Valif 20 mg, popular orange potency enhancement tablets, are used to treat erectile dysfunction (impotence) in men, which is the inability to achieve or maintain a hard erect penis suitable for sexual activity due to insufficient blood flow into the penis. Manufactured by Ajanta Pharma in clinical conditions, Valif 20 mg is produced to a high-quality standard to ensure its safety and effectiveness.
Valif relaxes the blood vessels in the penis, increasing blood flow and causing an erection, which is the natural response to sexual stimulation. However, Valif is not an aphrodisiac and will only work when the user is sexually aroused. Stimulation will be required to develop an erection.
Valif 20 contains vardenafil, closely related to sildenafil citrate, and tadalafil, which acts on the erectile tissue of the penis to increase blood flow to cause an erection. During sexual stimulation, nitric oxide is released in the erectile tissue of the penis, which activates the enzyme guanylate cyclase. This enzyme increases the levels of a chemical called cyclic guanosine monophosphate (cGMP), which relaxes the blood vessels in the penis and allows blood to fill the spongy erectile tissues to cause an erection.
To learn more about the medicine’s inner workings, read the contents of the How it works tab.
Valif 20 is one of the best vardenafil generics on the market that cures erectile dysfunction.
Among the benefits of Valif 20 are:
- better price in comparison to the original Levitra,
- rapid onset of action (within 30 minutes),
- prolonged duration of sexual intercourse,
- increased stamina and performance,
- it can be purchased online with no prescription needed.
Pick your favorite package and buy cheap Valif 20 pills online for the best price with a discount without a prescription.
Along with the desired effects, erectile dysfunction pills containing vardenafil may cause some unwanted effects as well. Although not all of these side effects may occur, they may need medical attention if that happens.
Commonly reported side effects of Valif 20 are:
- Nasal congestion
Valif may affect how other medicines work, and other drugs may affect the way Valif works, causing side effects. This product does not protect you or your partner from getting sexually transmitted diseases, including HIV — the virus that causes AIDS.
Although serious side effects are rare, if you experience any severe side effects, stop taking Valif 20 and seek emergency medical care immediately.
For a comprehensive list of adverse effects, check the content of the Side Effects tab.
How to take the medicine
Valif 20 mg only works following sexual stimulation. It works within 25 to 60 minutes, but may be taken up to four hours before sexual activity. To get the best from your treatment, please read the following carefully:
- The safe indicated dose of Valif within 24 hours is 20 mg (1 pill).
- Effects may be noticeable after 25–60 minutes.
- Effective treatment time is 4–6 hours.
- Always take medicine with a large glass of water.
- Valif can be taken with or without food.
Avoid large or fatty meals close to the time when you intend to take medication. Valif 20 can lower blood pressure, and combining it with alcohol may further increase this effect. You should only take a Valif 20mg when you plan to have sex – it is not intended as a regular medication. More details are available under the Administration tab.
To get the most of the medicine, be sure to check out the contents of the Tips and Warning tabs as well.
Erectile dysfunction is also called impotence. Both names mean the inability to attain an erection. There are several different causes of impotence. The most common is the narrowing of the arteries. These unpleasant problems can occur in both young and old men.
Levitra is an advanced and extremely effective sexual enhancer – that is, a medicine used to combat erectile dysfunction (ED) in men. The effect of this medicine leads to a tireless, long-lasting erection, as well as better control of ejaculation. This medicine is used in the treatment of erectile dysfunction.
To get the best from your treatment, please read the following carefully:
The recommended dose of Valif 20 mg is 10 mg taken as needed approximately 25 to 60 minutes before sexual activity. Based on efficacy and tolerability the dose may be increased to 20 mg or decreased to 5 mg. The maximum recommended dose is 20 mg. The maximum recommended dosing frequency is once per day. Valif 20 mg can be taken with or without food. The mean terminal half-life of vardenafil in patients receiving Valif 20 mg orodispersible tablets ranged between 4 – 6 hours. The onset of activity may be delayed if taken with a high fat meal. Always take this medicine with a large glass of water.
You should only take a Valif 20 mg when you plan to have sex – it is not intended as a regular medication.
When vardenafil film-coated tablets are taken with a high fat meal (containing 57% fat), the rate of absorption is reduced, with an increase in the median tmax of 1 hour and a mean reduction in Cmax of 20%. Vardenafil AUC is not affected. After a meal containing 30% fat, the rate and extent of absorption of vardenafil (tmax, Cmax and AUC) are unchanged compared to administration under fasting conditions.
