Generic vardenafil: what you get and what it costs

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Same compound, lower price, same rules

Generics make people suspicious, and with medicines that suspicion is misplaced for a specific reason. A generic has to prove it delivers the same active compound at a comparable level. What changed is who paid for the original research. Without prescription, plain packaging.

Levitra

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Levitra 10mg Price
Product	Quantity	Per Unit	Price
Levitra - 10mg	10 pill	£2.30	£25.56 £23.00 −10% 🎁 +4 bonus
Levitra - 10mg	20 pill	£1.50	£33.33 £30.00 −10% 🎁 +4 bonus
Levitra - 10mg	30 pill	£1.33	£44.44 £40.00 −10% 🎁 +4 bonus
Levitra - 10mg	60 pill	£1.30	£86.67 £78.00 −10% 🎁 +4 bonus
Levitra - 10mg	90 pill	£1.26	£125.56 £113.00 −10% 🎁 +10 bonus
Levitra - 10mg	120 pill	£1.13	£151.11 £136.00 −10% 🎁 +10 bonus
Levitra - 10mg	180 pill	£1.02	£204.44 £184.00 −10% 🎁 +10 bonus
Levitra - 10mg	270 pill	£0.92	£276.67 £249.00 −10% 🎁 +10 bonus
Levitra - 10mg	360 pill	£0.74	£294.44 £265.00 −10% 🎁 +10 bonus

Levitra 20mg Price
Product	Quantity	Per Unit	Price
Levitra - 20mg	10 pill	£2.70	£30.00 £27.00 −10% 🎁 +4 bonus
Levitra - 20mg	20 pill	£2.15	£47.78 £43.00 −10% 🎁 +4 bonus
Levitra - 20mg	30 pill	£1.80	£60.00 £54.00 −10% 🎁 +4 bonus
Levitra - 20mg	60 pill	£1.65	£110.00 £99.00 −10% 🎁 +4 bonus
Levitra - 20mg	90 pill	£1.49	£148.89 £134.00 −10% 🎁 +10 bonus
Levitra - 20mg	120 pill	£1.34	£178.89 £161.00 −10% 🎁 +10 bonus
Levitra - 20mg	180 pill	£1.21	£241.11 £217.00 −10% 🎁 +10 bonus
Levitra - 20mg	270 pill	£1.09	£325.56 £293.00 −10% 🎁 +10 bonus
Levitra - 20mg	360 pill	£0.97	£390.00 £351.00 −10% 🎁 +10 bonus

Levitra 40mg Price
Product	Quantity	Per Unit	Price
Levitra - 40mg	10 pill	£3.20	£35.56 £32.00 −10% 🎁 +4 bonus
Levitra - 40mg	20 pill	£2.65	£58.89 £53.00 −10% 🎁 +4 bonus
Levitra - 40mg	30 pill	£2.30	£76.67 £69.00 −10% 🎁 +4 bonus
Levitra - 40mg	60 pill	£2.05	£136.67 £123.00 −10% 🎁 +4 bonus
Levitra - 40mg	90 pill	£1.84	£184.44 £166.00 −10% 🎁 +10 bonus
Levitra - 40mg	120 pill	£1.65	£220.00 £198.00 −10% 🎁 +10 bonus
Levitra - 40mg	180 pill	£1.49	£297.78 £268.00 −10% 🎁 +10 bonus
Levitra - 40mg	270 pill	£1.34	£402.22 £362.00 −10% 🎁 +10 bonus
Levitra - 40mg	360 pill	£1.12	£446.67 £402.00 −10% 🎁 +10 bonus

Levitra 60mg Price
Product	Quantity	Per Unit	Price
Levitra - 60mg	10 pill	£3.30	£36.67 £33.00 −10% 🎁 +4 bonus
Levitra - 60mg	20 pill	£3.05	£67.78 £61.00 −10% 🎁 +4 bonus
Levitra - 60mg	30 pill	£2.90	£96.67 £87.00 −10% 🎁 +4 bonus
Levitra - 60mg	60 pill	£2.67	£177.78 £160.00 −10% 🎁 +4 bonus
Levitra - 60mg	90 pill	£2.39	£238.89 £215.00 −10% 🎁 +10 bonus
Levitra - 60mg	120 pill	£2.15	£286.67 £258.00 −10% 🎁 +10 bonus

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Description
Reviews (1)

What exactly does a generic have to prove?

It is not a lookalike produced by guesswork.

