Vardenafil (Levitra®) is an oral medication for ED that starts working in about 60 minutes and lasts up to five hours.
Vardenafil
*image for illustrative purpose only
Vardenafil
*image for illustrative purpose only
Vardenafil is a medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis during sexual stimulation. It belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors and works similarly to sildenafil (Viagra®) and tadalafil (Cialis®).
Vardenafil is typically taken as needed, about 60 minutes before sexual activity, and its effects can last up to five hours.
Common side effects include headaches, flushing, nasal congestion, and dizziness. It should be used with caution in people with cardiovascular conditions and those taking nitrates.
Vardenafil hydrochloride tablets are indicated to treat:
Erectile dysfunction (ED)
Phosphodiesterase-5 (PDE5) inhibitor
Most common adverse reactions reported (≥2% of patients) are:
Headache
Flushing
Nasal congestion
Indigestion
Inflammation of the sinuses
Flu syndrome
Dizziness
Increased creatine kinase
Nausea
Back pain
The cost of vardenafil depends on factors such as your insurance plan, the dosage, quantity, and where you buy it.
Without insurance, the average cost of vardenafil is between $500 and $1,400 for a 30-day supply. However, coupons or discount cards may be available to bring down the price. Most insurance companies will not cover the cost of vardenafil because they don’t consider it medically necessary.
Administration with nitrates and nitric oxide donors
Administration with guanylate cyclase (GC) stimulators, such as riociguat
Drug interactions: Nitrates, alpha-blockers, antihypertensives
Cardiovascular effects: Patients should not use vardenafil hydrochloride if sex is inadvisable due to cardiovascular status
Risk of prolonged erection: In the event that an erection lasts more than 4 hours, the patient should seek immediate medical assistance
Effects on the eye: Patients should stop use of vardenafil hydrochloride and seek medical attention in the event of sudden loss of vision in one or both eyes, which could be a sign of nonarteritic anterior ischemic optic neuropathy (NAION)
Sudden hearing loss: Patients should stop vardenafil hydrochloride and seek medical attention in the event of sudden decrease or loss in hearing
Alpha-blockers: Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers
QT prolongation: Patients with congenital QT syndrome or taking class IA or III antiarrhythmics should avoid using vardenafil hydrochloride
Vardenafil typically starts working within about one hour of taking the medication, with sexual stimulation.
The typical vardenafil dose is 10 mg, but the medication is also available in 2.5 mg, 5 mg, and 20 mg doses. Your healthcare provider can help you decide which dose is best for you.
Although early clinical trials show that vardenafil is more potent than Viagra’s active ingredient, sildenafil, both medications were deemed similarly effective in treating ED..
The half-life of vardenafil is four to five hours, meaning it effectively relieves ED for an average of five hours at a time, but it’s most effective in the first few hours after you’ve taken it.
*This information is from the vardenafil hydrochloride label used by Teva Pharmaceuticals USA, Inc. See the Full Prescribing Information for more complete information. Vardenafil may be the active ingredient in other medications, and this information may not be accurate for all medications that include the active ingredient vardenafil.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.
Doggrell SH. (2005). https://pubmed.ncbi.nlm.nih.gov/15709885/
LEVITRA® (vardenafil HCl) Tablets. (n.d.). https://www.accessdata.fda.gov/drugsatfda_docs/label/2003/21400_levitra_lbl.pdf