Zhewitra 40 mg Tablet

Zhewitra 40 mg Tablet is a prescription medicine that contains 40 mg of vardenafil in each tablet. It belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and is used to treat erectile dysfunction (ED) in adult men. This tablet helps improve the ability to get and maintain an erection when there is sexual stimulation. Zhewitra 40 mg Tablet is a higher-strength product and should only be used when a clinician has decided that this dose is appropriate.

How it works: Vardenafil helps relax the smooth muscles and widen blood vessels in the penis, which increases blood flow during sexual arousal. As a tablet, Zhewitra 40 mg is swallowed and absorbed into the body, where it supports erectile function for a limited period after dosing.

Zhewitra 40 mg Tablet is stronger than the listed 10 mg and 20 mg tablets, so it is not the usual starting option for most people. A doctor may choose this higher strength only after assessing response, tolerance, and medical history, especially if lower strengths have not worked well enough. Because it is a higher-dose tablet, side effects may be more noticeable than with lower strengths.

• Erectile dysfunction in adult men
• Difficulty getting an erection
• Difficulty keeping an erection
• Sexual performance support when prescribed by a doctor

• Swallow Zhewitra 40 mg Tablet with water exactly as prescribed.
• Take it about 30 to 60 minutes before sexual activity, unless your prescriber gives different instructions.
• Do not take more than one tablet in 24 hours.
• A heavy or high-fat meal may slow how quickly the tablet starts working.
• Do not split, crush, or chew the tablet unless your doctor or pharmacist tells you to.
• Sexual stimulation is still needed for the medicine to work.

Each Zhewitra 40 mg Tablet provides 40 mg of vardenafil, which is a higher strength than the 10 mg and 20 mg tablets. It is not meant to be taken more than once in 24 hours, and the exact dose and frequency should be decided by a doctor based on your condition and response. Do not increase the dose on your own, because this strength may raise the risk of side effects.

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
• Nausea

• Zhewitra 40 mg Tablet is a higher-strength tablet, so use only if a healthcare professional has specifically prescribed it.
• Do not use it with nitrates or nitric oxide donors, because this can cause a dangerous drop in blood pressure.
• Use caution if you have heart disease, low blood pressure, a recent stroke, or a recent heart attack.
• Avoid heavy alcohol use, which can worsen dizziness and low blood pressure.
• Be careful when driving or using machinery if you feel dizzy or lightheaded after taking it.
• Tell your doctor if you have liver disease, kidney disease, or an eye condition such as retinitis pigmentosa.
• This medicine does not protect against sexually transmitted infections.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers used for blood pressure or prostate symptoms
• Other PDE5 inhibitors or ED medicines
• Strong CYP3A4 inhibitors such as ketoconazole, ritonavir, or clarithromycin
• Excess alcohol

Store Zhewitra 40 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light.