Online Consultation for 10mg Vardenafil Medication
Arogga sources all medicines and health products directly from trusted suppliers, distributors, or manufacturers. You can order from anywhere in Bangladesh. Yes, Cash on Delivery is available across Bangladesh for most products. Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on location and courier load.
- 10mg vardenafil is suitable for first-time users.
- Patients should disclose medical history before use.
- Be aware of possible side effects such as nausea.
- Vardenafil is marketed under various brand names online.
- Keep out of reach of children at all times.
- Verified online pharmacies will require a consultation.
- Read reviews to identify reputable online vendors.
- Discontinue use if severe side effects occur.
- Use vardenafil only under medical supervision.
- Avoid driving or operating machinery after taking vardenafil.
If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy. The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts. Levitra is a prescription erectile dysfunction treatment medication that is prescribed for men who have difficulty with achieving and maintaining an erection despite sexual stimulation. The active ingredient in the medication – Vardenafil – works vascularly to improve blood flow into the penis and provided the medication is taken sufficiently in advance of the onset of intimate relations between the man and his partner it will allow him to participate more normally in this regard. ED treatment medications often come in a generic equivalent, and Levitra generic can be a good choice for some consumers. You can buy Levitra online with a prescription and your best price on it will be when you order medication online from Canada and Canpharm. Standard Levitra dosage is to take one Levitra 5mg or 10mg tablet 30 minutes before foreseen sexual activity. Do not exceed dosage regulations; if medication is ineffective you should speak with a doctor again to discuss your erectile difficulties in more detail. Let your doctor know of any history of heart problems like heart attack, heart failure, irregular heartbeat or angina, stroke, liver or kidney disease, high or low blood pressure, dehydration, Peyronie's disease, priapism, eye problems like retinitis pigmentosa, sudden decreased vision, or NAION), bleeding disorders, or active stomach ulcers before starting on Levitra. Effectiveness of medication is dependent on sexual stimulation; use of Levitra will not promote an erection on its own. Excessive alcohol consumption will diminish the effectiveness of ED treatment medications.
| Aspect | Description | Relevant Laws | Tips for Compliance |
|---|---|---|---|
| Prescription Laws | Most regions require a prescription to buy vardenafil | Varies by country and region | Always provide valid prescription |
| Import Regulations | Restrictions on importing prescription medication | Check local regulations | Use authorized online pharmacies |
| Age Restrictions | Must be of legal age to purchase | Usually 18+ | Verify age during purchase |
| Anti-Fraud Measures | Measures to prevent counterfeit drugs | Certification and authentication | Confirm authenticity before buying |
Smoking harms the body’s vascular capacity and will make it more likely that Levitra is less effective. Be aware of expiry date for medication.
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Arogga sources all medicines and health products directly from trusted suppliers, distributors, or manufacturers. You can order from anywhere in Bangladesh. Yes, Cash on Delivery is available across Bangladesh for most products. Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on location and courier load. If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy.
What happens if I take too much Levitra?
The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.
Does vardenafil interact with other medicines (drug interactions)?
Levitra is a prescription erectile dysfunction treatment medication that is prescribed for men who have difficulty with achieving and maintaining an erection despite sexual stimulation. The active ingredient in the medication – Vardenafil – works vascularly to improve blood flow into the penis and provided the medication is taken sufficiently in advance of the onset of intimate relations between the man and his partner it will allow him to participate more normally in this regard. ED treatment medications often come in a generic equivalent, and Levitra generic can be a good choice for some consumers. You can buy Levitra online with a prescription and your best price on it will be when you order medication online from Canada and Canpharm. Standard Levitra dosage is to take one Levitra 5mg or 10mg tablet 30 minutes before foreseen sexual activity. Let your doctor know of all medications you are currently taking before getting a prescription and proceeding to buy Levitra online.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Soft Tabs | 100 mg | 60 + 4 Pills | 180.59€ 171.99€ | |
| Kamagra Soft Tabs | 100mg | 60 + 4 Pills | 180.59€ 171.99€ | |
| Levitra Generic | 10mg | 270 + 10 Pills | 338.09€ 321.99€ | |
| Kamagra Gold | 50 mg | 360 + 6 Pills | 713.95€ 679.95€ | |
| Viagra Generic | 200mg | 270 + 10 Pills | 379.76€ 361.68€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ | |
| Kamagra Soft Tabs | 100 mg | 32 Pills | 120.11€ 114.39€ | |
| Kamagra 100 mg | 100 mg | 32 Pills | 121.24€ 115.47€ | |
| Viagra Generic | 50mg | 360 + 10 Pills | 225.33€ 214.60€ | |
| Viagra Oral Jelly | 100mg | 90 + 8 Sachets | 258.02€ 245.73€ | |
| Cialis Original | 20mg | 22 + 2 Pills | 129.20€ 123.05€ | |
| Viagra Generic | 50mg | 90 + 6 Pills | 107.37€ 102.26€ | |
| Kamagra Oral Jelly | 100mg | 10 Sachets | 54.55€ 51.95€ | |
| Cialis Soft Tabs | 20mg | 120 + 6 Pills | 248.64€ 236.80€ | |
| Viagra Generic | 100mg | 90 + 6 Pills | 129.02€ 122.88€ | |
| Kamagra Oral Jelly | 100 mg | 220 + 18 Sachets | 662.24€ 630.70€ |
Side effects from using Levitra may occur, and some users may experience headache, flushing, stuffy or runny nose, dizziness, vision changes, blurred vision or increased sensitivity to light.
