Vardenafil
11.85 mg · Tablet
- Prescription only
- Phosphodiesterase 5 Inhibitor
- Active substance
- Vardenafil
- Made by
- Macleods Pharmaceuticals Limited
- Source
- Official label
Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.
At a glance
Quoted from the official label · 2025-01-31
Phosphodiesterase 5 Inhibitor
- Vardenafil orally disintegrating tablet is indicated for the treatment of erectile dysfunction. Vardenafil is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. ( 1 )
Vardenafil orally disintegrating tablet is not interchangeable with vardenafil 10 mg film-coated tablets (LEVITRA).
( 2.1 ) The maximum recommended dosing frequency is one tablet per day.
Full directions ↓Administration with nitrates and nitric oxide donors ( 2.4 , 4.1 ) Administration with guanylate cyclase (GC) stimulators, such as riociguat ( 2.4 , 4.2 )
All warnings ↓- Prescription only
- FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-01
Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed
What it is for
- Vardenafil orally disintegrating tablet is indicated for the treatment of erectile dysfunction. Vardenafil is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. ( 1 )
From the official label · 2025-01-31 · DailyMed
How it works
From this product’s own US prescribing label.
Penile erection is a hemodynamic process initiated by the relaxation of smooth muscle in the corpus cavernosum and its associated arterioles.
During sexual stimulation, nitric oxide is released from nerve endings and endothelial cells in the corpus cavernosum.
Vardenafil is metabolized predominantly by the hepatic enzyme CYP3A4, with contribution from the CYP3A5 and CYP2C isoforms.
After oral administration, vardenafil is excreted as metabolites predominantly in the feces (approximately 91–95% of administered oral dose) and to a lesser extent in the urine (approximately 2–6% of administered oral dose).
Effect of food: A high fat meal had no effect on vardenafil AUC and T max from vardenafil orally disintegrating tablet in healthy volunteers and reduced C max by 35%.
Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2025-01-31
Do not take it if
- Administration with nitrates and nitric oxide donors ( 2.4 , 4.1 ) Administration with guanylate cyclase (GC) stimulators, such as riociguat ( 2.4 , 4.2 )
- 4.1 Nitrates Administration of vardenafil orally disintegrating tablet with nitrates (either regularly and/or intermittently) and nitric oxide donors is contraindicated [see Clinical Pharmacology ( 12.2 )] .
- Consistent with the effects of PDE5 inhibition on the nitric oxide/cyclic guanosine monophosphate pathway, PDE5 inhibitors, including vardenafil orally disintegrating tablet, may potentiate the hypotensive effects of nitrates.
- A suitable time interval following vardenafil orally disintegrating tablet dosing for the safe administration of nitrates or nitric oxide donors has not been determined.
- Guanylate Cyclase (GC) Stimulators
- Do not use vardenafil orally disintegrating tablet in patients who are using a GC stimulator, such as riociguat.
- PDE5 inhibitors, including vardenafil orally disintegrating tablet may potentiate the hypotensive effects of GC stimulators.
Quoted from the official label, section “Contraindications”.
How to take it
These directions are for this exact strength and form. Another one is different.
- Vardenafil orally disintegrating tablet is not interchangeable with vardenafil 10 mg film-coated tablets (LEVITRA).
- Vardenafil orally disintegrating tablet provides higher systemic exposure compared to vardenafil 10 mg film-coated tablets (LEVITRA).
- ( 2.1 ) Vardenafil orally disintegrating tablet is taken as needed, orally, approximately 60 minutes before sexual activity.
- ( 2.1 ) The maximum recommended dosing frequency is one tablet per day.
- ( 2.1 ) Vardenafil orally disintegrating tablet should be placed on the tongue where it will disintegrate.
- It should be taken without liquid.
- ( 2.1 ) Vardenafil orally disintegrating tablet may be taken with or without food.
- ( 2.2 )
- 2.1 General Vardenafil is available in 10 mg orally disintegrating tablets.
- Vardenafil orally disintegrating tablet is not interchangeable with vardenafil 10 mg film-coated tablets (LEVITRA).
- Vardenafil orally disintegrating tablet provides higher systemic exposure compared to vardenafil 10 mg film-coated tablets (LEVITRA). [See Clinical Pharmacology ( 12.3 ).] Vardenafil orally disintegrating tablet should be taken orally, as needed, approximately 60 minutes before sexual activity.
- The maximum dosing frequency is one Vardenafil orally disintegrating tablet per day.
- Sexual stimulation is required for a response to treatment.
- Vardenafil orally disintegrating tablet should be placed on the tongue where it will disintegrate.
- The tablet should be taken without liquid.
- It should be taken immediately upon removal from the blister.
- Those patients who require a lower or higher dose of vardenafil need to be prescribed vardenafil film-coated tablets [see Patient Counseling Information ( 17)] .
- 2.2 Use with Food Vardenafil orally disintegrating tablet can be taken with or without food.
- 2.3 Use in Special Populations Hepatic Impairment:
- Do not use vardenafil orally disintegrating tablet in patients with moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment [see Warnings and Precautions ( 5.8 ) and Clinical Pharmacology ( 12.3)] .
