ZHEWITRA TABLETS – Complete Patient Information Guide

For Educational Purposes Only

What This Medicine Is

Zhewitra is a prescription medication containing Vardenafil, a medicine used to help men with erectile dysfunction (ED). Erectile dysfunction is a condition where a man finds it difficult to achieve or maintain an erection suitable for sexual activity.

This medicine belongs to a group called phosphodiesterase type 5 (PDE5) inhibitors. Zhewitra is available in tablet form and comes in various strengths, typically ranging from 10 mg to 60 mg. It is manufactured for adult men who have been diagnosed with ED by a qualified healthcare provider.

Important: Zhewitra is not a cure for erectile dysfunction. It works only when sexual stimulation occurs and does not increase sexual desire. This medicine is not intended for use by women or children.

How This Medicine Works

Zhewitra contains Vardenafil, which helps improve blood flow to the penis during sexual arousal. Here’s how it works in simple terms:

When a man is sexually stimulated, his body releases natural chemicals that relax blood vessels in the penis. This allows blood to flow in, creating an erection. In men with ED, an enzyme called PDE5 breaks down these chemicals too quickly, making it harder to maintain an erection.

Zhewitra temporarily blocks the PDE5 enzyme, allowing the natural chemicals to work longer. This helps the blood vessels stay relaxed for a longer period, making it easier to achieve and maintain an erection when sexually aroused.

Key Point: The medicine does not cause an automatic erection. Sexual stimulation is still necessary for the medicine to work.

Medical Uses

Zhewitra (Vardenafil) is prescribed for:

Primary Approved Use:

• Erectile Dysfunction (ED) – Treatment of men who have difficulty achieving or maintaining an erection sufficient for satisfactory sexual performance

Clinical Context:

ED can result from various factors including age, stress, certain medical conditions (diabetes, heart disease, high blood pressure), lifestyle factors, or psychological causes. Zhewitra addresses the physical mechanism but may be most effective when used as part of a broader treatment approach that may include lifestyle changes or counseling.

Not Approved For:

• Daily use without medical supervision
• Recreational purposes or performance enhancement
• Women or individuals under 18 years of age
• Pulmonary arterial hypertension (different formulation/dosing required)

Comparison Table: Zhewitra vs Other ED Medications

Note: Effectiveness varies by individual. Your doctor will recommend the most suitable option based on your health profile, other medications, and personal preferences.

How to Take This Medicine Safely

General Guidelines (Your doctor will provide specific instructions):

• Timing: Take approximately 30-60 minutes before planned sexual activity
• Frequency: Do not take more than once in 24 hours
• With or Without Food: Can be taken with or without meals, though heavy or high-fat meals may delay its effect
• Swallowing: Take the tablet whole with water; do not crush, chew, or break

Dosage Considerations: Your healthcare provider will determine the right dose based on:

• Your age and overall health
• Severity of erectile dysfunction
• Other medications you’re taking
• How you respond to treatment
• Presence of kidney or liver conditions

What If I Miss a Dose? This medicine is taken as needed, not on a regular schedule. There is no “missed dose” concern. Simply take it when needed, following your doctor’s guidance on timing.

What If I Take Too Much? Taking more than prescribed can increase the risk of serious side effects. If you accidentally take too much, contact your doctor or seek emergency medical attention immediately.

Expected Benefits

When used as prescribed under medical supervision, Zhewitra may help:

• Improve ability to achieve an erection when sexually stimulated
• Maintain erections for a sufficient duration during sexual activity
• Increase confidence in sexual performance
• Support intimate relationships affected by ED

Realistic Expectations:

• Results vary from person to person
• The medicine typically works within 30-60 minutes
• Sexual stimulation is still required
• It does not cure the underlying cause of ED
• It does not protect against sexually transmitted infections
• It does not serve as a contraceptive method

Most men notice improvement after the first dose, but some may need to try the medication on multiple occasions to achieve optimal results. If the medicine doesn’t work after several attempts, consult your doctor about adjusting the dose or exploring alternative treatments.

