Zhewitra

Package	Per tablet	Savings	Price
180 tablets	$2.27	$131	$540 $409
150 tablets	$2.33	$100	$450 $350
120 tablets	$2.38	$75	$360 $285
90 tablets	$2.52	$43	$270 $227
60 tablets	$2.70	$18	$180 $162
30 tablets	$3.00	–	$90

Super Zhewitra (Vardenafil 20mg & Dapoxetine 60mg)

What is this medicine?

ZHEWITRA contains Vardenafil, which is a phosphodiesterase type 5 (PDE5) inhibitor. This medicine is used to treat erectile dysfunction (ED) in men by increasing blood flow to the penis during sexual stimulation. It helps in achieving and maintaining an erection, but only with sexual arousal.

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What should I tell my health care provider before I take this medicine?

Tell your health care provider if you have or have had any of the following:

• Heart disease, recent heart attack or stroke

• Low or high blood pressure

• Liver or kidney disease

• Vision problems, including retinitis pigmentosa

• Blood cell disorders (e.g., sickle cell anemia, leukemia)

• Stomach ulcers or bleeding problems

• Physical deformity of the penis (e.g., Peyronie’s disease)

• Hearing problems

• Allergic reaction to vardenafil or similar drugs

• If you take medications with nitrates (e.g., nitroglycerin)

• If you use recreational drugs like “poppers” (amyl nitrate)

• If you are taking other medicines for erectile dysfunction

This medication is not approved for use in women or children.

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How should I use this medicine?

• Take Zhewitra by mouth with or without food.

• It should be taken about 30 to 60 minutes before sexual activity.

• Do not take more than one dose in 24 hours.

• It does not cause an erection without sexual stimulation.

• Follow your doctor’s instructions carefully.

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Overdosage

In case of an overdose, contact a poison control center or emergency room immediately. Symptoms of overdose may include:

• Severe dizziness

• Fainting

• Painful or prolonged erection (lasting more than 4 hours)

• Vision changes

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What if I miss a dose?

Zhewitra is used as needed, so a regular dosing schedule is not applicable. Do not take extra doses if you miss your usual time before planned sexual activity.

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What may interact with this medicine?

Avoid taking this medicine with:

• Nitrates (used for chest pain or heart problems)

• Alpha-blockers (for prostate or blood pressure issues)

• Antifungal medications (e.g., ketoconazole, itraconazole)

• Antibiotics (e.g., erythromycin, clarithromycin)

• HIV protease inhibitors (e.g., ritonavir, indinavir)

• Other ED medications (e.g., sildenafil, tadalafil)

Let your health care provider know about all prescription, non-prescription, herbal, and recreational substances you use.

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What should I watch for while using this medicine?

• Seek immediate medical attention if you experience chest pain, vision loss, or an erection lasting more than 4 hours.

• Avoid alcohol while taking this medication, as it can increase side effects such as dizziness or low blood pressure.

• Do not combine with other ED medications.

• Inform your doctor of any sudden hearing or vision changes.

• This medicine does not protect against sexually transmitted diseases (STDs). Use appropriate protection methods.

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What side effects may I notice from this medicine?

Side effects to report immediately:

• Allergic reactions (rash, itching, swelling of face/lips/throat)

• Chest pain or irregular heartbeat

• Shortness of breath

• Fainting or severe dizziness

• Painful or prolonged erection

• Sudden hearing or vision loss

Common side effects (usually mild):

• Headache

• Flushing

• Stuffy or runny nose

• Dizziness

• Indigestion or upset stomach

• Back pain

This list may not describe all possible side effects. Report persistent or bothersome symptoms to your doctor.

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Where should I keep my medicine?

• Store at room temperature (20°C to 25°C or 68°F to 77°F).

• Keep away from heat, moisture, and direct light.

• Store in a tightly closed container.

• Keep out of the reach of children.

• Do not use the medicine past its expiration date.