- Renal Impairment:
- Do not use vardenafil orally disintegrating tablet in patients on renal dialysis [see Warnings and Precautions ( 5.9 ) and Clinical Pharmacology ( 12.3 )].
- 2.4 Concomitant Medications Nitrates :
- Concomitant use with nitrates in any form is contraindicated [see Contraindications (4.1)] .
- Guanylate Cyclase (GC) Stimulators, such as riociguat:
- Concomitant use is contraindicated [see Contraindications ( 4.2 )].
- CYP3A4 Inhibitors:
- Do not use vardenafil orally disintegrating tablet with strong or moderate CYP3A4 inhibitors such as cobicistat ,ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, atazanavir, clarithromycin and erythromycin [see Warnings and Precautions ( 5.2) and Drug Interactions ( 7.2 )] .
- Alpha-Blockers:
- In those patients who are stable on alpha-blocker therapy, PDE5 inhibitors should be initiated at the lowest recommended starting dose.
- Stepwise increase in alpha-blocker dose may be associated with further lowering of blood pressure in patients taking a phosphodiesterase (PDE5) inhibitor including vardenafil.
- In patients taking alpha-blockers, do not initiate vardenafil therapy with vardenafil orally disintegrating tablet.
- Lower doses of vardenafil film-coated tablets should be used as initial therapy in these patients [see Dosage and Administration ( 2.4)] .
- Patients taking alpha-blockers who have previously used vardenafil film-coated tablets may change to vardenafil orally disintegrating tablet at the advice of their healthcare provider. [See Warnings and Precautions ( 5.6 ) and Drug Interactions ( 7.1).] A time interval between dosing should be considered when vardenafil orally disintegrating tablet is prescribed concomitantly with alpha-blocker therapy [see Clinical Pharmacology ( 12.2 )].
Quoted from the official label, section “Dosage & Administration”.
Other warnings
- The evaluation of erectile dysfunction should include a medical assessment, a determination of potential underlying causes and the identification of appropriate treatment.
- Before prescribing vardenafil orally disintegrating tablet, it is important to note the following:
- Cardiovascular Effects:
- Patients should not use vardenafil orally disintegrating tablet if sex is inadvisable due to cardiovascular status.
- ( 5.1 ) Strong and Moderate CYP3A4 Inhibitors:
- Do not use vardenafil orally disintegrating tablet in patients taking strong or moderate CYP3A4 inhibitors.
- ( 5.2 , 7.2 ) Risk of Priapism:
- In the event that an erection lasts more than 4 hours, the patient should seek immediate medical assistance.
- ( 5.3 ) Effects on the Eye:
- Patients should
- stop use of vardenafil orally disintegrating tablet, and seek medical attention in the event of sudden loss of vision in one or both eyes, which could be a sign of non arteritic anterior ischemic optic neuropathy (NAION).
- Vardenafil orally disintegrating tablet should be used with caution, and only when the anticipated benefits outweigh the risks, in patients with a history of NAION.
- Patients with a “crowded” optic disc may also be at an increased risk of NAION.
- ( 5.4 , 6.2 ) Sudden Hearing Loss:
- Patients should stop vardenafil orally disintegrating tablet and seek medical attention in the event of sudden decrease or loss in hearing.
- ( 5.5 , 6.2 ) Alpha-Blockers:
- Caution is advised when PDE5 inhibitors are coadministered with alpha-blockers.
- In some patients, concomitant use of these two drug classes can lower blood pressure significantly leading to symptomatic hypotension (for example, fainting).
- ( 2.4, 5.6 ) QT Prolongation:
- Patients with congenital QT syndrome or taking class IA or III antiarrhythmics should
- avoid using vardenafil orally disintegrating tablet.
- ( 5.7 , 12.2 ) Phenylketonurics:
- Each vardenafil orally disintegrating tablet contains 3.36 mg phenylalanine per tablet, which could be harmful for patients with phenylketonuria.
- ( 5.12)
- 5.1 Cardiovascular Effects General Physicians should consider the cardiovascular status of their patients, since there is a degree of cardiac risk associated with sexual activity.
- Therefore, treatment for erectile dysfunction, including vardenafil orally disintegrating tablet, should not be used in men for whom sexual activity is not recommended because of their underlying cardiovascular status.
- There are no controlled clinical data on the safety or efficacy of vardenafil in the following patients; and therefore its use is not recommended until further information is available:
- unstable angina; hypotension (resting systolic blood pressure of <90 mmHg); uncontrolled hypertension (>170/110 mmHg); recent history of stroke, life-threatening arrhythmia, or myocardial infarction (within the last 6 months); severe cardiac failure.
- Left Ventricular Outflow Obstruction Patients with left ventricular outflow obstruction (for example, aortic stenosis and idiopathic hypertrophic subaortic stenosis) can be sensitive to the action of vasodilators including PDE5 inhibitors.