Showing 1 - 3 of 3 reviews
If side effects are seen you may want to stop medication use and meet with your doctor again to discuss ED treatment medication alternatives. Levitra is a prescription medication used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. It relaxes blood vessels in the penis, allowing for improved blood flow when a man is sexually aroused. It does not cause an erection without sexual stimulation.
Who Should Not Take Vardenafil
Vilitra Vardenafil tablets 10mg-60mg should be taken within an hour of planned sex and in most cases, it helps you to get an erection in about 30 minutes that will last for around 4 hours, provided you are sexually excited. Vilitra Vardenafil tablets 10mg-60mg contain the active ingredient vardenafil, which resolves erectile dysfunction (impotence) in men, by increasing blood flow into the penis. Vilitra Vardenafil tablets 10mg-60mg contain vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor, used to treat erectile dysfunction in men (impotence). When taken before planned sexual activity, Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) inhibit the breakdown (by the enzyme PDE5) of a chemical called cGMP, produced in the erectile tissue of the penis during sexual arousal, and this action allows blood flow into the penis causing an erection. The most commonly reported side effects when taking Vilitra and Levitra tablets 10mg – 60mg include, headache, dizziness or light-headedness, flushing, nasal congestion, dyspepsia (heartburn), nausea. Levitra is typically taken orally, about 30 to 60 minutes before sexual activity. It can be taken with or without food but may work faster on an empty stomach. The usual starting dose is 10 sex with tablet mg, and the effects can last up to 4 to 5 hours. What are common side effects of Levitra? Common side effects include headache, flushing, stuffy or runny nose, indigestion, dizziness, and back pain. These effects are usually mild and temporary.
- 10mg vardenafil is effective for most men with ED.
- Price comparison can help find the best deal.
- Use reputable websites with positive customer feedback.
- Avoid self-medicating without professional advice.
- Keep track of medication effects for future reference.
- Do not buy vardenafil from unlicensed foreign sites.
- Always adhere to prescribed dosages and schedules.
- Be aware of the legal implications of online medication purchase.
- Maintain regular medical checkups for ongoing use.
- Educate yourself about potential drug interactions.
Rare but serious side effects may include changes in vision, hearing loss, or prolonged erection. Men who take nitrates for chest pain or have severe heart or liver problems should not take Levitra. It’s also not recommended for those with certain eye conditions or low blood pressure. A healthcare provider should evaluate any potential risks before prescribing it. While moderate alcohol intake may not interfere with Levitra, excessive alcohol use can increase the risk of side effects such as dizziness or low blood pressure and may also reduce sexual performance. How long does Levitra take to work and how long does it last? Levitra is not intended for daily use. It should only be taken as needed, and never more than once in a 24-hour period. Daily use increases the risk of side effects and is not considered safe. Yes, while all three medications treat ED, they differ in how quickly they work and how long they last.
| Seller Type | Price per Dose | Typical Price Range | Notes |
|---|---|---|---|
| Licensed Pharmacies | $10 - $15 | $10 - $15 per tablet | Usually more expensive, guaranteed quality |
| Online Marketplaces | $5 - $12 | $5 - $12 per tablet | May vary widely; check seller reviews |
| Generic Brands | $3 - $8 | $3 - $8 per tablet | Cost-effective, ensure proper certification |
| Discount Websites | $2 - $6 | $2 - $6 per tablet | Risk of counterfeit; review thoroughly |
Levitra typically works faster than Viagra and has a shorter duration than Cialis. Some men may respond better to one over another based on their individual health and needs. Does Levitra protect against sexually transmitted infections (STIs)? No, Levitra does not prevent the spread of STIs, including HIV. It is only intended to treat erectile dysfunction. Safe sex practices, including condom use, are still necessary to reduce the risk of infection.
