Zhewitra 20 mg Tablet

Zhewitra 20 mg Tablet is a prescription medicine used to treat erectile dysfunction (ED) in adult men. Each tablet contains 20 mg of vardenafil, a PDE-5 inhibitor that helps improve blood flow to the penis during sexual stimulation. Zhewitra 20 mg Tablet is taken by mouth as a standard tablet and is used to help achieve and maintain an erection when it is appropriate for the patient. It is not intended to increase sexual desire and does not work without sexual arousal.

How it works: Vardenafil in Zhewitra 20 mg Tablet blocks the PDE-5 enzyme, which helps keep blood vessels in the penis relaxed so more blood can flow in when you are sexually stimulated. As a tablet taken by mouth, it is absorbed into the body and works only when there is sexual stimulation.

Zhewitra 20 mg Tablet is the higher-strength tablet among the listed options, with more vardenafil per tablet than Zhewitra 10 mg Tablet. Because it delivers a stronger dose, a doctor may choose Zhewitra 20 mg Tablet for adults who need a more robust response and who have already been assessed for safety, rather than starting with a lower strength. Compared with lower strengths, the effect may be more noticeable, but side effects can also be more likely, so it should be used only as directed.

• Erectile dysfunction (ED)
• Difficulty getting an erection
• Difficulty keeping an erection
• Male sexual performance support when prescribed for ED

• Swallow Zhewitra 20 mg Tablet whole with water.
• Take it about 30 to 60 minutes before sexual activity, or as your doctor directs.
• Do not take more than one tablet in a 24-hour period.
• Avoid heavy, high-fat meals right before taking it, because they can slow how quickly it works.
• Do not split, crush, or chew the tablet unless your prescriber specifically tells you to.
• Sexual stimulation is still needed for the medicine to work.

Each Zhewitra 20 mg Tablet contains 20 mg of vardenafil. This strength is usually taken only once in 24 hours, and the exact dose and timing should be decided by a doctor based on your health, other medicines, and how well you respond. Do not take more than the prescribed amount or combine it with other vardenafil products.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Vardenafil may include:

• Headache
• Flushing
• Stuffy or runny nose
• Dizziness
• Indigestion or upset stomach
• Back pain
• Blurred vision or color-tinged vision changes

• Do not use Zhewitra 20 mg Tablet with nitrates or recreational poppers (amyl nitrite); this can cause a dangerous drop in blood pressure.
• Tell your doctor if you have heart disease, recent heart attack or stroke, low blood pressure, or severe liver problems.
• This is a higher-strength tablet, so side effects like headache, flushing, or dizziness may be more likely than with Zhewitra 10 mg Tablet.
• Limit alcohol, because drinking can worsen dizziness and may make erections harder to achieve.
• Use caution when driving or using machinery until you know how Zhewitra 20 mg Tablet affects you.
• Do not take it together with other ED medicines or any product containing vardenafil.
• Seek medical advice before use if you have an eye condition such as retinitis pigmentosa or a history of vision loss.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers used for prostate enlargement or blood pressure
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, or clarithromycin
• Other PDE-5 inhibitors for erectile dysfunction
• Recreational drugs containing amyl nitrite or butyl nitrite

Store Zhewitra 20 mg Tablet in its original strip/box at room temperature, away from excess heat, moisture, and direct light.