- Blood Pressure Effects Vardenafil has systemic vasodilatory properties that resulted in transient decreases in supine blood pressure in healthy volunteers (mean maximum decrease of 7 mmHg systolic and 8 mmHg diastolic) [see Clinical Pharmacology ( 12.2 )] .
- While this normally would be expected to be of little consequence in most patients, prior to prescribing vardenafil orally disintegrating tablet, physicians should carefully consider whether their patients with underlying cardiovascular disease could be affected adversely by such vasodilatory effects.
- 5.2 Potential for Drug Interactions with Strong or Moderate CYP3A4 Inhibitors Concomitant administration with strong CYP3A4 inhibitors (such as ritonavir, indinavir, ketoconazole and cobicistat) or moderate CYP3A4 inhibitors (such as erythromycin) increases plasma concentrations of vardenafil.
- Do not use vardenafil orally disintegrating tablet in patients taking strong or moderate CYP3A4 inhibitors. [See Dosage and Administration ( 2.4 ), Drug Interactions ( 7.2 ) and Patient Counseling Information ( 17 ).]
- 5.3 Risk of Priapism There have been rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) for this class of compounds, including vardenafil.
- In the event that an erection persists longer than 4 hours, the patient should seek immediate medical assistance.
- If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result.
- Vardenafil orally disintegrating tablet should be used with caution by patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis, or Peyronie’s disease) or by patients who have conditions that may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia).
- Effects on the Eye Physicians should advise patients to
- stop use of all phosphodiesterase type 5 (PDE5) inhibitors, including vardenafil orally disintegrating tablet, and seek medical attention in the event of sudden loss of vision in one or both eyes.
- Such an event may be a sign of non-arteritic anterior ischemic optic neuropathy (NAION), a rare condition and a cause of decreased vision, including permanent loss of vision, that has been reported rarely postmarketing in temporal association with the use of all PDE5 inhibitors.
- Based on published literature, the annual incidence of NAION is 2.5–11.8 cases per 100,000 in males aged ≥50.
- An observational case-crossover study evaluated the risk of NAION when PDE5 inhibitor use, as a class, occurred immediately before NAION onset (within 5 half-lives), compared to PDE5 inhibitor use in a prior time period.
- The results suggest an approximate 2-fold increase in the risk of NAION, with a risk estimate of 2.15 (95% CI 1.06, 4.34).
- A similar study reported a consistent result, with a risk estimate of 2.27 (95% CI 0.99, 5.20).
- Other risk factors for NAION, such as the presence of “crowded” optic disc, may have contributed to the occurrence of NAION in these studies.
- Neither the rare postmarketing reports, nor the association of PDE5 inhibitor use and NAION in the observational studies, substantiate a causal relationship between PDE5 inhibitor use and NAION [see Adverse Reactions ( 6.2 )] .
- Physicians should consider whether their patients with underlying NAION risk factors could be adversely affected by use of PDE5 inhibitors.
- Individuals who have already experienced NAION are at increased risk of NAION recurrence .
- Therefore, PDE5 inhibitors, including vardenafil orally disintegrating tablet, should be used with caution in these patients and only when the anticipated benefits outweigh the risks.
- Individuals with “crowded” optic disc are also considered at greater risk for NAION compared to the general population, however, evidence is insufficient to support screening of prospective users of PDE5 inhibitors, including vardenafil orally disintegrating tablet, for this uncommon condition.
- Vardenafil orally disintegrating tablet has not been evaluated in patients with known hereditary degenerative retinal disorders, including retinitis pigmentosa, therefore its use is not recommended until further information is available in those patients.
- 5.5 Sudden Hearing Loss Physicians should advise patients to stop taking all PDE5 inhibitors, including vardenafil orally disintegrating tablet, and seek prompt medical attention in the event of sudden decrease or loss of hearing.
- These events, which may be accompanied by tinnitus and dizziness, have been reported in temporal association to the intake of PDE5 inhibitors, including vardenafil.
- It is not possible to determine whether these events are related directly to the use of PDE5 inhibitors or to other factors [see Adverse Reactions ( 6.2 )].
- 5.6 Alpha-Blockers In patients taking alpha-blockers, do not initiate vardenafil therapy with vardenafil orally disintegrating tablet.
- Patients treated with alpha-blockers who have previously used vardenafil film-coated tablets may be changed to vardenafil orally disintegrating tablet at the advice of their healthcare provider.
- In some patients, concomitant use of these two drug classes can lower blood pressure significantly [see Drug Interactions ( 7.1 ) and Clinical Pharmacology ( 12.2 )] leading to symptomatic hypotension (for example, fainting).
- Consideration should be given to the following:
- Patients should be stable on alpha-blocker therapy prior to initiating a PDE5 inhibitor.
- Patients who demonstrate hemodynamic instability on alpha-blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of PDE5 inhibitors.
- In those patients already taking an optimized dose of PDE5 inhibitor, alpha-blocker therapy should be initiated at the lowest dose.
- Stepwise increases in alpha-blocker dose may be associated with further lowering of blood pressure in patients taking a PDE5 inhibitor.
