Levitra Super Force (Vardenafil + Dapoxetine) — Patient Guide (Australia)

Levitra Super Force is a combination medicine used to help with certain male sexual health concerns. It contains: vardenafil (to support erections) and dapoxetine (to help delay ejaculation). This guide explains how it works, how it’s typically used, timing considerations, important interactions, and practical safety tips.

Please read this information carefully. If you have questions about whether this medicine is suitable for you, speak with a qualified healthcare professional.

Basic product information

• Product name: Levitra Super Force
• Active ingredients: Vardenafil + Dapoxetine
• Used for: Erectile dysfunction and early ejaculation (combination use)
• Common dosage strengths: Available strengths can vary by brand/supplier. Always follow the exact strength written on your pack.
• How it’s taken: By mouth, before sexual activity

Different products may be marketed under similar names. Always confirm the exact ingredients and strengths on your package (for example, the milligram amounts of vardenafil and dapoxetine).

How it works (mechanism of action)

1) Vardenafil (PDE5 inhibitor)

Vardenafil helps improve erections by enhancing the normal blood-flow response that occurs with sexual stimulation. It belongs to the PDE5 inhibitor group. PDE5 (phosphodiesterase type 5) normally breaks down cGMP, a chemical messenger that relaxes blood vessels. By inhibiting PDE5, vardenafil can support increased blood flow to the penis, helping achieve and maintain an erection.

2) Dapoxetine (SSRI for premature ejaculation)

Dapoxetine is a medicine from the SSRI (selective serotonin reuptake inhibitor) class, used for premature (early) ejaculation. In this context, it is designed to help increase control over ejaculation. It affects serotonin signalling in the brain and spinal cord, which may help delay ejaculation when taken before sex.

Important: Vardenafil requires sexual stimulation to work effectively. Dapoxetine helps delay ejaculation by reducing the speed at which the ejaculation reflex is triggered.

Pharmacokinetics (what the body does to the medicine)

Pharmacokinetics describes absorption, distribution, metabolism, and elimination. While exact values can vary by individual, the following general patterns are commonly described for these active ingredients.

Because Levitra Super Force combines both medicines, your real-world timing will depend on your metabolism, whether you take it with food, and how sensitive you are to side effects.

Typical use & who it may be for

Levitra Super Force is typically considered when a person has both:

• Difficulty achieving or maintaining an erection (erectile dysfunction), and
• Premature ejaculation (early ejaculation),

and they prefer an on-demand option that targets both problems in one product.

It is not intended for women or children. It is generally used in adult men.

Timing: when to take it

Correct timing can improve comfort and effectiveness. A common strategy is to take the dose:

• About 30 to 60 minutes before sexual activity (for many people with vardenafil-containing products), and
• With attention to the effect of food (see Food Interactions below).

Because dapoxetine may also require time to reach peak levels, many people find that taking it earlier works better than taking it right at the moment of sex.

If you are unsure: Start by following the exact instructions on your product packaging and the guidance provided by your pharmacist.

Food interactions (including fatty meals)

Food—especially a large or high-fat meal—can affect absorption. For vardenafil, a high-fat meal may delay the onset and reduce how quickly the medicine begins to work. Dapoxetine absorption can also be influenced by meal timing.

Practical advice

• Avoid very heavy, fatty meals close to your dose.
• If taking after a meal, consider allowing a longer interval before sex.
• If you notice delays or weaker effects, experiment cautiously with timing in future attempts (without exceeding the maximum frequency).

Alcohol and medicine interactions

Alcohol

Drinking alcohol can worsen erectile function and may increase side effects such as dizziness, sleepiness, or low blood pressure. Dapoxetine can also contribute to nausea or light-headedness in some people.

• Limit alcohol when planning to take Levitra Super Force.
• Avoid binge drinking.
• If you feel faint or unwell, do not take another dose that day and seek advice.

Major medicine interactions (important)

The combination of vardenafil and dapoxetine increases the importance of checking drug interactions. Below are key categories that require careful attention.

1) Nitrates (dangerous interaction)

Do not use vardenafil with nitrates (for chest pain/angina), including: glyceryl trinitrate (GTN), isosorbide dinitrate, isosorbide mononitrate, and similar medicines. This can cause a dangerous drop in blood pressure.

2) “Riociguat” and similar drugs

Medicines containing riociguat should not be combined with PDE5 inhibitors due to blood pressure risks.

3) Alpha-blockers (blood pressure risk)

Some medicines used for prostate enlargement (BPH) or blood pressure—alpha-blockers—may increase the risk of dizziness or low blood pressure when combined with PDE5 inhibitors. Examples include tamsulosin and other alpha-blockers (choice and dosing matter).