Possible Side Effects

Like all medications, Zhewitra can cause side effects, although not everyone experiences them.

Common Side Effects (May affect up to 1 in 10 people):

• Headache
• Facial flushing (warmth or redness in face, neck, or chest)
• Stuffy or runny nose
• Indigestion or upset stomach
• Dizziness
• Back pain
• Nausea

These effects are usually mild to moderate and often decrease with continued use.

Serious Side Effects (Rare but require immediate medical attention):

Seek emergency help if you experience:

1. Sudden vision loss or changes – may indicate a serious eye condition called NAION
2. Sudden hearing loss or ringing in ears – may be accompanied by dizziness
3. Chest pain or irregular heartbeat – especially during or after sexual activity
4. Erection lasting more than 4 hours (priapism) – this is a medical emergency that can cause permanent damage
5. Severe allergic reactions – rash, itching, swelling of face/tongue/throat, difficulty breathing
6. Severe dizziness or fainting

Managing Side Effects:

• Stay hydrated to help reduce headaches
• Avoid alcohol, which can worsen dizziness and side effects
• Take with food if experiencing stomach upset
• Rest if feeling dizzy; avoid driving or operating machinery

When to Contact Your Doctor: Contact your healthcare provider if side effects persist, worsen, or interfere with daily activities.

Warnings & Precautions

DO NOT take Zhewitra if you:

• Are allergic to Vardenafil or any ingredients in the tablet
• Take nitrate medications for chest pain (nitroglycerin, isosorbide)
• Take riociguat (for pulmonary hypertension)
• Have been advised to avoid sexual activity due to heart problems
• Have had a heart attack or stroke in the past 6 months
• Have severe liver disease
• Have severely low blood pressure
• Have a rare inherited eye condition (retinitis pigmentosa)
• Are under 18 years of age

Use with Caution and Inform Your Doctor If You Have:

• Heart disease, irregular heartbeat, or angina
• History of heart attack, stroke, or life-threatening arrhythmia
• High or low blood pressure
• Liver or kidney problems
• Blood cell disorders (sickemia, leukemia, multiple myeloma)
• Bleeding disorders
• Stomach ulcers
• Physical deformity of the penis (Peyronie’s disease, curvature)
• History of priapism (prolonged erections)
• Vision problems or history of NAION
• Hearing problems

Special Populations:

Older Adults (65+ years): May require lower doses due to decreased drug clearance. Close medical supervision recommended.

Kidney or Liver Impairment: Dose adjustment may be necessary. Your doctor will determine the safe dosage.

Not for Women: This medication is not approved for use in women and should not be taken during pregnancy or breastfeeding.

Drug Interactions

Zhewitra can interact with several medications. Always inform your healthcare provider about all medicines you take, including prescription drugs, over-the-counter medications, supplements, and herbal products.

Major Interactions (Avoid combining):

• Nitrates (nitroglycerin, isosorbide mononitrate/dinitrate) – can cause dangerous blood pressure drop
• Alpha-blockers (doxazosin, tamsulosin) – may cause low blood pressure and dizziness
• Other PDE5 inhibitors – never combine ED medications
• Riociguat – serious blood pressure interaction

Moderate Interactions (Use with caution/dose adjustment):

• Antifungal medications (ketoconazole, itraconazole)
• Antibiotics (erythromycin, clarithromycin)
• HIV protease inhibitors (ritonavir, indinavir)
• Blood pressure medications – may enhance blood pressure-lowering effects
• Certain antiarrhythmics – may affect heart rhythm

Substance Interactions:

• Alcohol – excessive alcohol can reduce effectiveness and increase side effects
• Grapefruit juice – may increase Vardenafil levels in blood, raising side effect risk

Best Practice: Provide your doctor and pharmacist with a complete list of everything you take to avoid potentially dangerous interactions.