- Safety of combined use of PDE5 inhibitors and alpha-blockers may be affected by other variables, including intravascular volume depletion and other anti-hypertensive drugs.
- 5.7 Congenital or Acquired QT Prolongation In a study of the effect of vardenafil on QT interval in 59 healthy males [see Clinical Pharmacology ( 12.2 )] , therapeutic (10 mg film-coated tablets) and supratherapeutic (80 mg) doses of vardenafil and the active control moxifloxacin (400 mg) produced similar increases in QTc interval.
- A postmarketing study evaluating the effect of combining vardenafil with another drug of comparable QT effect showed an additive QT effect when compared with either drug alone [see Clinical Pharmacology ( 12.2)] .
- These observations should be considered in clinical decisions when prescribing vardenafil to patients with known history of QT prolongation or patients who are taking medications known to prolong the QT interval.
- Patients taking Class 1A (for example, quinidine, procainamide) or Class III (for example, amiodarone, sotalol) antiarrhythmic medications or those with congenital QT prolongation, should
- avoid using vardenafil orally disintegrating tablet.
- Hepatic Impairment
- Do not use vardenafil orally disintegrating tablet in patients with moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment [see Dosage and Administration ( 2.3) Clinical Pharmacology ( 12.3 )] and Use in Specific Populations (8.6 )] .
- Renal Impairment
- Do not use vardenafil orally disintegrating tablet in patients on renal dialysis, as vardenafil has not been evaluated in this population [see Dosage and Administration ( 2.3 ) and Use in Specific Populations ( 8.7 )].
- 5.10 Combination with Other Erectile Dysfunction Therapies The safety and efficacy of vardenafil orally disintegrating tablet used in combination with other treatments for erectile dysfunction have not been studied.
- Therefore, the use of such combinations is not recommended.
- 5.11 Effects on Bleeding In humans, vardenafil film-coated tablet alone in doses up to 20 mg does not prolong the bleeding time.
- There is no clinical evidence of any additive prolongation of the bleeding time when vardenafil is administered with aspirin.
- Vardenafil orally disintegrating tablet has not been administered to patients with bleeding disorders or significant active peptic ulceration.
- Therefore vardenafil orally disintegrating tablet should be administered to these patients after careful benefit-risk assessment.
- 5.12 Phenylketonurics Vardenafil orally disintegrating tablet contains aspartame, a source of phenylalanine which may be harmful for people with phenylketonuria.
- Phenylketonurics:
- Each vardenafil orally disintegrating tablet contains 3.36 mg phenylalanine per tablet.
- 5.13 Fructose Intolerance Vardenafil orally disintegrating tablets does not contain Sorbitol.
- 5.14 Sexually Transmitted Disease The use of vardenafil orally disintegrating tablet offers no protection against sexually transmitted diseases.
- Counseling of patients about protective measures necessary to guard against sexually transmitted diseases, including the Human Immunodeficiency Virus (HIV), should be considered.
Quoted from the official label, section “Warnings”.
Pregnancy and breastfeeding
- Risk Summary Vardenafil orally disintegrating tablet is not indicated for use in females.
- There are no data with the use of vardenafil orally disintegrating tablet in pregnant women to inform any drug-associated risks.
- In animal reproduction studies conducted in pregnant rats and rabbits, no adverse developmental outcomes were observed with oral administration of vardenafil during organogenesis at exposures for unbound vardenafil and its major metabolite at approximately 100 and 29 times, respectively, the maximum recommended human dose (MRHD) of 20 mg based on AUC (see Data) .
- Data Animal Data No evidence of specific potential for teratogenicity, embryotoxicity or fetotoxicity was observed in rats and rabbits that received vardenafil at up to 18 mg/kg/day during organogenesis.
- This dose is approximately 100 fold (rat) and 29 fold (rabbit) greater than the AUC values for unbound vardenafil and its major metabolite in humans given the MRHD of 20 mg.
- In the rat pre-and postnatal development study, the NOAEL (no observed adverse effect level) for maternal toxicity was 8 mg/kg/day.
- Retarded physical development of pups in the absence of maternal effects was observed following maternal exposure to 1 and 8 mg/kg possibly due to vasodilatation and/or secretion of the drug into milk.
- The number of living pups born to rats exposed pre-and postnatally was reduced at 60 mg/kg/day.
- Based on the results of the pre-and postnatal study, the developmental NOAEL is less than 1 mg/kg/day.
- Based on plasma exposures in the rat developmental toxicity study, 1 mg/kg/day in the pregnant rat is estimated to produce total AUC values for unbound vardenafil and its major metabolite comparable to the human AUC at the MRHD of 20 mg.
- IN SPECIFIC POPULATIONS
- Do not use vardenafil orally disintegrating tablet in patients with moderate or severe hepatic impairment.
- ( 8.6 ) Do not use vardenafil orally disintegrating tablet in patients on renal dialysis.
- ( 8.7 )
- 8.1 Pregnancy Risk Summary Vardenafil orally disintegrating tablet is not indicated for use in females.
- There are no data with the use of vardenafil orally disintegrating tablet in pregnant women to inform any drug-associated risks.