When should Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) not be used?
Less common side effects include, visual disturbance, increased tear formation causing watery eyes, changes in blood pressure (hypo and hypertension), sleepiness, dyspnoea (shortness of breath), pain (in the back joints, abdomen). This is especially important if they have: a deformity in the shape of the penis, such as Peyronie’s disease a heart condition, such as arrhythmia, heart failure, or angina a family history of a rare heart condition known as long QT syndrome hearing problems or hemophilia or some kind of bleeding problem hypotension (low blood pressure) or hypertension (high blood pressure) liver or kidney problems or have multiple myeloma, leukemia, sickle cell anemia, or some other kind of blood cell problem non-arteritic anterior ischemic optic neuropathy (NAION) damage to the retina of the eye or stomach ulcers retinitis pigmentosis, a rare genetic eye disease They should also tell the doctor if they have ever experienced priapism, a seizure, or if they have recently had a stroke or a heart attack. Levitra or Verdenafil is available to purchase online, but users should consider the above points and check with their health provider first. You should not use Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) if you: are allergic to vardenafil or any ingredients in Vilitra Vardenafil tablets 10mg-60mg are taking any nitrate medication, such as nitroglycerin for angina, as it may lead to a severe drop in blood pressure have a condition where sexual intercourse inadvisable due to cardiovascular or heart problems or you have had a heart attack or stroke in the last 6 months have abnormally high or low blood pressure have an eye disease like non-arteritic anterior ischaemic optic neuropathy (NAION), which causes loss of vision or if you have retinitis pigmentosa are taking medication that may interact with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) or may increase your risk for side-effects, including cimetidine for treating ulcers, antibiotics like erythromycin and rifampicin, verapamil or diltiazem (for high blood pressure), ritonavir or saquinavir (for HIV), itraconazole or ketoconazole (for fungal infections) alpha-blockers like terazosin, tamsulosin and prazosin for enlarged prostate, doxazosin for benign prostatic hyperplasia Several medications interact with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) and should either not be taken while you are taking Valif or only after discussion and instruction from your doctor: Drugs that cause a serious reaction with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): any nitrate medication, such as nitroglycerin for angina, alpha-blockers like terazosin or doxazosin for benign prostatic hyperplasia, verapamil or diltiazem (for high blood pressure) Drugs that affect Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): cimetidine for treating ulcers, antibiotics like erythromycin and rifampicin, itraconazole or ketoconazole (for fungal infections), ritonavir or indinavir (for HIV Drugs that are affected by Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): like doxazosin for benign prostatic hyperplasia You should take one Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) with a glass of water approximately 25-60 minutes before sexual activity with or without food. The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (e.g., different shape or color), as trademark laws prevent a generic from looking exactly like the brand-name drug. Vardenafil tablets 10mg-60mg 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. Vardenafil tablets 10mg-60mg relax the blood vessels in the penis increasing blood flow and causing an erection, which is the natural response to sexual stimulation. However, Vardenafil tablets 10mg-60mg will only work if you are sexually aroused.
| Dosage Strength | Brand Names | Formulation | Availability |
|---|---|---|---|
| 10 mg | Levitra, Staxyn | Tablet, ODT | Widely Available |
| 20 mg | Levitra, Staxyn | Tablet | Less Common |
| 5 mg | Levitra, Vivanza | Tablet | Limited Supply |
| 10 mg | Generic Versions | Tablet | Easily Accessible |
Vardenafil, also known by the brand name Levitra, is an Rx medication that treats male erectile dysfunction. Vilitra tablets which contain Vardenafil 10mg-60mg acts on the erectile tissue of the penis to increase blood flow which causes an erection.
- Research the pharmaceutical company that manufactures the generic.
- Some online services offer prescription transfers from your local pharmacy.
- Taking more than one PDE5 inhibitor in 24 hours is dangerous.
- Dehydration can exacerbate side effects like headache and dizziness.
- Ensure the website clearly lists the drug's manufacturer and lot number.
