Summary and background and composition
The product sold under the name Super Levitra combines two active compounds in a single tablet: vardenafil, a phosphodiesterase type 5 inhibitor used to treat erectile dysfunction, and dapoxetine, a short-acting selective serotonin reuptake inhibitor licensed for premature ejaculation. Typical presentations marketed online cite 20 mg vardenafil with 60 mg dapoxetine in one pill.
Rapid digest:
- The active ingredients are vardenafil and dapoxetine.
- Primary use: management of erectile dysfunction with potential benefit for ejaculation control
- Common strength mentioned online: 20 mg vardenafil plus 60 mg dapoxetine
- Important UK note: there is no licensed single-tablet product in the UK that combines these two medicines. Behold the the contract's legal section for details and guidance before acquiring any such product.
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At the time of use
Super Levitra is promoted for men who need help with erectile dysfunction and who also want assistance with premature ejaculation. While vardenafil treats the erectile response, dapoxetine targets rapid ejaculation. In the UK, assessment by a prescriber is necessary to determine whether a combined approach is appropriate.
For personal suitability and safety-related considerations, consult a UK-registered clinician. See hazard safety notice of risk for important absolute contratraces.
Tips for taking it
Follow directions given by your prescriber or pharmacist. The below guidance is general and does not replace professional advice.
- Take a single tablet about one hour before the expected sexual activity.
- It may be swallowed with or without food. Heavy meals high in fat can delay onset of effect.
- Do not exceed one dose in any 24-hour period unless your prescriber explicitly allows it. In some cases, a clinician may advise one dose every 48 or 72 hours when global teams rely on robust the exchange that happens when people meets. or organ function are a concern.
- Avoid grapefruit or grapefruit juice unless your prescriber confirms it is safe, because grapefruit can raise levels of the medicines.
- If you forget a planned dose, do not double up. Take the next dose as directed for your schedule.
For details on containers and shelves organize storage space effectively. and dose modifications, see data storage solutions include cloud storage, hard drives, and optical media. and standard dosing guidelines.
Dose management guidance and adjustments.
The correct dose should be decided by a clinician. Several factors can require a lower starting dose or longer spacing between doses.
- Older men or those with reduced liver function are often started on a lower dose.
- Concurrent use of alpha-blockers for prostate symptoms or blood pressure can increase the risk of low blood pressure; careful dose selection and metric monitoring are required.
- Strong inhibitors of CYP3A4 or medicines that increase exposure to either active ingredient may mean a prescriber limits frequency to one dose every 48 to 72 hours.
If you are unsure about the dose you should be taking, contact your healthcare professional. See best safety practices and warning messages for conditions that would change prescribing.
Storage solution tips and instructions
- Store the medicine at around 25 C (77 F); brief excursions above or below this are normally acceptable as noted on packaging.
- Keep the product in its original blister or container until use to protect from moisture.
- Keep away from children and out of their sight and reach.
- Do not use after the expiry date on the packaging.
Who must refrain from using this medication?
The combination should not be used if any of the following apply. If you are unsure, speak to a clinician immediately.
- You are taking any nitrate medicines (for example glyceryl trinitrate or isosorbide) or recreational nitrite products. The combination with PDE5 inhibitors can cause dangerous low blood pressure.
- You are allergic to vardenafil, dapoxetine, or any other ingredient in the tablet.
- You have severe heart disease or were advised to avoid sexual activity on cardiac grounds.
- You have had a heart attack, stroke, unstable angina, or a life-threatening arrhythmia in the past 6 months.
- You have very low blood pressure or poorly controlled high blood pressure.
- You have severe liver impairment or kidney failure requiring dialysis.
- Your retinal disorders are hereditary, with retinitis pigmentosa as one example.
- You have a personal or family history of long QT syndrome, or you take drugs that substantially prolong the QT interval.
- You are already using another PDE5 inhibitor such as sildenafil, tadalafil, or avanafil.
Tell your prescriber about any of the following conditions: penile structural deformities, blood dyscrasias such as sickle cell disease or leukemia, prior episodes of priapism, significant eye disease, sudden hearing loss or ringing in the ears, seizure disorders, severe back or muscle disorders, bleeding tendencies, pulmonary vascular disease, or recent severe gastrointestinal ulcers.
For potential drug the interactional flow among participants effects, consult the social the exchange that happens when people meets influence perceptions and decisions. sectional unit. If any exclusion applies, seek immediate medical advice.
Social exchanges to bear in mind
Several medicines and some foods can change how vardenafil or dapoxetine act, increasing unwanted effects or reducing benefit.
- Alpha-blockers (for example doxazosin) can cause symptomatic hypotension when combined with PDE5 inhibitors. Dose separation and continuous oversight are likely needed.
- Nitrates and nitroprusside are an absolute contraindication because of severe blood pressure reduction.
- Certain antiarrhythmics such as amiodarone, sotalol, quinidine, or procainamide can increase the risk of arrhythmia or QT prolongation.
- Strong CYP3A4 inhibitors - for example some azole antifungals, protease inhibitors like ritonavir, or certain macrolide antibiotics - may increase exposure to vardenafil and dapoxetine, raising adverse event risk.
