Short answer: Vardenafil has a half-life of about 4 to 5 hours. Levels peak about 1 hour (30 minutes to 2 hours) after a dose. People vary, so treat these as estimates.
Vardenafil is a phosphodiesterase type 5 (PDE5) inhibitor, in the same class as sildenafil and tadalafil, used to treat erectile dysfunction. It was first sold as Levitra; FDA now lists that brand as discontinued, and generic vardenafil tablets are sold. It is taken as needed about an hour before sex.
Also known as: Levitra, Staxyn.
Generic vardenafil tablets come in 2.5 mg, 5 mg, 10 mg and 20 mg strengths.
The FDA vardenafil label approves it for erectile dysfunction. For most men the label dose is 10 mg taken by mouth as needed about 60 minutes before sex, with or without food, adjusted to 5 mg or up to 20 mg, and no more than once a day. Sexual stimulation is needed for it to work. The label suggests starting at 5 mg at age 65 and over, with a stable alpha-blocker, or with moderate liver impairment (maximum 10 mg). Drugs that block the CYP3A4 enzyme cap the dose: no more than 2.5 mg in 72 hours with ritonavir or cobicistat, and 2.5 or 5 mg in 24 hours with several others.
It must not be taken with nitrates or riociguat. An erection lasting over 4 hours needs urgent care. The label also warns of sudden vision loss (NAION) and sudden hearing loss, and says men with congenital QT prolongation or on class IA or III antiarrhythmic drugs should avoid it. In placebo-controlled trials, headache was reported by 15% on vardenafil versus 4% on placebo, and flushing by 11% versus 1%.
The FDA vardenafil label says peak levels after a 20 mg dose on an empty stomach usually come 30 minutes to 2 hours after the dose (median 60 minutes), and that vardenafil and its main active metabolite have a terminal half-life of about 4 to 5 hours. High-fat meals lowered the peak by 18% to 50%. Absolute bioavailability is about 15%.
Numbers shown are taken from the source above. Half-life varies from person to person.
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