The compound Extra Super Levitra integrates two active pharmaceutical ingredients: vardenafil 20mg and sildenafil 100mg. Vardenafil belongs to the class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. Structurally, vardenafil is similar to sildenafil, the active component in Viagra, but features subtle differences enhancing its selectivity and potency. The molecule possesses a core pyrazolo[4,3-d]pyrimidin-7(1H)-one ring, with nitrogen substituents critical for its biological activity.
Sildenafil, another PDE5 inhibitor, includes a pyrazolo[4,3-d]pyrimidine ring system fused with a sulfonamide group. These distinct structural elements contribute to sildenafil’s unique pharmacokinetic profile, allowing it to complement vardenafil in Extra Super Levitra. This dual composition aims at maximizing the therapeutic effects while optimizing the onset and duration of action.
The mechanism of action of vardenafil 20mg and sildenafil 100mg centers on inhibiting the PDE5 enzyme in the corpus cavernosum. By doing so, they increase the levels of cyclic guanosine monophosphate (cGMP). Elevated cGMP levels lead to smooth muscle relaxation and vasodilation in the penile arteries, enhancing erectile function.
Both agents ensure sustained blood flow, with the combination in Extra Super Levitra potentially offering amplified efficacy. By tackling erectile dysfunction from two biochemical pathways, it could improve overall patient outcomes. The synchronized inhibition of PDE5 by both molecules underscores the therapeutic advantage of this combination product.
The use of Extra Super Levitra requires caution. Patients with cardiovascular conditions should consult healthcare providers due to potential hemodynamic effects. This combination is not recommended for individuals with a history of non-arteritic anterior ischemic optic neuropathy (NAION) or those predisposed to priapism.
Co-administration with nitrates or nitric oxide donors is contraindicated, as it may lead to severe hypotension. Patients should also avoid excessive alcohol intake, which can diminish the efficacy of vardenafil 20mg and sildenafil 100mg. Monitoring is advised for those with renal or hepatic impairment.
Proper storage of Extra Super Levitra ensures its effectiveness. Keep tablets in their original blister packs to protect from moisture and light. Store at room temperature, away from excessive heat or humidity. Ensure that it is out of reach of children and pets to prevent accidental ingestion.
Disposal of expired or unused medication should follow local guidelines to minimize environmental impact. Pharmacies can provide additional disposal instructions, ensuring safety and compliance.
Common adverse effects of Extra Super Levitra include headache, flushing, nasal congestion, and dyspepsia. These are typically mild and transient. However, some patients may experience dizziness or visual disturbances, warranting immediate medical attention.
Serious side effects, though rare, include sudden hearing loss, chest pain, or prolonged erection lasting over four hours. Such events necessitate urgent care. Regular monitoring and communication with healthcare providers can help manage potential risks.
Extra Super Levitra can be procured through various online pharmacies. Ensure that the source is reputable, verifying authenticity and compliance with regulatory standards. Consider platforms that require a prescription, as this indicates adherence to safety protocols.
When purchasing, check for secure payment options and privacy guarantees. Patient reviews and ratings can offer insights into the reliability of a vendor. Prioritizing certified online retailers ensures access to genuine products and professional support.