4) Strong CYP3A4 inhibitors/inducers (affects levels)

Vardenafil and dapoxetine can be affected by liver enzymes, particularly CYP3A4. Drugs that strongly inhibit or induce these enzymes can change drug levels and side effect risk.

• Strong inhibitors (may increase levels): certain antifungals (like ketoconazole/itraconazole), some HIV medications, and some antibiotics such as clarithromycin.
• Strong inducers (may reduce levels): some seizure medicines and rifampicin.

5) Other serotonergic medicines (risk of serotonin syndrome)

Dapoxetine is a serotonin-modulating medicine. Avoid combining with other serotonergic drugs unless specifically advised. Examples include:

• Other SSRIs or SNRIs
• MAO inhibitors
• Tramadol
• Some migraine medications (triptans)
• St John’s wort (herbal supplement)

6) Seizure threshold and bleeding risk (caution)

SSRIs can increase bleeding tendency in some people, especially when combined with medicines that also affect bleeding (such as certain blood thinners or anti-platelet medicines). Dapoxetine also requires caution in people with certain medical conditions.

Always provide a full list of medicines, supplements, and herbal products you take to your pharmacist.

Indications (what it is used for)

Levitra Super Force is generally indicated for adult men with:

• Erectile dysfunction (inability to get or keep an erection sufficient for satisfactory sexual performance), and
• Premature ejaculation (early ejaculation that causes distress and occurs with minimal delay after penetration).

It should be used as directed for your specific product strength and your individual situation.

Dosing: how much to take

Because product strengths can vary, use the dose written on your pack and the guidance provided when dispensing. The general principles below apply to combination PDE5 inhibitors with dapoxetine.

General dosing principles

• On-demand use: taken before sexual activity.
• Do not exceed the maximum frequency stated on the packaging.
• Do not take more than one dose in a given time period to “make it work faster.”

Typical approach

Many patients start with the lowest effective dose available for the combination, especially if they are older, sensitive to side effects, or taking interacting medicines. Your healthcare professional may adjust the dose based on response and tolerability.

If you miss a dose

Because this is usually used on-demand before sex, “missing a scheduled dose” typically means you simply take it only when needed, following timing instructions. Do not take extra doses to compensate.

Safety profile: side effects and warning signs

Like all medicines, Levitra Super Force can cause side effects. Many are mild and improve as your body adjusts. Some effects can be serious, so it’s important to know what to watch for.

Common side effects

• Headache
• Flushing or feeling warm
• Dizziness or light-headedness
• Nausea
• Indigestion
• Fatigue or sleepiness
• Dry mouth

Less common but important

• Low blood pressure (may feel like faintness)
• Palpitations (feeling heart racing)
• Visual changes (blurring, changes in colour perception)
• Temporary gastrointestinal upset
• Mood changes or increased anxiety (particularly relevant for SSRI-type medicines)

Seek urgent medical help if you experience

• Chest pain or severe shortness of breath
• Fainting or severe dizziness
• Priapism (an erection lasting more than 4 hours)
• Severe allergic reaction (swelling of face/lips, trouble breathing)
• Serotonin syndrome symptoms such as agitation, fever, sweating, tremor, diarrhoea, or confusion

Who should be extra cautious

Extra caution is needed if you have any of the following (or if you’re not sure):

• Significant heart conditions or unstable angina
• Low blood pressure or history of fainting
• Liver impairment
• Kidney impairment
• A history of seizures or conditions affecting seizure risk
• Use of medicines that interact with serotonin
• Taking nitrates or riociguat
• Major psychiatric conditions where SSRIs may not be appropriate

Your pharmacist can help screen for suitability based on your medicines and medical history.

Practical use tips (getting the best and safest result)

• Use only one dose per attempt. Avoid taking additional tablets the same day.
• Start with the recommended timing. If you took it too late and felt no effect, adjust timing for the next attempt (within recommended limits).
• Limit alcohol. Alcohol can reduce erection quality and increase dizziness.
• Check your meal. Very fatty meals may delay or blunt onset.
• Be cautious with driving. If you feel dizzy or drowsy, avoid driving or operating machinery.
• Don’t ignore warning signs. If you feel faint, stop sexual activity and seek medical advice.
• Plan for first-time use. Avoid using it for the first time at an event where you cannot access help if side effects occur.

If you experience repeated side effects, your prescriber or pharmacist may advise a different dose or an alternative treatment strategy.

Alternative options

If Levitra Super Force doesn’t suit your situation, other options may be considered depending on whether the main concern is erections, ejaculation control, or both.

Alternatives for erectile dysfunction

• Other PDE5 inhibitors such as sildenafil, tadalafil, or similar options (choice depends on health profile and interactions).
• Non-PDE5 approaches where appropriate, including lifestyle changes and other medical devices or therapies.

