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When it comes to treating erectile dysfunction (ED), men often wonder whether a higher dose of Levitra Extra makes sense or if switching to another pill is wiser. Below we break down the science, dosage ranges, and how it stacks up against the most common alternatives.
What is Levitra Extra (Vardenafil)?
Levitra Extra (Vardenafil) is a prescription-strength PDE5 inhibitor specifically formulated for a stronger, longer‑lasting response. It contains the active ingredient vardenafil, which works by relaxing the smooth muscle in the penis to increase blood flow during sexual stimulation. First approved in 2007, Levitra Extra offers a 20mg dosage that sits above the standard 10mg tablet, giving clinicians a wider therapeutic window.
How the Dosage Spectrum Works
- 10mg - Typical starting dose for most men; balances efficacy and tolerability.
- 20mg - Reserved for patients who find 10mg insufficient; may provide a stronger erection but also raises the risk of side effects.
Doctors usually begin with 10mg, then adjust after a few weeks based on response and any adverse reactions. It’s essential to wait at least 24hours before retaking a dose, as the drug’s half‑life is roughly 4-5hours.
Comparing Alternatives: The Big Players
Below is a side‑by‑side look at the most widely prescribed ED drugs. Each belongs to the PDE5‑inhibitor class but varies in chemistry, onset, and dosing flexibility.
| Medication | Active Ingredient | Typical Dose Range | Time to Onset | Duration |
|---|---|---|---|---|
| Levitra Extra (Vardenafil) | Vardenafil | 10mg - 20mg | 30-60min | 4-6hr |
| Cialis (Tadalafil) | Tadalafil | 2.5mg - 20mg | 15-30min | Up to 36hr |
| Viagra (Sildenafil) | Sildenafil | 25mg - 100mg | 30-90min | 4-5hr |
| Stendra (Avanafil) | Avanafil | 50mg - 200mg | 15min | 6hr |
| Generic Vardenafil | Vardenafil | 5mg - 20mg | 30-60min | 4-6hr |
Side Effects and Safety Profile
All PDE5 inhibitors share a core set of possible reactions, but frequency and severity differ.
- Headache - most common with Viagra (Sildenafil).
- Flushing - often reported with Cialis (Tadalafil) due to its longer half‑life.
- Indigestion - typical for Stendra (Avanafil).
- Visual disturbances - rare but noted with higher doses of Levitra Extra (Vardenafil).
Patients with underlying Cardiovascular health concerns should discuss timing and dose with their physician, especially if they take nitrates or alpha‑blockers. Drug interactions can amplify blood‑pressure effects, making dosage adjustments critical.
Choosing the Right Dosage for You
- Start low, go slow: Begin with the smallest effective dose (10mg for Levitra Extra, 5mg for generic vardenafil).
- Assess response: After 2-3 attempts, note erection firmness, timing, and any side effects.
- Adjust wisely: If results are sub‑par and side effects are mild, increase by 5mg increments (or switch to a 20mg tablet). For Cialis, consider moving from 10mg to 20mg only after medical clearance.
- Consider lifestyle: Men who want spontaneity may favor Stendra (Avanafil) for its rapid onset, while those seeking a “weekend‑pill” might prefer Cialis (Tadalafil).
Ultimately, the decision hinges on personal tolerance, activity patterns, and any concurrent health conditions.
Practical Tips to Maximize Effectiveness
- Take the pill on an empty stomach or with a light meal; fatty foods can delay absorption, especially for Levitra Extra.
- Avoid excessive alcohol; it can diminish blood flow and worsen side effects.
- Allow at least 24hours between doses to prevent accumulation.
- Keep a simple log of timing, dose, and erection quality to discuss with your doctor.
Frequently Asked Questions
Can I take Levitra Extra more than once a day?
No. The drug’s half‑life means taking it a second time before 24hours can increase the risk of headache, flushing, and low blood pressure.
Is a 20mg dose of Levitra Extra safe for men over 65?
Older men often have reduced metabolic clearance, so physicians usually start at 5mg or 10mg and monitor blood pressure closely before considering 20mg.
How does Levitra Extra compare to generic vardenafil?
Both contain the same active molecule. The brand‑name version may have more consistent tablet dissolution and a slightly higher bioavailability, which can matter for men who need the extra edge.
Can I switch from Viagra to Levitra Extra without a washout period?
Because both drugs have similar half‑lives, a 24‑hour gap is generally sufficient. However, always confirm with your doctor, especially if you are on nitrates.
What should I do if I experience visual disturbances?
Stop the medication and seek medical advice promptly. Visual changes are rare but can signal excessive PDE5 inhibition.
Next Steps
Talk to your healthcare provider about your current dose, any side effects you’ve noticed, and whether an alternative like Cialis, Viagra, or Stendra might fit your lifestyle better. Bring a brief note of your dosing history-this helps the doctor tailor a plan that balances potency with safety.
Whether you stay on the 20mg tablet of Levitra Extra or move to a different PDE5 inhibitor, the key is open communication, careful monitoring, and a willingness to adjust. With the right approach, you’ll regain confidence without compromising health.
John Babko
Look, if you’re an American man who wants the most bang for your buck, the 20 mg Levitra Extra really packs a punch-just make sure you’re not mixing it with nitrates!!!