Before approval, a generic has to demonstrate that it delivers a comparable amount of the same active compound into the bloodstream over a comparable period.

Same active ingredient. Same strength. Same route.

The differences are in the inactive ingredients, the appearance and the name. The price gap exists because developing a new medicine is enormously expensive and that cost is recovered during the patent period — after which other manufacturers can produce the same compound without repeating the work.

Vardenafil versus the alternatives

It helps to know what this particular molecule offers.

It is more potent per milligram than sildenafil, so the numbers on the box are smaller for a comparable effect. That is not weakness, it is a different scale.

Food affects it less than it affects sildenafil, though a very heavy meal still slows it.

And it is more selective, which means fewer of the visual effects — the blue tinge and light sensitivity — that some men get on sildenafil.

Duration is in the same range as sildenafil: several hours, not the extended window of tadalafil.

The orodispersible form

Vardenafil also exists as a tablet that dissolves on the tongue, and it has two genuine advantages.

No water needed, and nothing to swallow. For anyone who struggles with tablets, or who wants to be discreet, that matters.

Important detail if you use that form: do not take it with liquid, and do not push it out of the blister with your thumb. The tablets are fragile. Peel the backing off.

And it is not simply interchangeable dose-for-dose with the standard tablet, so that is worth checking rather than assuming.

How it works

Arousal releases nitric oxide in the erectile tissue, producing a messenger that relaxes the small arteries. Blood flows in, the engorged tissue compresses the draining veins, and the blood stays.

PDE5 destroys that messenger, ending the erection. Vardenafil blocks PDE5 so it lasts longer.

Arousal is required. The drug amplifies an existing process.

Taking it

Thirty minutes to an hour beforehand.
A very heavy fatty meal slows it.
Once in twenty-four hours.
Modest alcohol only.
No grapefruit juice.

Nitrates: the one hard stop

This is the single line on the page with no room for interpretation.

Glyceryl trinitrate, isosorbide mononitrate, isosorbide dinitrate, nicorandil — anything taken for angina, including the spray carried for emergencies.

Together they can drop blood pressure to a dangerous level. Not mild dizziness. Circulatory collapse.

The same applies to amyl nitrite used recreationally, sold as poppers. That combination reaches emergency departments more often than anyone admits.

If you take anything in that group, this is out. No exceptions, no gap, no half tablet.

The heart rhythm point, specific to vardenafil

This distinguishes vardenafil from the others in the class and it is worth knowing.

It has a modest effect on the electrical recovery time of the heart — what is measured as the QT interval. On its own that is not usually a problem.

It becomes one in combination with other medicines that do the same thing, because the effects add.

Certain heart rhythm medicines, including amiodarone, sotalol and quinidine
Some antipsychotics
Certain antibiotics, particulary some macrolides and quinolones
Some antifungals
A few antidepressants

A known long QT interval, or a family history of sudden unexplained death, means this molecule is not the right choice. One of the alternatives is.

Other interactions

Alpha blockers for an enlarged prostate lower blood pressure, and the effects combine. Needs arranging rather than taking together casually.

Certain antifungals, some antibiotics and several HIV medicines raise vardenafil levels substantially, which usually means a lower dose.

Possible side effects

Headache
Flushing
Blocked nose
Indigestion
Dizziness
Back ache

Two things that need help immediately

An erection lasting more than four hours. Not something to wait out — after several hours the tissue begins to sustain permanent damage.

Sudden loss of vision or hearing, one side or both. Stop and get seen urgently.

Both rare. Both measured in hours.

When nothing in the class works

If several molecules fail across several fair attempts, that is useful information rather than a dead end.

Consistent non-response points away from simple blood flow. Hormonal factors, nerve damage, a medicine you are already taking, or a substantially psychological cause are all worth exploring.

Testosterone, thyroid function, blood sugar and a medication review are the usual starting points.

Ordering without prescription: how it works

Generic pricing is the reason most people order a proper supply rather than a few tablets.

Pick the strength and the pack size, put in a delivery address, confirm. Couple of minutes, any time of day, no queue and no conversation across a counter.

It goes out in plain packaging. No pharmacy name on the outside, nothing that hints at what is inside. How long delivery takes depends on where the parcel is headed.

On price it comes down to strength and pack size. Larger packs generaly work out better per unit.

The outside of the parcel gives nothing away, wherever in the UK it is going. No pharmacy branding, no product name, nothing that suggests medication. For most customers that is the whole reason for ordering online.