Extreme Levifil Super Power: Vardenafil 40mg + Dapoxetine 60mg Complete Guide

1. Basic Product Information

Product Name

Extreme Levifil Super Power

Manufacturer

Ambitree India

Dosage Form and Packaging

• Yellow round tablets

• 10 tablets per strip

Active Ingredients (Per Tablet)

• Vardenafil 40mg
  Erectile function support ingredient belonging to the PDE5 inhibitor class.

• Dapoxetine Hydrochloride 60mg
  A short-acting serotonin reuptake inhibitor used for premature ejaculation management.

Shelf Life

• 36 months

Indications

Designed for adult men aged 18–60 experiencing both:

• Erectile dysfunction (ED)

• Primary premature ejaculation (PE)

The product is intended to support erection firmness and improve ejaculation control.

It does not increase sexual desire and requires sexual stimulation to work.

2. Pharmacological Actions

1. How Vardenafil Works

Vardenafil works by inhibiting the PDE5 enzyme in penile tissue.

During sexual stimulation, it may:

• Relax penile blood vessels

• Increase blood flow

• Support stronger and longer-lasting erections

Vardenafil does not cause erections without sexual stimulation.

2. How Dapoxetine Works

Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI).

It works by affecting serotonin activity in the nervous system and may:

• Improve ejaculation control

• Increase ejaculation latency time

• Reduce sensitivity related to premature ejaculation

Dapoxetine is rapidly metabolized and does not have the same accumulation characteristics as long-acting antidepressant SSRIs.

3. Combined Benefits

The combination of vardenafil and dapoxetine is designed to address two common male sexual health concerns:

• Difficulty achieving or maintaining erections

• Difficulty controlling ejaculation

The formulation combines erectile support with ejaculation control in one product.

3. Dosage and Administration

Recommended Dose

• Maximum: 1 tablet within 24 hours

• Do not take additional doses on the same day

For first-time users, medical advice is recommended before use.

When to Take

• Take 30–90 minutes before sexual activity

• Swallow the tablet whole with water

• Do not chew or crush

Absorption may be faster on an empty stomach.

A high-fat meal may delay onset.

Onset and Duration

According to product information:

• Possible onset: approximately 15–30 minutes when taken on an empty stomach

• Duration: may last several hours depending on individual response

Drink sufficient water after taking the medication if dizziness or nausea occurs.

4. Absolute Contraindications

Do not use this product if you:

1. Are allergic to vardenafil, dapoxetine, or any ingredients.

2. Are taking nitrate medications such as:

• Nitroglycerin

• Isosorbide mononitrate

3. Have a recent history of:

• Heart attack

• Stroke

• Unstable angina

• Severe heart failure

4. Have:

• Severe uncontrolled hypertension

• Persistent low blood pressure

• Serious heart rhythm disorders

5. Have severe liver disease or end-stage kidney disease.

6. Have inherited retinal disorders or certain acute eye conditions.

7. Are under 18 years old.

8. Are female.

9. Are using other PDE5 inhibitors, such as:

• Sildenafil

• Tadalafil

• Other erectile dysfunction medications.

10. Have epilepsy, bipolar disorder, or severe psychiatric disorders.

5. People Who Should Use With Medical Advice

Consult a healthcare professional before use if you have:

• Age over 60 years

• Mild to moderate liver or kidney problems

• Long-term use of blood pressure medication

• Use of alpha-blockers

• Mild cardiovascular disease

• Active stomach ulcers

• Bleeding disorders

• Diabetes

• Eye-related vascular disease

6. Drug Interactions

Avoid Combining With:

Nitrate Medications

Combining PDE5 inhibitors with nitrates may cause dangerous blood pressure reduction.

Blood Pressure Medicines and Alpha Blockers

May increase the risk of:

• Dizziness

• Low blood pressure

• Fainting

Strong CYP3A4 Inhibitors

Examples:

• Ketoconazole

• Ritonavir

These medicines may increase vardenafil concentration and increase side effects.

Alcohol and Grapefruit Juice

May increase:

• Headache

• Dizziness

• Low blood pressure

• Nausea

They may also reduce treatment effectiveness.

Other SSRIs

Combining dapoxetine with other SSRIs may increase the risk of serotonin-related adverse reactions.

Anticoagulants

Medicines such as warfarin may slightly increase bleeding risk.

7. Possible Side Effects

Mild Common Side Effects

Usually temporary:

Vardenafil-related:

• Headache

• Facial flushing

• Nasal congestion

• Mild stomach discomfort

Dapoxetine-related:

• Dizziness

• Nausea

• Dry mouth

• Mild diarrhea

• Fatigue

Management:

• Rest if dizziness occurs

• Drink water

• Avoid standing suddenly

Moderate Side Effects

Stop use and seek medical advice if symptoms continue:

• Persistent vomiting

• Severe dizziness

• Chest discomfort

• Palpitations

• Blurred vision

• Skin rash

Serious Reactions

Seek emergency medical attention immediately if you experience:

• Erection lasting more than 4 hours

• Sudden hearing loss

• Severe tinnitus

• Sudden vision loss

• Chest pain

• Difficulty breathing

• Severe drop in blood pressure

• Fainting

• Muscle stiffness, high fever, confusion

• Severe allergic reactions

8. Food and Lifestyle Precautions

Avoid:

1. Alcohol consumption, as it may increase low blood pressure risk.

2. Grapefruit or grapefruit juice within 24 hours of use.

3. High-fat meals that may delay absorption.

After taking the medication, avoid:

• Driving

• Operating heavy machinery

• High-risk activities if dizziness occurs

9. Special Population Information

Elderly Men

Men over 60 may have slower metabolism and increased risk of side effects. Medical evaluation is recommended.

Liver and Kidney Problems

• Mild impairment: dose adjustment may be required.

• Moderate to severe impairment: generally not recommended.

Men Planning Pregnancy

Current information does not indicate a clear effect on fertility, but consultation with a healthcare professional is recommended.

Women and Adolescents

Not indicated and should not be used.

10. Storage Conditions

Store:

• At room temperature (15–30°C)

• In a cool, dry place

• Away from direct sunlight and moisture

• Away from children

Keep tablets sealed in aluminum packaging until use.

Do not use expired medication.

11. Important Safety Information

• This product provides temporary symptom improvement and does not permanently cure ED or PE.

• Use only when needed before sexual activity.

• Do not take daily unless prescribed by a healthcare professional.

• If one dose does not work, do not increase the dose within 24 hours.

• Overuse may increase cardiovascular risks.

• If chest pain occurs after use, seek emergency medical help.

Long-term sexual health problems should be evaluated by a qualified healthcare provider to identify possible underlying causes such as hormonal, vascular, or metabolic problems.

Why Results May Differ Between Individuals

The effectiveness of ED and PE medications varies from person to person.

Factors affecting results may include:

• Metabolism differences

• Cardiovascular health

• Diabetes and hypertension

• Psychological factors

• Medication timing

• Lifestyle factors

A medication may work well for one person but provide limited benefits for another.

Do not increase dosage, combine different ED medications, or use multiple products without medical guidance.

Product Specifications