Levifil 20mg Tablet is used to treat erectile dysfunction. Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Levifil 20mg Tablet does not prevent pregnancy or the spread of sexually transmitted diseases. It does not increase sexual desire or cure erectile dysfunction. 
 
Levifil 20mg Tablet contains ‘vardenafil’, which works by relaxing the blood vessels in the penis, thereby allowing the blood to flow into the penis when the person is sexually excited. It reduces the action of natural chemicals in the body, which makes erections go away. Thereby, Levifil 20mg Tablet helps treat erectile dysfunction. Levifil 20mg Tablet helps the person to get an erection only if he is sexually stimulated.
 
You are advised to take Levifil 20mg Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects such as headache, dizziness, flushing, indigestion, and runny nose. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Do not take Levifil 20mg Tablet if you are taking nitrates (used to treat angina), or riociguat (used to treat pulmonary hypertension); if you have heart problems/stroke or low blood pressure. Levifil 20mg Tablet is not intended for use in women. Levifil 20mg Tablet may cause dizziness, so drive with caution. Avoid consuming alcohol as it might make erectile difficulties worse. Levifil 20mg Tablet is not recommended for children below 18 years. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Levifil 20mg Tablet belongs to the group of medicines called phosphodiesterase type-5 inhibitors primarily used to treat erectile dysfunction (impotence). Levifil 20mg Tablet works by relaxing the blood vessels in the penis, thereby allowing the blood to flow into the penis when the person is sexually excited. It reduces the action of natural chemicals in the body, which make erections go away. Thereby, Levifil 20mg Tablet helps treat erectile dysfunction. Levifil 20mg Tablet helps the person to get an erection only if he is sexually stimulated.

• Headache
• Dizziness
• Flushing
• Indigestion
• Runny nose 
• Nausea
• Back pain
• Stomach upset

Do not take Levifil 20mg Tablet if you are allergic to any of its components; if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension), medicines used to treat HIV, if you are over 75 years and are taking antifungal medicines; if you have/had severe heart problems or liver problems, kidney dialysis, recently had a heart attack or stroke, low blood pressure, degenerative eye diseases, or non-arteritic ischemic optic neuropathy. Inform your doctor if you have heart problems, irregular heart rhythm, priapism (prolonged erection), sickle cell anaemia, multiple myeloma, leukaemia, epilepsy, deformed penis shape, low levels of potassium in the blood, stomach ulcers, or bleeding disorders. Consult your doctor immediately if you experience decreased vision, loss of vision or colour vision changes whilst taking Levifil 20mg Tablet. Levifil 20mg Tablet is not intended for use in women and children below 18 years. Levifil 20mg Tablet may cause dizziness, so drive with caution.

Drug-Drug Interactions: Levifil 20mg Tablet may interact with anti-angina medicines (nitroglycerin, amyl nitrite, butyl nitrate), a vasodilator (riociguat), anti-arrhythmic (quinidine, procainamide, amiodarone, sotalol), antifungal (ketoconazole, itraconazole), alpha-blocker (tamsulosin, terazosin, alfuzosin), anti-HIV (ritonavir, indinavir), calcium channel blocker (nifedipine).  Inform your doctor if you are taking St. John’s wort (a herbal supplement).

Drug-Food Interactions: Grapefruit might interact with Levifil 20mg Tablet leading to unwanted side effects. Therefore, avoid consumption of grapefruit or grapefruit juice while taking Levifil 20mg Tablet.

Drug-Disease Interactions: Inform your doctor if you have heart problems or liver problems, kidney dialysis, recently had a heart attack or stroke, low blood pressure, degenerative eye diseases, or non-arteritic ischemic optic neuropathy (loss of vision due to damage to optic nerve).

• NITROGLYCERIN
• AMYL NITRITE
• RIOCIGAUT
• QUINIDINE
• PROCAINAMIDE
• AMIODARONE
• SOTALOL
• KETOCONAZOLE
• ITRACONAZOLE
• TAMSULOSIN
• TERAZOSIN
• ALFUZOSIN
• RITONAVIR
• INDINAVIR
• NIFEDIPINE

• Maintaining a healthy weight, eating a balanced diet, and regular exercising may help you manage erectile dysfunction. 

• Avoid the consumption of alcohol, as it might make erectile difficulties worse.

• Avoid the usage of tobacco.

• Share intimate time with your partner.

• Stay sexually active to prevent further problems with erectile dysfunction.

• Do not take Levifil 20mg Tablet more than once in a day. Take Levifil 20mg Tablet only as prescribed by the doctor.
• Talk to your doctor if the erection persists for greater than four hours or if you have a painful erection.

Erectile dysfunction: It is the inability to keep a hard and erect penis suitable for sexual intercourse. It could be a sign of physical or psychological conditions such as fear of sexual failure, anxiety, depression, low self-esteem, or stress. Certain health-related factors such as smoking, drinking, being overweight, being physically inactive, and high blood pressure also contribute to erectile dysfunction. Symptoms of erectile dysfunction include difficulty in getting an erection, difficulty in maintaining the erection during intercourse and decreased sexual desire.