Vardenafil (INN) is a PDE5 inhibitor used in
the treatment of erectile dysfunction. It can assist men with this
disorder in achieving and maintaining an erection during sexual
activity. It is commonly marketed under the trade name Levitra (Bayer
AG).
History. Vardenafil was co-marketed by Bayer Pharmaceuticals
and (GSK) under the trade name Levitra. As of 2005, the co-promotion
rights of GSK on Levitra have been "transferred back"
to Bayer in many markets outside of the United States. In Italy,
Bayer markets the product as Levitra and GSK markets the product
as Vivanza. Due to European Union trade rules, parallel imports
may result in the Vivanza branded packs being seen alongside Levitra
packs in pharmacies in other EU member states.
Clinical use. Main article: PDE5 inhibitor
Indications and contraindications are as for other PDE5 inhibitors.
As a PDE5 inhibitor, vardenafil is closely related in both function
and marketing to sildenafil and tadalafil; it has a relatively short
effective time, comparable to sildenafil.
Adverse drug reactions. More common adverse drug
reactions (ADRs) are as per other PDE5 inhibitors and are listed
on that page.
Common vardenafil-specific ADRs include: nausea. Infrequent ADRs
include: abdominal pain, back pain, photosensitivity, abnormal vision,
eye pain, facial oedema, hypertension, palpitation, tachycardia,
arthralgia, myalgia, rash, itch, priapism. (Rossi, 2004)
The use of products containing vardenafil has also been associated
with serious side-effects which include serious cardiac events such
as heart attacks. In rare cases, the use of vardenafil may result
in penile tissue damage and permanent loss of potency. Health Canada
(2006)
Drug interactions. Products containing vardenafil
should not be used by individuals who are taking any nitrate medication
because combining these products could result in the development
of potentially life-threatening low blood pressure.
Dose forms. It is available in 2.5 mg, 5 mg, 10
mg, and 20 mg doses in round orange tablets. The normal starting
dose is 10 mg (roughly equivalent to 50 mg of sildenafil). Vardenafil
should be taken 25–60 minutes prior to sexual activity, with
a maximum dose frequency of once per day.
In some territories, such as the UK, only certain doses may be
available, i.e. 5 mg, 10 mg, and 20 mg.
References. Rossi, S. (Ed.) (2004). Australian
Medicines Handbook 2004. Adelaide: Australian Medicines Handbook.
ISBN 0-9578521-4-2
Marketing
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See also
Sildenafil (Viagra)
Tadalafil (Cialis)
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