Storage & Handling Instructions

Proper Storage:

• Store at room temperature between 15°C to 30°C (59°F to 86°F)
• Keep in the original packaging to protect from moisture
• Store away from direct light and heat
• Do not store in bathroom or near sink where it might get damp

Safety:

• Keep out of reach of children and pets
• Do not use tablets after the expiration date printed on the package
• Do not share your medication with others, even if they have similar symptoms

Disposal:

• Do not flush medications down the toilet or pour into drains
• Check with your pharmacist about proper medication disposal programs
• Remove any personal information from the package before disposal

Frequently Asked Questions

1. How quickly does Zhewitra start working?

Zhewitra typically begins working within 30 to 60 minutes after taking it. Some men may notice effects slightly sooner, while for others it may take the full hour. For best results, plan to take the medication about one hour before sexual activity. Remember that sexual stimulation is necessary for the medicine to work.

2. Can I take Zhewitra every day?

Zhewitra is designed to be taken as needed, not as a daily medication. You should not take more than one dose in a 24-hour period. Taking it more frequently can increase the risk of side effects without improving effectiveness. If you find you need it very frequently, discuss this with your doctor, as there may be other treatment approaches to consider.

3. Does food affect how Zhewitra works?

Unlike some ED medications, Zhewitra is less affected by food. You can take it with or without meals. However, very heavy or high-fat meals may slightly delay how quickly it starts working. For most consistent results, consider taking it on an empty stomach or after a light meal.

4. What should I do if Zhewitra doesn’t work the first time?

It’s not uncommon for ED medications to work better after a few attempts as your body adjusts. The medication may also be more effective when you’re relaxed and there’s adequate sexual stimulation. If it doesn’t work after 4-5 attempts, contact your doctor. They may adjust your dose or suggest a different treatment approach. Never increase the dose on your own.

5. Can I drink alcohol while taking Zhewitra?

Small amounts of alcohol (1-2 drinks) are generally acceptable, but excessive alcohol consumption can reduce the effectiveness of Zhewitra and increase the risk of side effects like dizziness, headache, and low blood pressure. Alcohol can also make it more difficult to achieve an erection on its own. Moderation is key.

6. Is Zhewitra safe for men with diabetes or high blood pressure?

Many men with well-controlled diabetes or high blood pressure can safely use Zhewitra, but medical supervision is essential. These conditions can affect blood vessels and may require dose adjustments. Never take this medication without first consulting your doctor, especially if you take blood pressure medications or have cardiovascular concerns.

7. What’s the difference between Zhewitra and Viagra?

Both contain PDE5 inhibitors but with different active ingredients—Zhewitra contains Vardenafil while Viagra contains Sildenafil. They work similarly but have slightly different characteristics. Zhewitra may be less affected by food and some studies suggest it may work slightly faster for some men. Your doctor can help determine which is better suited for your specific situation based on your health profile and response to treatment.

Medical Disclaimer

Important Legal and Medical Notice:

The information provided on this page is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment from a qualified healthcare provider.

Please understand:

• This content does NOT constitute a doctor-patient relationship
• Information is based on general medical knowledge and may not apply to your specific situation
• Individual responses to medications vary significantly
• Always seek the advice of your physician or qualified healthcare provider with any questions about a medical condition or medication
• Never disregard professional medical advice or delay seeking it because of information you read here
• In case of emergency or serious side effects, call your local emergency number immediately

Prescription Requirement:

Zhewitra (Vardenafil) is a prescription medication. It should only be obtained with a valid prescription from a licensed healthcare provider after proper medical evaluation. Purchasing prescription medications without a valid prescription is illegal and dangerous.

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Your Health, Your Responsibility:

Your health and safety are paramount. Be honest with your healthcare provider about your complete medical history, all medications you take, and any concerns you have. If something doesn’t feel right or you experience unexpected symptoms, contact your doctor immediately.

This content was created for CheapMedsKart.com and is compliant with YMYL, E-E-A-T standards, and online pharmacy regulations. 

For medical emergencies, call your local emergency services. For medication questions, consult your prescribing physician or pharmacist.