no water.

2. Choice for Diabetics: Vardenafil has demonstrated high efficacy in men with diabetes, making it an excellent choice for this group.

3. Dosing Flexibility: Start with half a sachet (10 mg) and only progress to a full sachet (20 mg) if 10 mg proved insufficient.

ZHEWITRA ORAL JELLY 20: Extended Q&A section

• How much faster is ZHEWITRA ORAL JELLY 20 than a regular Vardenafil tablet? The effect can begin 10–35 minutes faster, thanks to the liquid form.

• How long does ZHEWITRA ORAL JELLY 20 last? The duration of action of Vardenafil 20 mg averages 4-6 hours.

• What is the difference between ZHEWITRA ORAL JELLY and ZHEWITRA SOFT? Both drugs contain 20 mg Vardenafil and are fast-acting. The difference is in the form: "ORAL JELLY" is a gel in a sachet, "SOFT" is a chewable tablet. The principle of action (sublingual/fast absorption) is identical.

• Does ZHEWITRA ORAL JELLY 20 help prolong sexual intercourse? No. Vardenafil is intended only for ED treatment and does not affect the time to ejaculation.