ZHEWITRA 60

What is ZHEWITRA 60?

ZHEWITRA 60 is a medication for men containing vardenafil and is used for erectile dysfunction. This condition is characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. The product belongs to the phosphodiesterase type 5 inhibitors, abbreviated as PDE-5. The medication does not increase sexual desire and works only in the presence of sexual stimulation.

ZHEWITRA 60 is produced in the form of oral tablets and is positioned as a generic version of Levitra. The manufacturer is the pharmaceutical company Sunrise Remedies. One tablet contains 60 mg of vardenafil, which significantly exceeds the usual recommended doses of this substance. Therefore, self-administration of a whole tablet without a doctor's prescription can be dangerous.

The action of vardenafil is associated with improving blood flow to the corpora cavernosa of the penis during sexual arousal. The onset of the effect is possible within approximately 25–60 minutes, but the response rate depends on food, concomitant diseases, and individual body characteristics. The duration of clinical action is usually several hours, but this does not mean a continuous erection. Before taking ZHEWITRA 60, a consultation with a doctor is required to assess cardiovascular risk and choose a safe dose.

What is ZHEWITRA 60 prescribed for?

The main indication is erectile dysfunction of various origins. It can be associated with vascular disorders, diabetes mellitus, neurological diseases, side effects of certain medications, or psychological factors. Vardenafil facilitates the natural erectile response but does not eliminate the root cause of the disorder. For a stable result, diagnosis and treatment of concomitant conditions are important.

ZHEWITRA 60 is sometimes considered in case of insufficient response to lower doses of PDE-5 inhibitors, but only after a medical examination. The high concentration of 60 mg is not a standard starting dose of vardenafil and does not guarantee a better result. Increasing the amount of the active substance increases the risk of headache, drop in blood pressure, visual disturbances, and other reactions. The doctor may recommend a different dose, dividing the tablet only if there is a score line and authorization in the instructions, or an alternative medication.

The drug is not intended to enhance sexual performance in men without erectile dysfunction. It also does not treat infertility, premature ejaculation, or decreased libido. Sexual stimulation is a necessary condition for its action, as the tablet does not cause an erection automatically. Individual body response may vary, so efficacy and tolerability are evaluated separately for each patient.

Composition and active ingredients of ZHEWITRA 60

The active component of ZHEWITRA 60 is vardenafil at a dose of 60 mg, usually presented in the form of its corresponding salt. It selectively inhibits the PDE-5 enzyme, which breaks down cyclic guanosine monophosphate. The accumulation of this signaling molecule promotes the relaxation of vascular smooth muscles and blood flow to the penis. The mechanism is triggered by the natural release of nitric oxide during sexual arousal.

Excipients form the tablet, ensuring its strength, stability, coloring, and disintegration after swallowing. The exact list of fillers, colorants, and coating components should be checked on the packaging or in the official instructions of the specific batch. This is especially important in the presence of allergies, lactose intolerance, or sensitivity to dyes. Excipients do not provide therapeutic action but can affect the tolerability of the drug.

Dosage of ZHEWITRA 60

Standard recommended doses of vardenafil for most adult men are usually lower than 60 mg. The starting dose is determined by the doctor, taking into account age, liver condition, concomitant diseases, and other medications taken. ZHEWITRA 60 should not be used as a starting dose without a direct medical prescription. Exceeding the recommended amount does not increase the effect proportionally but increases the likelihood of undesirable effects.

Vardenafil is usually taken as needed, no more than once within 24 hours. This is not a course treatment in the usual sense, but a medication for use before planned sexual activity. The frequency and duration of use are determined by efficacy, tolerability, and health status. If the result is insufficient, repeating the dose on the same day on your own is prohibited.

Dose adjustment may be necessary for elderly men, patients with impaired liver function, or those taking medications that slow down the breakdown of vardenafil. In severe renal or hepatic insufficiency, the decision is made after a specialized evaluation. The tablet must not be divided unless the manufacturer has provided a precise division and a corresponding score line. Overdose requires medical attention, especially in case of severe weakness, fainting, chest pain, or prolonged erection.

How to take ZHEWITRA 60 correctly?

The tablet is swallowed with water, approximately 25–60 minutes before sexual activity. The drug can be taken regardless of food intake, but high-fat and excessively high-calorie food can delay the onset of the effect. Do not chew or crush the tablet unless permitted by the instructions. Sexual arousal is necessary for the drug to work.