Valif 20 mg can lower blood pressure, and combining it with alcohol (ethanol) may further increase this effect. You may be more likely to experience symptoms such as dizziness, lightheadedness, fainting, flushing, headache, and heart palpitations. You should avoid or limit the use of alcohol while being treated with Valif 20 mg, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Grapefruit juice may increase the blood levels and effects of certain medications such as Valif 20 mg. You may want to limit your consumption of grapefruit and grapefruit juice during treatment with Valif 20 mg. However, if you have been regularly consuming grapefruit or grapefruit juice with Valif 20 mg, do not alter the amounts of these products in your diet without first talking to your doctor or other healthcare professional. Contact your doctor if your condition changes or you experience increased side effects. Orange juice is not expected to interact.
Along with its needed effects, Valif 20 mg may cause some unwanted effects.
Although not all of these side effects may occur, if they do occur they may need medical attention.
Commonly reported side effects of Valif 20 mg include: headache, flushing and nausea. See below for a comprehensive list of adverse effects.
Common side effects
These common side effects are connected to dehydration and usually diminish by increasing water intake.
- nasal congestion
Uncommon side effects
The following side effects of Valif 20 mg may occur that usually do not need medical attention. These side effects are not dangerous and may normally diminish as your body adjusts to the medicine. Patients presenting with these side effects generally do not need to stop taking Valif 20 mg.
Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
- allergic oedema and angioedema
- sleep disorder
- paraesthesia and dysaesthesia
- visual disturbance
- ocular hyperaemia
- visual colour distortions
- eye pain and eye discomfort
- sinus congestion
- gastro-oesophageal reflux disease
- gastrointestinal and abdominal pain
- dry mouth
- back pain
- increased muscle tone
- feeling unwell
Rare side effects
Although serious side effects are rare, if you experience any the following serious side effects, stop taking Valif 20 mg and seek emergency medical care immediately.
- allergic reaction
- transient ischaemic attack
- Increase in intraocular pressure
- lacrimation increased
- myocardial infarction
- ventricular tachy-arrhythmias
- angina pectoris
- hypotension or hypertension
- photosensitivity reaction
- chest pain
Valif 20 mg is not suitable for everyone.
Patients should NOT take Valif 20 mg:
- If you are allergic to vardenafil or any of the other ingredients of this medicine. Signs of an allergic reaction include a rash, itching, swollen face or lips and shortness of breath
- If you are taking medicines containing nitrates, such as glyceryl trinitrate for angina, or nitric oxide donors, such as amyl nitrite. Taking these medicines with Valif 20 mg could seriously affect your blood pressure
- If you are taking ritonavir or indinavir, medicines used to treat human immunodeficiency virus (HIV) infections
- If you are over 75 years of age and are taking ketoconazole or itraconazole, antifungal medicines
- If you have a severe heart or liver problem
- If you are having kidney dialysis
- If you have recently had a stroke or heart attack
- If you have or have had low blood pressure
- If your family has a history of degenerative eye diseases (such as retinitis pigmentosa)
- If you have ever had a condition involving loss of vision due to damage to the optic nerve from insufficient blood supply known as non-arteritic ischemic optic neuropathy (NAION) If you are taking riociguat.This drug is used to treat pulmonary arterial hypertension (i.e. high blood pressure in the lungs) and chronic thromboembolic pulmonary hypertension (i.e. high blood pressure in the lungs secondary to blood clots). PDE5 inhibitors, such as Valif 20 mg have been shown to increase the hypotensive effects of this medicine. If you are taking riociguat or are unsure tell your doctor
Prior to initiating any treatment for erectile dysfunction, it be should considered the cardiovascular status of the patient, since there is a degree of cardiac risk associated with sexual activity. Vardenafil has vasodilator properties, resulting in mild and transient decreases in blood pressure. Patients with left ventricular outflow obstruction, e.g., aortic stenosis and idiopathic hypertrophic subaortic stenosis, can be sensitive to the action of vasodilators including Type 5 phosphodiesterase inhibitors.
Serious cardiovascular events including:
- sudden death
- myocardial infarction
- ventricular tachy-arrhythmia
- angina pectoris
Cerebrovascular disorders (including transient ischaemic attack and cerebral haemorrhage), have been reported in temporal association with vardenafil. Most of the patients in whom these events have been reported had pre-existing cardiovascular risk factors. However, it is not possible to definitively determine whether these events are related directly to these risk factors, to vardenafil, to sexual activity, or to a combination of these or other factors.