- In animal reproduction studies conducted in pregnant rats and rabbits, no adverse developmental outcomes were observed with oral administration of vardenafil during organogenesis at exposures for unbound vardenafil and its major metabolite at approximately 100 and 29 times, respectively, the maximum recommended human dose (MRHD) of 20 mg based on AUC (see Data) .
- Data Animal Data No evidence of specific potential for teratogenicity, embryotoxicity or fetotoxicity was observed in rats and rabbits that received vardenafil at up to 18 mg/kg/day during organogenesis.
- This dose is approximately 100 fold (rat) and 29 fold (rabbit) greater than the AUC values for unbound vardenafil and its major metabolite in humans given the MRHD of 20 mg.
- In the rat pre-and postnatal development study, the NOAEL (no observed adverse effect level) for maternal toxicity was 8 mg/kg/day.
- Retarded physical development of pups in the absence of maternal effects was observed following maternal exposure to 1 and 8 mg/kg possibly due to vasodilatation and/or secretion of the drug into milk.
- The number of living pups born to rats exposed pre-and postnatally was reduced at 60 mg/kg/day.
- Based on the results of the pre-and postnatal study, the developmental NOAEL is less than 1 mg/kg/day.
- Based on plasma exposures in the rat developmental toxicity study, 1 mg/kg/day in the pregnant rat is estimated to produce total AUC values for unbound vardenafil and its major metabolite comparable to the human AUC at the MRHD of 20 mg.
- 8.2 Lactation Risk Summary Vardenafil orally disintegrating tablet is not indicated for use in females.
- There is no information on the presence of vardenafil and its major metabolite in human milk, the effects on the breastfed infant, or the effects on milk production.
- Vardenafil is present in rat milk of lactating rats (see Data) .
- Data Vardenafil was secreted into the milk of lactating rats at concentrations approximately 10-fold greater than found in the plasma.
- Following a single oral dose of 3 mg/kg, 3.3% of the administered dose was excreted into the milk within 24 hours.
- 8.4 Pediatric Use Vardenafil orally disintegrating tablet is not indicated for use in pediatric patients.
- Safety and efficacy in children has not been established.
- 8.5 Geriatric Use Vardenafil AUC and C max in elderly males 65 years or older taking vardenafil orally disintegrating tablet were increased by 39% and 21%, respectively, in comparison to patients aged 45 years and below.
- No overall differences in safety or effectiveness were observed between patients ≥65 years old and those < 65 years old in placebo-controlled clinical trials [see Clinical Pharmacology ( 12.3 )].
- Hepatic Impairment
- Do not use vardenafil orally disintegrating tablet in patients with moderate or severe hepatic impairment.
- In volunteers with mild hepatic impairment (Child-Pugh A), the C max and AUC following a 10 mg vardenafil (film-coated tablets) dose were increased by 22% and 17%, respectively, compared to healthy control subjects.
- Vardenafil orally disintegrating tablet can be used in patients with mild hepatic impairment.
- In volunteers with moderate hepatic impairment (Child-Pugh B), the C max and AUC following a 10 mg vardenafil (film-coated tablets) dose were increased by 130% and 160%, respectively, compared to healthy control subjects.
- Vardenafil has not been evaluated in patients with severe (Child-Pugh C) hepatic impairment.
- Do not use vardenafil orally disintegrating tablet in patients with moderate to severe hepatic impairment. [See Warnings and Precautions ( 5.8 ) and Dosage and Administration ( 2 ).]
- Renal Impairment
- Do not use vardenafil orally disintegrating tablet in patients on renal dialysis.
- In volunteers with mild renal impairment (CLcr = 50 to 80 mL/min), the pharmacokinetics of vardenafil 20 mg film-coated tablets were similar to those observed in a control group with normal renal function.
- In the moderate (CLcr = 30 to 50 mL/min) or severe (CLcr <30 mL/min) renal impairment groups, the AUC of vardenafil was 20 to 30% higher compared to that observed in a control group with normal renal function (CLcr >80 mL/min).
- Vardenafil orally disintegrating tablet can be used in patients with mild, moderate or severe renal impairment.
- Do not use vardenafil orally disintegrating tablet in patients on renal dialysis as vardenafil has not been evaluated in such patients [see Dosage and Administration ( 2.3 ) and Warnings and Precautions ( 5.9 )].
Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.
Other medicines
- The drug interaction studies described below were conducted using vardenafil film-coated tablets.
- Vardenafil orally disintegrating tablet can potentiate the hypotensive effects of nitrates, alpha-blockers, and antihypertensives.
- ( 7.1 )
- Do not use vardenafil orally disintegrating tablet with moderate or strong CYP3A4 inhibitors as coadministration will result in significant increases in plasma vardenafil concentrations.
- (7.2 )
- 7.1 Potential for Pharmacodynamic Interactions with vardenafil orally disintegrating tablet Nitrates:
- Concomitant use of vardenafil orally disintegrating tablet and nitrates is contraindicated.