Since ZHEWITRA 60 is used as needed, the concept of a missed dose usually does not apply to this drug. Do not take an extra tablet if the planned intimacy did not take place or the expected effect did not occur. At least 24 hours must pass between doses unless the doctor has set a stricter limit. Combining vardenafil with sildenafil, tadalafil, or other erectile dysfunction medications is dangerous.

Before starting use, it is necessary to inform the doctor about heart diseases, fainting, low blood pressure, rhythm disorders, and all medications taken. Sexual activity puts physical strain on the body, so in case of an unstable heart condition, it may be contraindicated. After taking the medication, you should not stand up abruptly if dizziness or weakness occurs. The individual response of the body is unpredictable, especially after the first dose.

Side effects of ZHEWITRA 60

Common side reactions include headache, facial flushing, nasal congestion, dyspepsia, and dizziness. Nausea, feeling of warmth, palpitations, back or muscle pain are also possible. Usually, these manifestations are mild or moderate in nature and pass on their own. Due to the high dose of vardenafil, the frequency and intensity of reactions may increase.

Fluctuations in blood pressure, tachycardia, rash, swelling, photophobia, or changes in color perception occur uncommonly. Rare but dangerous conditions include severe allergic reactions, sudden deterioration of hearing or vision, and priapism. Priapism is a painful erection lasting more than four hours that requires emergency treatment. Delay can cause irreversible damage to the tissues of the penis.

Immediate medical attention is required in case of chest pain, fainting, shortness of breath, severe weakness, or stroke symptoms. If chest pain occurs after taking vardenafil, you must not take nitroglycerin or other nitrates on your own. The medical professional must be informed of the time the medication was taken. Any persistent or unusual side effect is a reason to discontinue use until consulting a doctor.

Contraindications of ZHEWITRA 60

Combining vardenafil with nitrates, nitric oxide donors, and guanylate cyclase stimulators is absolutely forbidden, as a critical drop in blood pressure is possible. The drug is contraindicated in case of allergy to its components and in conditions where sexual activity is undesirable due to severe cardiac pathology. Caution is required in unstable angina, recent myocardial infarction or stroke, severe hypotension, and dangerous rhythm disorders. Congenital prolongation of the QT interval is of particular importance, as it represents electrical instability of the heart capable of provoking arrhythmia.

Relative contraindications include anatomical deformation of the penis, predisposition to priapism, peptic ulcer disease, blood clotting disorders, and severe liver or kidney diseases. Hereditary degenerative retinal diseases and history of non-arteritic anterior ischemic optic neuropathy require separate evaluation. Under such circumstances, the potential benefit must be carefully weighed against the risk. Self-treatment with a high dose is unacceptable.

ZHEWITRA 60 is not intended for women, so it is not used during pregnancy and breastfeeding. The drug is also not used in children and adolescents under 18 years of age. Elderly men often require a lower starting dose due to concomitant diseases and slower elimination of the drug. Age itself is not an absolute prohibition but requires particularly careful dosage selection.

Interaction of ZHEWITRA 60 with other drugs and alcohol

Nitrates and riociguat are incompatible with vardenafil due to the risk of dangerous hypotension. Alpha-blockers, certain antihypertensive drugs, antiarrhythmic agents, macrolide antibiotics, antifungal medicines, and drugs against human immunodeficiency virus can alter its action. Grapefruit and grapefruit juice can increase the concentration of vardenafil in the blood. A complete list of medications, herbal remedies, and supplements must be provided to the doctor before the first dose.

Alcohol can increase dizziness, lower blood pressure, and impair erection, so its amount should be limited as much as possible. Significant doses of alcohol taken with ZHEWITRA 60 increase the risk of fainting and cardiovascular reactions. In case of visual impairment, dizziness, or weakness, you must not drive vehicles or work with machinery. Returning to driving is permitted only after the complete disappearance of symptoms and evaluation of individual reaction.

Where to buy ZHEWITRA 60 in Ukraine

ZHEWITRA 60 can be searched for in licensed pharmacies or verified pharmacy ordering services, but availability and registration status should be clarified at the time of purchase. It is important to check the integrity of the packaging, batch number, expiration date, manufacturer details (Sunrise Remedies), and the presence of instructions. Offers without confirmation of origin pose a risk of purchasing a counterfeit product with an unknown composition. Before ordering, a doctor's consultation is necessary, and dispensing must comply with the current requirements of Ukraine.

Store the tablets in their original packaging, in a dry place inaccessible to children, observing the temperature specified by the manufacturer. During delivery, the drug must be protected from moisture, overheating, and damage. Do not use tablets with changed color, damaged coating, or an expired shelf life. Safe use of ZHEWITRA 60 implies confirmed product quality, individually selected dose, and medical supervision.