- Consider setting up auto-refill reminders to avoid running out.
- Discuss long-term use and any needed follow-up appointments.
During sexual stimulation nitric oxide is released in the erectile tissue of the penis which activates the enzyme guanylate cyclase.
Brand vs Generic Levitra: What is the difference?
The usual starting dose is 10 sex with tablet mg, and the effects can last up to 4 to 5 hours. What are common side effects of Levitra? Common side effects include headache, flushing, stuffy or runny nose, indigestion, dizziness, and back pain. These effects are usually mild and temporary. Rare but serious side effects may include changes in vision, hearing loss, or prolonged erection.
hepatic dosing
Men who take nitrates for chest pain or have severe heart or liver problems should not take Levitra. It’s also not recommended for those with certain eye conditions or low blood pressure. A healthcare provider should evaluate any potential risks before prescribing it. While moderate alcohol intake may not interfere with Levitra, excessive alcohol use can increase the risk of side effects such as dizziness or low blood pressure and may also reduce sexual performance. How long does Levitra take to work and how long does it last?
How much does Levitra cost?
Levitra is not intended for daily use. It should only be taken as needed, and never more than once in a 24-hour period. Daily use increases the risk of side effects and is not considered safe. Yes, while all three medications treat ED, they differ in how quickly they work and how long they last. Levitra typically works faster than Viagra and has a shorter duration than Cialis. This enzyme increases 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.
Lofatra 20 Mg
Do not exceed dosage regulations; if medication is ineffective you should speak with a doctor again to discuss your erectile difficulties in more detail. Let your doctor know of any history of heart problems like heart attack, heart failure, irregular heartbeat or angina, stroke, liver or kidney disease, high or low blood pressure, dehydration, Peyronie's disease, priapism, eye problems like retinitis pigmentosa, sudden decreased vision, or NAION), bleeding disorders, or active stomach ulcers before starting on Levitra. Effectiveness of medication is dependent on sexual stimulation; use of Levitra will not promote an erection on its own. Excessive alcohol consumption will diminish the effectiveness of ED treatment medications. Smoking harms the body’s vascular capacity and will make it more likely that Levitra is less effective.
Frequently Bought Together
Be aware of expiry date for medication. Let your doctor know of all medications you are currently taking before getting a prescription and proceeding to buy Levitra online. Side effects from using Levitra may occur, and some users may experience headache, flushing, stuffy or runny nose, dizziness, vision changes, blurred vision or increased sensitivity to light. If side effects are seen you may want to stop medication use and meet with your doctor again to discuss ED treatment medication alternatives. Levitra is a prescription medication used to treat erectile dysfunction (ED) in men.
Packaging Details:
It works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. It relaxes blood vessels in the penis, allowing for improved blood flow when a man is sexually aroused. It does not cause an erection without sexual stimulation. Levitra is typically taken orally, about 30 to 60 minutes before sexual activity. It can be taken with or without food but may work faster on an empty stomach. Another enzyme called phosphodiesterase type 5 (PDE5) breaks down cGMP preventing blood flow into the penis, which causes loss of an erection. Vilitra Vardenafil tablets 10mg-60mg inhibit the action of PDE5 which resolves erectile dysfunction by allowing the natural process of sexual stimulation to activate the cGMP mechanism for achieving and maintaining an erection. Vilitra Vardenafil tablets 10mg-60mg should be taken within an hour of planned sex and in most cases, it helps you to get an erection in about 30 minutes that will last for around 4 hours, provided you are sexually excited. Vilitra Vardenafil tablets 10mg-60mg contain the active ingredient vardenafil, which resolves erectile dysfunction (impotence) in men, by increasing blood flow into the penis. Vilitra Vardenafil tablets 10mg-60mg contain vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor, used to treat erectile dysfunction in men (impotence).
Medicine Overview of Vardena 10mg Tablet
Some men may respond better to one over another based on their individual health and needs. Does Levitra protect against sexually transmitted infections (STIs)? No, Levitra does not prevent the spread of STIs, including HIV. It is only intended to treat erectile dysfunction. Safe sex practices, including condom use, are still necessary to reduce the risk of infection.
How is vardenafil supplied (dosage forms)?
