Some men with erectile dysfunction, or ED, find they can return to an active sex life by treating an underlying condition, such as high blood pressure, or with counseling and lifestyle changes. But others find they may need medication to get and keep an erection. The FDA has approved several prescription drugs you take orally to treat ED. These medications all work similarly to each other. However, there are subtle differences in how long they stay effective and how quickly they begin to work. Levitra takes about 30 minutes to start working and the effects last a little longer than Viagra, about 5 hours. It contains the same active ingredient as Levitra and can begin working in about 15 minutes. Viagra takes around 30 minutes to become effective and lasts about 4 hours. buy viagra from drug dealer I would like to thank you for the excellent service that you have given me. I ordered Zithromax on the 12th and recieved it today the 18th. I am a professional urologist and to make things clear I would like to explain the mechanism of male erection. I am impressed and will refer your company to others. Erection takes place when blood flows into the penis, provided the penis valves prevent the blood from flowing back during the erection. The blood flow into the penis starts as soon as the brain pulses a signal, which is delivered by nerves to penis blood vessels. Therefore, any obstacle on the way from the brain to the penis valves may result in erection failure. This occurs pretty often and is known as erectile dysfunction. The causes of erectile dysfunction are numerous; among them is diabetes, hypertension, valve defects, low testosterone level, atherosclerosis, psychiatric disorders and many others. 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One pill of Levitra contains the active ingredient Vardenafil of 5, 10 or 20 mg vardenafil hydrochloride trihydrate Main features of Levitra and its impact on a man’s organism Levitra is an inhibitor of phosphodiesterase of 5th type PDE5 and is used for the treatment of male erectile dysfunction, as was mentioned earlier. Levitra (vardenafil) relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body. Levitra is used to treat erectile dysfunction (impotence). Levitra may also be used for purposes not listed in this medication guide. Taking Levitra with certain other medicines can cause a sudden and serious decrease in blood pressure. Do not take vardenafil if you also take riociguat (Adempas) or a nitrate drug such as nitroglycerin. 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