Alternatives for premature ejaculation

• Dapoxetine alone (if erections are otherwise adequate)
• Behavioural strategies (e.g., stop-start techniques)
• Other prescription options depending on assessment

Combination strategies

Some people prefer treating each issue separately to better control dosing, side effects, and timing. A clinician can advise which approach is most appropriate.

Market & legal context in Australia (general information)

In Australia, medicines are regulated under national frameworks that involve classification, therapeutic goods requirements, and pharmacy supply standards. Availability can depend on whether a product is listed/registered for use in Australia and how it is supplied.

When buying online, it’s important to choose a reputable pharmacy that:

• provides clear product details (ingredients, strengths, expiry, manufacturer),
• has appropriate licensing/authorisation for supply,
• offers transparent shipping, tracking, and returns policies, and
• provides access to pharmacist support or clinical screening where required.

If you are unsure about the status of any medicine, contact a local pharmacy for guidance.

Recent guidance (what to consider right now)

Guidance for sexual health medicines often emphasises:

• Interaction screening (especially nitrates, riociguat, and serotonergic medicines)
• Caution with heart conditions and blood pressure
• Monitoring side effects for dizziness, faintness, and mood-related symptoms
• Using the lowest effective dose and avoiding “stacking” doses
• Honest assessment of symptoms (erection issues can sometimes be related to vascular or metabolic conditions)

If symptoms persist or worsen, medical review is recommended to check for underlying causes.

Delivery and availability (online pharmacy)

Delivery times and availability can vary. When ordering online in Australia, common expectations include:

• Product confirmation: you should see the active ingredients and strength before checkout.
• Discreet packaging: most legitimate online pharmacies use discreet packaging for privacy.
• Tracking: tracking is often provided for shipping.
• Expiry and batch checks: products should be within expiry and properly labelled.

For the most accurate information, refer to the pharmacy’s shipping policy and estimated delivery windows at checkout.

FAQ

1) How fast does Levitra Super Force work?

Many people notice effects within about 30–60 minutes for the vardenafil component, but dapoxetine-related effects may build over about 1–2 hours. Food—especially a heavy fatty meal—may delay onset. If it’s your first time, plan to test timing when you can remain comfortable and safe.

2) Can I take it with food?

It can be taken with or without food, but heavy or fatty meals may delay absorption and reduce how quickly it starts working. For best results, avoid large meals close to dosing when possible.

3) How often can I take it?

Follow the maximum frequency stated on your product packaging. Do not exceed it. If you need treatment advice beyond the on-demand schedule, speak to a pharmacist or clinician.

4) Is it safe to drink alcohol while using it?

Alcohol can worsen erection quality and may increase dizziness or low blood pressure. It’s best to limit alcohol and avoid binge drinking.

5) What medicines must I avoid?

Avoid combining with nitrates (e.g., GTN/isosorbide products) and riociguat. Use caution with alpha-blockers, strong liver enzyme inhibitors/inducers, and medicines that increase serotonin. Provide your full medicine list to a pharmacist for safety checks.

6) What if I get side effects like dizziness or nausea?

Stop sexual activity and sit or lie down if you feel faint. Avoid driving. If symptoms are severe, persistent, or concerning (such as chest pain, fainting, or signs of serotonin syndrome), seek urgent medical assistance.

7) Can it cause priapism?

Although uncommon, any PDE5 inhibitor can rarely be associated with priapism—a persistent erection lasting more than 4 hours. If this occurs, seek emergency care immediately.

8) Will it help if my erection problem is mainly from stress or performance anxiety?

It can help some people, but erections can also be affected by anxiety, relationship factors, sleep, cardiovascular health, smoking, and other medical issues. If psychological factors are significant, behavioural approaches and lifestyle changes may improve outcomes, alongside medical therapy when appropriate.

9) Are there natural alternatives?

Lifestyle approaches can support sexual health, including exercise, weight management, reduced smoking, limiting alcohol, and stress reduction. However, for erectile dysfunction and premature ejaculation, evidence-based medical treatments tend to be more predictable than supplements. Be cautious with unregulated “male enhancement” products.

10) Where can I get help if I’m not sure it’s suitable?

Use the pharmacist support available through a reputable Australian pharmacy, and provide your medication list and medical history. This helps prevent harmful interactions and supports choosing a safe dose or alternative.

Key takeaways

• Levitra Super Force combines vardenafil (erection support) and dapoxetine (delay ejaculation).
• Take it with good timing—often 30–60 minutes before sex (food may delay onset).
• Avoid nitrates and riociguat due to serious blood pressure risk.
• Limit alcohol and watch for dizziness or faintness.
• If you have repeated side effects or your symptoms persist, seek medical review.

This page is for general educational purposes and does not replace personalised medical advice. Always follow the instructions provided with your specific product and consult a healthcare professional if you have concerns.