- The blood pressure lowering effects of sublingual nitrates (0.4 mg) taken 1 and 4 hours after vardenafil and increases in heart rate when taken at 1, 4 and 8 hours after vardenafil were potentiated by a 20 mg dose of vardenafil in healthy middle-aged subjects.
- These effects were not observed when vardenafil 20 mg was taken 24 hours before the nitroglycerin (NTG).
- Potentiation of the hypotensive effects of nitrates for patients with ischemic heart disease has not been evaluated, and concomitant use of vardenafil orally disintegrating tablet and nitrates is contraindicated [see Contraindications ( 4.1 ) and Clinical Pharmacology ( 12.2 )] .
- Alpha-Blockers:
- Patients taking alpha-blockers should not initiate vardenafil therapy with vardenafil orally disintegrating tablet.
- Patients treated with alpha-blockers who have previously used vardenafil film-coated tablets may be switched to vardenafil orally disintegrating tablet at the advice of their healthcare provider.
- Caution is advised when PDE5 inhibitors are co-administered with alpha-blockers.
- PDE5 inhibitors, including vardenafil orally disintegrating tablet and alpha-adrenergic blocking agents are both vasodilators with blood-pressure-lowering effects.
- When vasodilators are used in combination, an additive effect on blood pressure may be anticipated.
- Clinical pharmacology studies have been conducted with co-administration of vardenafil with alfuzosin, terazosin or tamsulosin. [See Dosage and Administration ( 2.4 ), Warnings and Precautions ( 5.6 ), and Clinical Pharmacology ( 12.2 ).] Antihypertensives:
- Vardenafil orally disintegrating tablet may add to the blood pressure lowering effect of antihypertensive agents.
- In a clinical pharmacology study of patients with erectile dysfunction, single doses of 20 mg vardenafil caused a mean maximum decrease in supine blood pressure of 7 mmHg systolic and 8 mmHg diastolic (compared to placebo), accompanied by a mean maximum increase of heart rate of 4 beats per minute.
- The maximum decrease in blood pressure occurred between 1 and 4 hours after dosing.
- Following multiple dosing for 31 days, similar blood pressure responses were observed on Day 31 as on Day 1.
- Alcohol:
- Vardenafil 20 mg did not potentiate the hypotensive effects of alcohol during the 4-hour observation period in healthy volunteers when administered with alcohol (0.5 g/kg body weight:
- approximately 40 mL of absolute alcohol in a 70 kg person).
- Alcohol and vardenafil plasma levels were not altered when dosed simultaneously.
- 7.2 Effect of Other Drugs on Vardenafil In vitro studies Studies in human liver microsomes showed that vardenafil is metabolized primarily by cytochrome P450 (CYP) isoforms 3A4/5, and to a lesser degree by CYP2C9.
- Therefore, inhibitors of these enzymes are expected to reduce vardenafil clearance [see Dosage and Administration ( 2.4 ) and Warnings and Precautions ( 5.2 )] .
- In vivo studies
- Do not use vardenafil orally disintegrating tablet with moderate and strong CYP3A4 inhibitors such as erythromycin, grapefruit juice, clarithromycin, ketoconazole, itraconazole, indinavir, saquinavir, atazanavir, ritonavir as the systemic concentration of vardenafil is increased in their presence [see Warnings and Precautions (5) and Dosage and Administration ( 2.4 )] .
- Strong CYP3A4 inhibitors Ketoconazole (200 mg once daily) produced a 10-fold increase in vardenafil area under the curve (AUC) and a 4-fold increase in maximum concentration (C max ) when co-administered with vardenafil 5 mg in healthy volunteers. [See Dosage and Administration ( 2.4 ) and Warnings and Precautions ( 5 ).] Indinavir (800 mg t.i.d.) co-administered with vardenafil 10 mg resulted in a 16-fold increase in vardenafil AUC, a 7-fold increase in vardenafil C max and a 2-fold increase in vardenafil half-life. [See Dosage and Administration (2.4) and Warnings and Precautions ( 5 ).] Ritonavir (600 mg b.i.d.) co-administered with vardenafil 5 mg resulted in a 49-fold increase in vardenafil AUC and a 13-fold increase in vardenafil C max .
- The interaction is a consequence of blocking hepatic metabolism of vardenafil by ritonavir, a HIV protease inhibitor and a highly strong CYP3A4 inhibitor, which also inhibits CYP2C9. [See Dosage and Administration ( 2.4) and Warnings and Precautions ( 5.2).] Cobicistat with vardenafil can result in increased plasma concentrations. vardenafil should not be used with cobicistat.
- Moderate CYP3A4 inhibitors Erythromycin (500 mg t.i.d.) produced a 4-fold increase in vardenafil AUC and a 3-fold increase in vardenafil C max when co-administered with vardenafil 5 mg in healthy volunteers [see Dosage and Administration ( 2 ) and Warnings and Precautions ( 5 )].
- Other Drug Interactions No pharmacokinetic interactions were observed between vardenafil and the following drugs:
- glyburide, warfarin, digoxin, an antacid based on magnesium-aluminum hydroxide, and ranitidine.
