ED & PE Treatment Guide
This tool helps you identify the most appropriate treatment option for erectile dysfunction (ED) and premature ejaculation (PE) based on your specific health profile and preferences.
1. What are your primary concerns?
2. Do you have any health conditions that might affect treatment choices?
3. How important are cost and convenience to you?
Key Takeaways
- Super Levitra combines dapoxetine (for premature ejaculation) and vardenafil (for erectile dysfunction) in one pill.
- Its dual‑action profile can be convenient, but drug interactions and side‑effects must be checked carefully.
- Standard ED‑only options like sildenafil, tadalafil and avanafil are cheaper and have longer safety data.
- For men who need both PE and ED treatment, alternatives include separate prescriptions or off‑label combinations.
- Lifestyle tweaks - weight control, stress management, pelvic‑floor exercises - boost any medication’s success.
When it comes to treating both erectile dysfunction and premature ejaculation, Super Levitra is a combined tablet that pairs dapoxetine with vardenafil. It was launched in 2022 and quickly gained attention for its dual‑action formula. Below is a Super Levitra comparison that walks you through how it stacks up against the most common alternatives.
What Is Super Levitra?
Super Levitra is a prescription medication that contains two active ingredients: dapoxetine and vardenafil. The pill is designed for men who experience both premature ejaculation (PE) and erectile dysfunction (ED) at the same time. By delivering a short‑acting SSRI for PE and a phosphodiesterase‑5 inhibitor for ED, the product aims to resolve two problems with a single daily dose.
Typical dosing is one tablet taken about one hour before sexual activity. The combination allows dapoxetine to reach its peak in roughly 1‑2 hours, while vardenafil’s effect on blood flow starts within 30‑60 minutes and can last up to 5 hours.
How Dapoxetine Works
Dapoxetine is a short‑acting selective serotonin reuptake inhibitor (SSRI) approved for premature ejaculation. By increasing serotonin levels in the synapse, it prolongs the ejaculatory latency time. Its rapid onset (about 1 hour) and short half‑life (≈19 hours) make it suitable for on‑demand use, unlike traditional antidepressant SSRIs that require weeks of buildup.
How Vardenafil Works
Vardenafil belongs to the phosphodiesterase‑5 (PDE‑5) inhibitor class. It relaxes smooth muscle in the corpus cavernosum by preventing the breakdown of cyclic GMP, allowing increased blood flow during sexual arousal. Vardenafil’s onset is 30‑60 minutes, and its duration typically reaches 5 hours, fitting nicely with the timing of dapoxetine.

Who Might Choose Super Levitra?
The drug targets men who have reported both PE and ED in the same sexual episodes. Clinical surveys in the UK show that about 12% of men with ED also experience PE, making a combined pill attractive for this subgroup. It’s also handy for men who dislike taking multiple pills or who travel frequently and want a simple, portable solution.
However, it isn’t a one‑size‑fits‑all. Men on nitrates, those with severe cardiovascular disease, or those with a history of significant side‑effects from either component should look elsewhere.
Top Alternatives Overview
Below are the most common alternatives you’ll encounter when looking for either ED or PE treatment, or a mix of both.
- Sildenafil - the original PDE‑5 inhibitor, marketed as Viagra.
- Tadalafil - longer‑acting PDE‑5 inhibitor (up to 36 hours), sold as Cialis.
- Avanafil - fast‑onset PDE‑5 inhibitor (as quick as 15 minutes), known as Stendra.
- Paroxetine - a traditional SSRI sometimes prescribed off‑label for PE.
- Yohimbine - an herbal alkaloid with modest PE‑delay effects.
- L‑arginine - a naturally occurring amino acid that may improve erectile quality.
- Pelvic floor exercises - a non‑pharmacological method that strengthens the muscles controlling ejaculation.
- Psychosexual therapy - counseling that tackles anxiety, relationship issues, and performance pressure.
