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A single phase 3 study confirms that udenafil is effective in a broad population of Korean men with ED (level of evidence: 1) [128]. The overall grade of recommendation is grade A. Phosphodiesterase Type 5 Inhibitors: The Day After2007, European Urology A comprehensive review of erectile dysfunction in men with diabetes2015, Experimental and Clinical Endocrinology and Diabetes Oral phosphodiesterase-5 inhibitors and hormonal treatments for erectile dysfunction: A systematic review and meta-analysis2009, Annals of Internal Medicine Supported by: Bayer Corporation, Bayer AG, GlaxoSmithKline.
Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure or diabetes, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection. The FDA has approved several prescription drugs you take orally to treat ED.
For many men, switching to generic vardenafil enables long-term, continuous access without financial strain. Physicians typically have no objection to prescribing either form, provided the patient receives the correct dose and a reputable pharmacy source. This last point is especially important in online markets, where counterfeit ED medications are common. The generic for Levitra is vardenafil, and clinical experience shows that generics perform similarly to the branded product. Bayer remains the original manufacturer of Levitra, but today, multiple licensed pharmaceutical companies produce high-quality generic vardenafil worldwide.
The choice between brand and generic often comes down to price and personal preference rather than any pharmacological difference. Levitra (vardenafil) works by inhibiting the enzyme phosphodiesterase-5 (PDE5), which normally breaks down cGMP-a molecule that keeps the smooth muscle in the penile arteries relaxed. When PDE5 is blocked, cGMP levels stay higher for longer, allowing the blood vessels in the penis to dilate more effectively during sexual stimulation. This increased vasodilation improves blood flow into the corpora cavernosa, helping men achieve and maintain an erection. Importantly, vardenafil only works when sexual stimulation triggers the release of nitric oxide; it does not cause an erection on its own.
It contains the same active ingredient, has the same mechanism of action, and must meet strict bioequivalence standards set by regulatory agencies. Generic vardenafil works just like the brand-name drug but is typically more affordable. Formulations may differ slightly in inactive ingredients or tablet appearance, but clinical effect and safety profile are the same. Levitra was originally developed and manufactured by Bayer, in partnership with GlaxoSmithKline and later Schering-Plough for regional distribution. Bayer remains the primary company associated with the original brand. All of these work by relaxing your muscles and boosting blood flow to your penis, making erections easier to get and maintain. Caution: Do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain.
| Aspect | Details | Recommendations |
|---|---|---|
| Tolerance | No significant tolerance reported | Use as prescribed, regular check-ups |
| Rebound ED | Rare, may occur if medication stopped abruptly | Consult a doctor if concerns |
| Heart health monitoring | Recommended for long-term users | Regular cardiovascular assessment |
| Side effect monitoring | Watch for persistent headaches or vision issues | Seek medical advice |
The combination can cause dangerously low blood pressure. These medications all work similarly to each other.
However, there are subtle differences in how long they stay effective and how quickly they begin to work. Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Levitra Generic | 20mg | 20 Pills | 52.63€ 50.12€ | |
| Levitra Generic | 60mg | 180 + 10 Pills | 501.43€ 477.55€ | |
| Levitra Generic | 40mg | 10 Pills | 41.37€ 39.40€ | |
| Levitra Original | 20mg | 92 + 4 Pills | 406.22€ 386.88€ | |
| Levitra Generic | 40mg | 360 + 10 Pills | 704.99€ 671.42€ | |
| Levitra Generic | 10mg | 60 + 6 Pills | 112.98€ 107.60€ | |
| Levitra Generic | 10mg | 360 + 10 Pills | 407.94€ 388.51€ | |
| Levitra Original | 20mg | 22 + 2 Pills | 138.55€ 131.95€ | |
| Levitra Generic | 20mg | 60 + 6 Pills | 131.11€ 124.87€ | |
| Levitra Generic | 60mg | 360 + 10 Pills | 906.69€ 863.51€ | |
| Levitra Generic | 20mg | 90 + 8 Pills | 180.78€ 172.17€ | |
| Levitra Original | 20mg | 4 Pills | 45.87€ 43.69€ | |
| Levitra Generic | 60mg | 60 + 4 Pills | 198.85€ 189.38€ |
It contains the same active ingredient as Levitra and can begin working in about 15 minutes. Viagra takes around 30 minutes to become effective and lasts about 4 hours.