- In the warfarin study, vardenafil had no effect on the prothrombin time or other pharmacodynamic parameters.
- Cimetidine (400 mg b.i.d.) had no effect on AUC and C max of vardenafil when co-administered with 20 mg vardenafil in healthy volunteers.
- 7.3 Effects of Vardenafil on Other Drugs In vitro studies Vardenafil and its metabolites had no effect on CYP1A2, 2A6, and 2E1 (Ki >100 micromolar).
- Weak inhibitory effects toward other isoforms (CYP2C8, 2C9, 2C19, 2D6, 3A4) were found, but Ki values were in excess of plasma concentrations achieved following dosing.
- The most potent inhibitory activity was observed for vardenafil metabolite M1, which had a Ki of 1.4 micromolar toward CYP3A4, which is about 20 times higher than the M1 C max values after an 80 mg vardenafil dose.
- In vitro data suggest that vardenafil has the potential to inhibit P-glycoprotein (P-gp) at therapeutic doses.
- While concomitant use of vardenafil did not significantly increase plasma concentrations of digoxin, a P-gp substrate, the effect on plasma concentrations of P-gp substrates that are more sensitive than digoxin (e.g. dabigatran) is not known.
- In vivo studies Nifedipine:
- Vardenafil 20 mg (film-coated tablets), when co-administered with slow-release nifedipine 30 mg or 60 mg once daily, did not affect the relative AUC or C max of nifedipine, a drug that is metabolized via CYP3A4.
- Nifedipine did not alter the plasma levels of vardenafil when taken in combination.
- Vardenafil orally disintegrating tablet, when co-administered with slow-release nifedipine 30 mg or 60 mg once daily in patients whose hypertension was controlled with nifedipine, produced mean additional supine systolic/diastolic blood pressure reductions of 3/4 mmHg (age group 65 to 69 years) and 5/5 mmHg (age group 70 to 80 years) compared to placebo.
- Ritonavir and Indinavir:
- Upon concomitant administration of 5 mg vardenafil with 600 mg b.i.d. ritonavir, the C max and AUC of ritonavir were reduced by approximately 20%.
- Upon administration of 10 mg of vardenafil (film-coated tablets) with 800 mg t.i.d. indinavir, the C max and AUC of indinavir were reduced by 40% and 30%, respectively.
- Aspirin:
- Vardenafil 10 mg and 20 mg did not potentiate the increase in bleeding time caused by aspirin (two 81 mg tablets).
- Other Interactions:
- Vardenafil had no effect on the pharmacodynamics of glyburide (glucose and insulin concentrations) and warfarin (prothrombin time or other pharmacodynamic parameters).
Quoted from the official label, section “Drug Interactions”.
Side effects
- The following serious adverse reactions with the use of vardenafil orally disintegrating tablet are discussed elsewhere in the labeling:
- Cardiovascular effects [see Contraindications ( 4.1 ) and Warnings and Precautions ( 5.1) ] Priapism [see Warnings and Precautions ( 5.3) ] QT Prolongation [see Warnings and Precautions ( 5.7) ] Effects on eye [see Warnings and Precautions ( 5.4 )] Sudden hearing loss [see Warnings and Precautions ( 5.5 )] Adverse reactions reported by ≥ 2% of patients treated with vardenafil orally disintegrating tablet:
- Headache, flushing, nasal congestion, dyspepsia, dizziness, back pain.
- ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Macleods Pharma USA, Inc., at 1-888-943-3210 or 1-855-926-3384 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch
- 6.1 Clinical Studies Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
- Vardenafil orally disintegrating tablet :
- Safety of vardenafil orally disintegrating tablet was evaluated in two identical multi-national, randomized, double-blind, placebo-controlled trials.
- In both pivotal studies, enrollment was stratified so that approximately 50% of patients were ≥65 years old.
- Approximately 8% (n=29) were ≥75 years old.
- An integrated analysis of both studies included a total of 355 subjects that received vardenafil orally disintegrating tablet compared to 340 subjects that received placebo (mean age was 61.7, range 21.0 to 88.0; 68% White, 5% Black, 6% Asian, 11% Hispanic and 11% Other).
- The discontinuation rates due to adverse reactions were 1.4% for vardenafil orally disintegrating tablet compared to 0.6% for placebo.
- Table 1 below details the most frequently reported adverse reactions.
- Table 1:
- Adverse drug reactions reported by ≥2% of the patients treated with vardenafil orally disintegrating tablet and more frequent on drug than placebo in controlled trials Adverse Drug Reaction Vardenafil Orally Disintegrating Tablet (n=355) Placebo (n=340) Headache 14.4% 1.8% Flushing 7.6% 0.6% Nasal Congestion 3.1% 0.3% Dyspepsia 2.8% 0% Dizziness 2.3% 0% Back Pain 2% 0.3% Adverse drug reactions reported in the vardenafil orally disintegrating tablet placebo controlled trials were comparable to the adverse drug reactions reported in earlier vardenafil film-coated tablets placebo controlled trials.