Detailed Comparison Table
Drug | Active Ingredient(s) | Typical Dose | Onset | Duration | Main Side Effects | Special Notes |
---|---|---|---|---|---|---|
Super Levitra | Dapoxetine + Vardenafil | 1 tablet (20mg dapoxetine / 10mg vardenafil) | ≈1‑2h | ≈5h (ED), 6h (PE) | Headache, flushing, nausea, dizziness | Dual action; not for nitrate users |
Sildenafil | Sildenafil citrate | 50‑100mg | 30‑60min | 4‑6h | Headache, vision changes, dyspepsia | Well‑studied; no PE component |
Tadalafil | Tadalafil | 10‑20mg (as needed) or 2.5‑5mg daily | ≈30min | Up to 36h | Back pain, muscle aches, headache | ‘Weekend pill’; can be taken daily |
Avanafil | Avanafil | 100‑200mg | 15‑30min | 4‑6h | Headache, flushing, nasal congestion | Fastest onset among PDE‑5 inhibitors |
Paroxetine | Paroxetine hydrochloride | 10‑20mg daily | 3‑4weeks (steady‑state) | Continuous | Weight gain, sexual dysfunction, nausea | Off‑label for PE; requires chronic use |
Yohimbine | Yohimbine HCl | 5‑10mg as needed | ≈30min | 2‑4h | Anxiety, increased heart rate, hypertension | Herbal; variable quality of supplements |
L‑arginine | L‑arginine | 2‑5g daily | Variable (days to weeks) | Ongoing | Gastro‑intestinal upset | Supplement; works best with PDE‑5 inhibitors |

Pros and Cons of Super Levitra vs Alternatives
Pros of Super Levitra
- Convenient single‑pill solution for two problems.
- On‑demand dosing aligns with most men’s sexual patterns.
- Both components have fairly rapid onset, reducing waiting time.
- May improve relationship satisfaction by removing the need for multiple prescriptions.
Cons of Super Levitra
- Higher price point than buying generic PDE‑5 alone.
- Potential drug‑drug interactions increase because you’re taking two actives at once.
- Side‑effects from both drugs can add up (e.g., double headache risk).
- Limited long‑term safety data compared to older ED drugs.
Standard ED‑only drugs like sildenafil or tadalafil are cheaper, have decades of safety data, and can be combined later with a separate PE medication if needed. For men whose primary complaint is only PE, a pure dapoxetine or behavioral therapy may be enough.
Safety, Interactions, and Contra‑indications
Because Super Levitra contains a PDE‑5 inhibitor, it inherits all the classic warnings: avoid nitrates (e.g., nitroglycerin), be cautious with alpha‑blockers, and discuss any heart conditions with your GP. Dapoxetine adds SSRI‑related cautions, such as not mixing with other serotonergic drugs (like tramadol or linezolid) to prevent serotonin syndrome.
Commonly reported interactions include:
- Alcohol - can amplify dizziness and lower blood pressure.
- grapefruit juice - can raise vardenafil levels.
- Antifungal agents (e.g., ketoconazole) - may increase plasma concentration of both actives.
If you’re on any chronic medication, a quick pharmacy check can save you from a nasty surprise.
How to Choose the Right Option for You
Follow this simple decision flow:
- Identify your main problem: Is it erectile dysfunction, premature ejaculation, or both?
- Check health conditions: Do you have heart disease, take nitrates, or have severe anxiety?
- Consider cost and convenience: Are you comfortable taking two separate pills, or do you prefer one?
- Try a short trial: Many UK pharmacies allow a one‑month supply for a try‑out. Note effectiveness and side‑effects.
- Adjust based on feedback: If you experience frequent headaches, a switch to tadalafil (longer‑acting) plus a separate low‑dose dapoxetine may work better.
Remember, medication is only part of the picture. Incorporating regular exercise, a balanced diet, and stress‑reduction techniques can boost any drug’s performance.
Frequently Asked Questions
Is Super Levitra available on the NHS?
No. Super Levitra is classified as a private prescription medication in the UK. You’ll need to see a private GP or a licensed telehealth provider to obtain it.
Can I take Super Levitra with alcohol?
A small amount of alcohol is usually fine, but heavy drinking can worsen dizziness and lower blood pressure, increasing the risk of side‑effects. Limit intake to one or two drinks.
How does the effectiveness of Super Levitra compare to taking dapoxetine and vardenafil separately?
Clinical studies show similar efficacy when the two drugs are taken together versus separate dosing, provided the timing aligns. The key difference is convenience - one pill versus two.
What are the most common side‑effects?
Headache, facial flushing, nasal congestion, and mild nausea. Because the drug blends two actives, some men report a higher incidence of headache than with a single PDE‑5 inhibitor alone.
Are there any natural alternatives that work as well?
Natural options like L‑arginine, yohimbine, or pelvic‑floor exercises can help modestly, but they rarely match the potency of prescription drugs. They’re best used as adjuncts.
Choosing the right treatment hinges on your personal health profile, budget, and how quickly you need results. Super Levitra offers a handy, dual‑action approach, but it isn’t the only path. Evaluate the table, weigh pros and cons, and discuss with a qualified prescriber to land on the option that feels right for you.
Comments
Lauren Sproule
October 17, 2025 AT 13:23 PMHey folks just wanted to say that mixing meds can be convenient but always talk to your doc first. The dual pill saves a trip to the pharmacy and keeps things simple. If you’re worried about side effects just keep a log of any headaches or flushing and share it with your GP. Also remember that lifestyle stuff like exercise and stress control can boost whatever you take. Stay safe and happy.