- Rifampin and other strong inducers can lower vardenafil levels and reduce effectiveness.
- Grapefruit and grapefruit juice may raise levels of the active drugs; avoid unless a prescriber advises otherwise.
This list is not comprehensive. Provide your clinician with a current list of prescription medicines, over-the-counter treatments, herbal products, and supplements before you set things in motion therapy.
Possible unwanted effects
Most people tolerate these medicines, but secondary effects that are harmful may occur. The profile reflects combined effects of a PDE5 inhibitor and an SSRI-like agent.
Common and gentle reactions include:
- Head pressure, flushing, or lightheadedness
- Nasal blockage or rhinorrhea
- Epigastric discomfort, nausea, or abdominal unease
The following require urgent medical attention:
- Allergic reactions with rash, hives, facial or throat swelling, or breathing difficulty
- Worsening chest pain, fainting, or serious changes in heart rhythm
- Sudden vision loss or a sudden drop in vision in one or both eyes
- Sudden hearing loss or sudden ringing in the ears with or without hearing loss
- An erection that is painful or lasts more than 4 hours
- Seizure crises, severe dizziness, sudden severe pain of the head, numbness or weakness in a limb, or new confusion or memory loss
If you experience any worrying harmful effects, stop the medicine and contact healthcare services immediately. See who must avoid it? to provide more context.
Alternative medical remedies paired with therapies
If a combined tablet is unsuitable or unavailable, there are other possible options to consider with a prescriber.
- Sildenafil - a commonly used PDE5 inhibitor. Onset 30 to 60 minutes, effect typically lasts around 4 hours. In the UK, a 50 mg presentation of sildenafil (Viagra Connect) can be supplied by a pharmacist without a prescription after assessment.
- Tadalafil - a longer-acting PDE5 inhibitor with effects that may last up to 36 hours; low-dose daily regimens are also used for continuous benefit.
- Vardenafil as a single-ingredient product - similar onset and duration to sildenafil.
- Avanafil - a newer PDE5 inhibitor with a faster onset for some users.
- Alprostadil - non-oral options (urethral or injectable) for cases where PDE5 inhibitors are not suitable.
- Dapoxetine alone - when the main concern is premature ejaculation, dapoxetine is available as a separate licensed medicine in the UK under prescription.
- Lifestyle changes and psychological support - weight control, exercise, reducing alcohol, smoking cessation, and psychosexual therapy can be effective parts of management.
Discuss choices in meeting with your clinician. For a simple cost comparison in the UK, see forecasted prices.
UK price estimation guidance (private, per tablet)
Prices fluctuate depending on brand, pharmacy, pack size and whether the product is branded or generic. NHS provision for erectile dysfunction is variable and often limited.
- Generic sildenafil 50-100 mg: around 1 to 3 GBP per tablet. Branded Viagra commonly costs 8 to 10 GBP per tablet in private purchase.
- Generic tadalafil 10-20 mg: roughly 1.50 to 3 GBP per tablet; low-dose daily 2.5-5 mg preparations can be cheaper per tablet depending on pack size.
- Generic vardenafil 10-20 mg tablet price: around 2 to 6 GBP.
- Avanafil branded Spedra 100-200 mg: often in the range of 6 to 9 GBP per tablet.
- Dapoxetine 30-60 mg by private prescription: commonly 2 to 5 GBP per tablet.
- Unlicensed combination tablets marketed online as Super Levitra: prices reported online can vary widely, for example 3 to 10 GBP per tablet; however product quality and standing in law are uncertain.
The data presented here are for illustration. Always buy from a reputable, registered pharmacy and discuss costs and NHS options with a prescriber or pharmacist.
Guidance notes for the UK for navigating laws and regulations requirements notes
- Prescription-only: Both vardenafil and dapoxetine are prescription-only medicines in the UK. A UK-registered prescriber must assess you prior to supply.
- No licensed combined tablet: There is currently no UK-licensed medicine that contains both vardenafil and dapoxetine in a single tablet. Products advertised online that claim to combine these active ingredients are typically unlicensed.
- Risks of unlicensed imports: Unlicensed imports may be intercepted by Border Force and may carry safety risks such as incorrect ingredients, wrong strengths, or contamination.
- Buy from registered pharmacies: Use pharmacies registered with the General Pharmaceutical Council (GPhC) or legitimate NHS-supplied services. Genuine UK online pharmacies display GPhC registration and clear contact details.
- Over-the-counter supply: Pharmacists can supply sildenafil 50 mg (Viagra Connect) following a suitability check; other PDE5 inhibitors generally require a prescription.
- Age and consultation: You must be 18 or older and provide accurate medical information during consultation so a prescriber can identify health conditions that forbid use such as nitrate use.
- Personal importation caveats: Importing unlicensed medicines for personal use does not guarantee safety and may lead to seizure of the goods. Prefer UK-licensed or pharmacist-supplied products.
For safety, situations where this treatment is not advised and specifics of the interactive engagement relevant to legal supplyinternal review safety alert notices and mutual interactions span conversations, gestures, and feedback..
Access to more information
Active substances in the combined product are vardenafil and dapoxetine. If you have further questions, you may talk to your doctor or pharmacist. For urgent or severe symptoms, contact emergency services.
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