- All Vardenafil Studies:
- Vardenafil film-coated tablets and vardenafil orally disintegrating tablet has been administered to over 17,000 men (mean age 54.5, range 18–89 years; 70% White, 5% Black, 13% Asian, 4% Hispanic and 8% Other) during controlled and uncontrolled clinical trials worldwide.
- The number of patients treated for 6 months or longer was 3357, and 1350 patients were treated for at least 1 year.
- In the placebo-controlled clinical trials for vardenafil film-coated tablets and vardenafil orally disintegrating tablet, the discontinuation rate due to adverse events was 1.9% for vardenafil compared to 0.8% for placebo.
- Placebo-controlled trials suggested a dose effect in the incidence of some adverse reactions (for example, dizziness, headache, flushing, dyspepsia, nausea, nasal congestion) over the 5 mg, 10 mg, and 20 mg doses of vardenafil film-coated tablets.
- The following section identifies additional, less frequent adverse reactions (<2%) reported during the clinical development of vardenafil film-coated tablets and vardenafil orally disintegrating tablet.
- Excluded from this list are those adverse reactions that are infrequent and minor, those events that may be commonly observed in the absence of drug therapy, and those events that are not reasonably associated with the drug:
- Body as a whole:
- allergic edema and angioedema, feeling unwell, allergic reactions, chest pain Auditory:
- tinnitus, vertigo Cardiovascular:
- palpitation, tachycardia, angina pectoris, myocardial infarction, ventricular tachyarrhythmias, hypotension Digestive:
- nausea, gastrointestinal and abdominal pain, dry mouth, diarrhea, gastroesophageal reflux disease, gastritis, vomiting, increase in transaminases Musculoskeletal:
- increase in creatine phosphokinase (CPK), increased muscle tone and cramping, myalgia Nervous:
- paresthesia and dysesthesia, somnolence, sleep disorder, syncope, amnesia, seizure Respiratory:
- dyspnea, sinus congestion Skin and appendages:
- erythema, rash Ophthalmologic:
- visual disturbance, ocular hyperemia, visual color distortions, eye pain and eye discomfort, photophobia, increase in intraocular pressure, conjunctivitis Urogenital:
- increase in erection, priapism
- 6.2 Postmarketing Experience The following adverse reactions have been identified during post approval use of vardenafil in the film-coated tablet formulation.
- Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency or establish a causal relationship to drug exposure.
- Ophthalmologic:
- Non-arteritic anterior ischemic optic neuropathy (NAION), a cause of decreased vision including permanent loss of vision, has been reported rarely postmarketing in temporal association with the use of PDE5 inhibitors, including vardenafil.
- Most, but not all, of these patients had underlying anatomic or vascular risk factors for development of NAION, including but not necessarily limited to:
- low cup to disc ratio ("crowded disc"), age over 50, diabetes, hypertension, coronary artery disease, hyperlipidemia and smoking [see Warnings and Precautions ( 5.4) and Patient Counseling Information ( 17 )] .
- Visual disturbances including vision loss (temporary or permanent), such as visual field defect, retinal vein occlusion, and reduced visual acuity, have also been reported rarely in postmarketing experience.
- It is not possible to determine whether these events are related directly to the use of vardenafil.
- Neurologic:
- Seizure, seizure recurrence and transient global amnesia have been reported postmarketing in temporal association with vardenafil.
- Otologic:
- Cases of sudden decrease or loss of hearing have been reported postmarketing in temporal association with the use of PDE5 inhibitors, including vardenafil.
- In some cases, medical conditions and other factors were reported that may have also played a role in the otologic adverse events.
- In many cases, medical follow-up information was limited.
- It is not possible to determine whether these reported events are related directly to the use of vardenafil, to the patient’s underlying risk factors for hearing loss, a combination of these factors, or to other factors [see Patient Counseling Information ( 17 )] .
Quoted from the official label, section “Adverse Reactions”.
Same active substance, strength and form in other countries
Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.
Medicine passport: one printable page to show a pharmacist abroad
BulgariaNo exact match for this strength and form
European UnionNo exact match for this strength and form
Details
| Made by | Macleods Pharmaceuticals Limited |
|---|---|
| Active substance | Vardenafil |
| Used in | Urinary and reproductive system, hormones |
| Strength | 11.85 mg |
| Form | Tablet |
| Route | Oral |
| Packs | 1 BLISTER PACK in 1 CARTON / 4 TABLET in 1 BLISTER PACK |
| NDC | 33342-203 |
Source: NDC Directory · 2026-09-13 · not reviewed by a clinician
Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).
Other strengths and forms
12 products are sold under this name. Grouped by form; a number on a strength means several companies make it.
- Tablet, Film Coated9 products
2.5 mg2
2.5 mg · 2 companies
5 mg2
5 mg · 2 companies
10 mg2
10 mg · 2 companies
20 mg3
- Tablet, Orally Disintegrating2 products
10 mg2
10 mg · 2 companies
- Tablet1 products
- 11.85 mg
Same active substance
These contain the same substance. That does not mean one can replace another — ask a pharmacist.