Medicinal products for the treatment of erectile dysfunction should be used with caution in patients with:
- anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease)
- in patients who have conditions which may predispose them to priapism (such as sickle cell anaemia, multiple myeloma or leukaemia)
The concomitant use of alpha-blockers and vardenafil may lead to symptomatic hypotension in some patients because both are vasodilators. Concomitant treatment with vardenafil should only be initiated if the patient has been stabilised on his alpha-blocker therapy.
Concomitant use of vardenafil with potent CYP3A4 inhibitors such as itraconazole and ketoconazole (oral form) should be avoided as very high plasma concentrations of vardenafil are reached if the medicinal products are combined. Vardenafil dose adjustment might be necessary if moderate CYP3A4 inhibitors such as erythromycin and clarithromycin, are given concomitantly.
Concomitant intake of grapefruit or grapefruit juice is expected to increase the plasma concentrations of vardenafil. The combination should be avoided.
The co-administration of vardenafil with nitrates or nitric oxide donors (such as amyl nitrite) in any form is contraindicated.
Valif 20 mg is contraindicated in patients who have loss of vision in one eye because of non-arteritic anterior ischemic optic neuropathy (NAION), regardless of whether this episode was in connection or not with previous phosphodiesterase 5 (PDE5) inhibitor exposure.
Medicinal products for the treatment of erectile dysfunction should generally not be used in men for whom sexual activity is inadvisable (e.g. patients with severe cardiovascular disorders such as unstable angina or severe cardiac failure.
The safety of vardenafil has not been studied in the following sub-groups of patients and its use is therefore contraindicated until further information is available:
- severe hepatic impairment (Child-Pugh C)
- end stage renal disease requiring dialysis
- hypotension (blood pressure <90/50 mmHg)
- recent history of stroke or myocardial infarction (within the last 6 months)
- unstable angina and known hereditary retinal degenerative disorders such as retinitis pigmentosa
- CYP3A4 inhibitors ketoconazole and itraconazole (oral form) in men older than 75 years
- HIV protease inhibitors such as ritonavir and indinavir
- PDE5 inhibitors, including vardenafil, with guanylate cyclase stimulators, such as riociguat
Some medicines may cause problems, especially these:
- Nitrates, medicines for angina, or nitric oxide donors, such as amyl nitrite. Taking these medicines with Valif 20 mg could seriously affect your blood pressure
- Medicine for the treatment of arrhythmias, such as quinidine, procainamide, amiodarone or sotalol
- Ketoconazole or itraconazole, antifungal medicines
- Erythromycin or clarithromycin, macrolide antibiotics
- Alpha-blockers, a type of medicine used to treat high blood pressure and enlargement of the prostate (as benign prostatic hyperplasia)
Don’t drink grapefruit juice when you use Valif 20 mg. It can interfere with the usual effect of the medicine. Alcoholic drink can make erection difficulties worse.
Do not take more than one dose of Valif 20 mg per day.
It is recommended that tablets be taken with at least one full glass of water.
Do not consume grapefruit or grapefruit products while taking Valif 20 mg.
Always talk to your doctor before taking ANY medication for erectile dysfunction. Some erectile dysfunction medications are not suitable for men with certain medical conditions, and your doctor can advise you on an alternative.
Call your doctor immediately if you experience dizziness or feel nauseous during sexual activity, or develop pain, numbness, tingling in your chest, arms, neck, or jaw.
Seek emergency treatment if an erection lasts more than 4 hours.
Do not take Valif 20 mg if you are also taking a nitrate drug (such as nitroglycerin or isosorbide dinitrate/mononitrate) for chest pain or heart problems. Do not take Valif 20 mg with recreational drugs such as “poppers”. Taking these substances together can cause a sudden and dangerous drop in blood pressure.
Always buy your medications from a reputable supplier as there are a lot of counterfeit products on the market.
Certain lifestyle and psychological factors, such as smoking, drinking, and stress, can impact on erectile dysfunction. Eliminating these may also help improve the erection, for example:
- staying more active
- losing weight if you are overweight
- reducing alcohol intake
- stopping smoking and reducing stress
Never take other erectile dysfunction medications at the same time as taking Valif 20 mg.
Seek urgent medical advice if an allergic reaction, sudden vision loss or painful erections lasting more than four hours occur.
Drinking alcohol after taking Valif 20 mg may lower blood pressure and decrease sexual performance.