The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (e.g., different shape or color), as trademark laws prevent a generic from looking exactly like the brand-name drug. Vardenafil tablets 10mg-60mg 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. Vardenafil tablets 10mg-60mg relax the blood vessels in the penis increasing blood flow and causing an erection, which is the natural response to sexual stimulation. However, Vardenafil tablets 10mg-60mg will only work if you are sexually aroused. Vardenafil, also known by the brand name Levitra, is an Rx medication that treats male erectile dysfunction.
How should I store vardenafil?
Vilitra tablets which contain Vardenafil 10mg-60mg acts on the erectile tissue of the penis to increase blood flow which causes 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 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. Another enzyme called phosphodiesterase type 5 (PDE5) breaks down cGMP preventing blood flow into the penis, which causes loss of an erection. Vilitra Vardenafil tablets 10mg-60mg inhibit the action of PDE5 which resolves erectile dysfunction by allowing the natural process of sexual stimulation to activate the cGMP mechanism for achieving and maintaining an erection. When taken before planned sexual activity, Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) inhibit the breakdown (by the enzyme PDE5) of a chemical called cGMP, produced in the erectile tissue of the penis during sexual arousal, and this action allows blood flow into the penis causing an erection. The most commonly reported side effects when taking Vilitra and Levitra tablets 10mg – 60mg include, headache, dizziness or light-headedness, flushing, nasal congestion, dyspepsia (heartburn), nausea. Less common side effects include, visual disturbance, increased tear formation causing watery eyes, changes in blood pressure (hypo and hypertension), sleepiness, dyspnoea (shortness of breath), pain (in the back joints, abdomen). This is especially important if they have: a deformity in the shape of the penis, such as Peyronie’s disease a heart condition, such as arrhythmia, heart failure, or angina a family history of a rare heart condition known as long QT syndrome hearing problems or hemophilia or some kind of bleeding problem hypotension (low blood pressure) or hypertension (high blood pressure) liver or kidney problems or have multiple myeloma, leukemia, sickle cell anemia, or some other kind of blood cell problem non-arteritic anterior ischemic optic neuropathy (NAION) damage to the retina of the eye or stomach ulcers retinitis pigmentosis, a rare genetic eye disease They should also tell the doctor if they have ever experienced priapism, a seizure, or if they have recently had a stroke or a heart attack. Levitra or Verdenafil is available to purchase online, but users should consider the above points and check with their health provider first.
- Online vendors often provide detailed product information.
- Follow dosage instructions carefully for best results.
- Vardenafil 10mg may interact with certain medications.
- Keep track of any adverse reactions and report to your doctor.
- Avoid using vardenafil with grapefruit juice.
- Purchasing from unverified sources can be risky.
- Ensure the online pharmacy offers secure payment options.
- Typically, vardenafil is taken on an as-needed basis.
- Do not consume more than one dose within 24 hours.
- Education about vardenafil helps maximize safe use.
You should not use Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) if you: are allergic to vardenafil or any ingredients in Vilitra Vardenafil tablets 10mg-60mg are taking any nitrate medication, such as nitroglycerin for angina, as it may lead to a severe drop in blood pressure have a condition where sexual intercourse inadvisable due to cardiovascular or heart problems or you have had a heart attack or stroke in the last 6 months have abnormally high or low blood pressure have an eye disease like non-arteritic anterior ischaemic optic neuropathy (NAION), which causes loss of vision or if you have retinitis pigmentosa are taking medication that may interact with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) or may increase your risk for side-effects, including cimetidine for treating ulcers, antibiotics like erythromycin and rifampicin, verapamil or diltiazem (for high blood pressure), ritonavir or saquinavir (for HIV), itraconazole or ketoconazole (for fungal infections) alpha-blockers like terazosin, tamsulosin and prazosin for enlarged prostate, doxazosin for benign prostatic hyperplasia Several medications interact with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) and should either not be taken while you are taking Valif or only after discussion and instruction from your doctor: Drugs that cause a serious reaction with Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): any nitrate medication, such as nitroglycerin for angina, alpha-blockers like terazosin or doxazosin for benign prostatic hyperplasia, verapamil or diltiazem (for high blood pressure) Drugs that affect Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): cimetidine for treating ulcers, antibiotics like erythromycin and rifampicin, itraconazole or ketoconazole (for fungal infections), ritonavir or indinavir (for HIV Drugs that are affected by Vilitra Vardenafil tablets 10mg-60mg (generic Levitra): like doxazosin for benign prostatic hyperplasia You should take one Vilitra Vardenafil tablets 10mg-60mg (generic Levitra) with a glass of water approximately 25-60 minutes before sexual activity with or without food.