et al.Safety and efficacy of vardenafil for the treatment of men with erectile dysfunction after radical retropubic prostatectomyJ. et al.The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunctionUrology(1997) et al.Achieving treatment optimization with sildenafil citrate (Viagra(R)) in patients with erectile dysfunctionUrology(2002) et al.Sustained efficacy and tolerability of vardenafil (Levitra®), a highly potent, selective phosphodiesterase-5 inhibitor, in men with erectile dysfunction: results of a randomized, double-blind, 26-week placebo-controlled pivotal trialUrology(2003) et al.Non-surgical management of erectile dysfunctionClin. Pharmacotherapy for erectile dysfunction2010, Journal of Sexual MedicineCitation Excerpt :The overall grade of recommendation is grade A. Further, there is clear evidence that vardenafil is efficacious in a number of special populations of men where the ED has arisen secondary to a specific disease such as diabetes [117–119], men with ED secondary to radical retropubic prostatectomy [120], depression [121], hypertension [122], spinal cord injury and ED [123], hyperlipidemia [124] and men who have previously failed to respond to sildenafil [125]. Although side effects do occur with vardenafil (most notably headache, flushing, indigestion and nasal congestion), providing that the drug is used in line with the labeling recommendations, there is no convincing evidence in the literature of any significant safety issue, including cardiovascular, visual and aural safety [105–127]. Cialis lasts much longer -- up to 36 hours in some cases. Stendra can start doing its thing in as little as 15 minutes, and its effects last up to 6 hours. You may find that one works better for your schedule or that there are differences in the side effects for you. But these medications work the same basic way, so you’re likely to have similar results.
Again, do not use these ED medications if you take nitrates, such as nitroglycerin or a similar medicine, for chest pain.
After the expiration of patents, multiple pharmaceutical manufacturers began producing generic vardenafil, but Bayer is the company historically recognized as the creator of Levitra. Levitra, known generically as vardenafil, is a well-established treatment for erectile dysfunction and one of the most studied medications within the PDE5 inhibitor class. Its action is grounded in a clear physiological mechanism: by blocking the PDE5 enzyme and preserving cGMP levels, it allows the blood vessels supplying the corpora cavernosa to relax more fully, supporting natural erections during sexual stimulation. This targeted vascular effect is what makes the drug both effective and predictable for a wide range of patients, from those with mild ED to individuals coping with more complex vascular or metabolic conditions. Clinical evidence consistently shows that Levitra delivers reliable improvements in erectile function, often providing benefit even for men who have not responded to other PDE5 inhibitors.
Its relatively fast onset and balanced duration make it a practical choice for many users, while the availability of generic vardenafil offers an accessible, cost-efficient alternative without compromising therapeutic effect. Whether patients choose brand-name Levitra or its generic equivalent, the medication remains a cornerstone of modern ED therapy-clinically sound, physiologically intuitive, and supported by decades of real-world experience. For anyone evaluating treatment options, understanding how vardenafil works is the first step toward informed, confident decision-making. Check access to the full text by cost of levitra per pill signing in through your organization. Diagnosis and treatment of erectile dysfunctionAm.J. But there are other situations that may make these medications unsafe as well.
Read a detailed article comparing Levitra with Viagra and Cialis to better understand their differences in effectiveness, duration, and safety. Although Levitra remains a well-recognized brand, the active ingredient vardenafil is also available in generic form in many countries. Generics contain the same active molecule, are required to demonstrate bioequivalence to the reference product, and must meet identical standards for purity, potency, and quality. In practical terms, this means that the therapeutic effect of generic vardenafil should match that of brand-name Levitra, even if the pill’s appearance, packaging, or inactive ingredients differ. For most patients, the switch from brand to generic has no meaningful impact on efficacy, making generics an accessible and cost-effective alternative.
Levitra itself was originally developed and marketed by Bayer, in collaboration with GlaxoSmithKline and Schering-Plough during various phases of global distribution. Bayer remains the name most closely associated with the product, particularly in European and Canadian regulatory documents. When people ask the search engines or doctors, “What company makes Levitra?”, the accurate answer is: Levitra was originally manufactured by Bayer, with different corporate partners responsible for marketing in various regions. As patents expired internationally, generic manufacturers were permitted to produce vardenafil under their own brand names, provided they adhered to the regulatory benchmarks for equivalence. One distinguishing feature of the vardenafil family is the existence of an orally disintegrating formulation known as Staxyn in some markets.
While it contains the same active drug, its delivery system is different, allowing the tablet to dissolve on the tongue without water. Some patients prefer this form for convenience or faster perceived onset. However, Staxyn is a formulation variant, not a fundamentally different medication, and most guidelines treat it as interchangeable with standard vardenafil tablets when dosed appropriately. Cost is a major factor driving interest in generics. Brand-name Levitra can be significantly more expensive than its generic equivalents, especially in regions where insurance coverage for ED medications is limited or excluded. Before you take Viagra or one of the others, tell your doctor: If you are allergic to any medications, including other ED medications About any prescription or nonprescription medications you take, as well as any herbal and dietary supplements If you are scheduled for surgery, even dental surgery If you take alpha-blockers for blood pressure or prostate problems.