Levitra (Vardenafil) vs. Other ED Meds: Detailed Comparison
ED Medication Comparison Tool
Attribute | Levitra (Vardenafil) |
Viagra (Sildenafil) |
Cialis (Tadalafil) |
Stendra (Avanafil) |
---|---|---|---|---|
Dosage Range | 10-20 mg | 25-100 mg | 2.5-20 mg | 100-200 mg |
Onset Time | 30-60 min | 30-60 min | 30-120 min | 15-30 min |
Duration | 4-6 hrs | 4-5 hrs | 24-36 hrs | 6-12 hrs |
Food Impact | High-fat meals delay onset | Heavy meals reduce effectiveness | Minimal impact | Little to none |
Common Side Effects | Headache, flushing, nasal congestion | Headache, visual blur, dyspepsia | Back pain, muscle aches, headache | Headache, nasopharyngitis, flushing |
Average Cost (2025) | $12-$15 per tablet | $10-$13 per tablet | $15-$20 per tablet | $18-$22 per tablet |
Important Note: Always consult a healthcare provider before starting any ED medication. Some conditions and medications may make certain drugs unsafe.
Finding the right erectile dysfunction (ED) medication can feel like a maze. You probably wonder whether Levitra lives up to the hype or if another pill might suit you better. This guide breaks down Levitra, pits it against the biggest alternatives, and gives you a clear roadmap to pick the best option for your needs.
Key Takeaways
- Levitra (vardenafil) works faster than Cialis but doesn’t last as long.
- Viagra (sildenafil) is the most studied and widely available generic.
- Cialis (tadalafil) offers the longest window of effectiveness, ideal for spontaneous plans.
- Stendra (avanafil) provides the quickest onset, often within 15 minutes.
- Herbal supplements like L‑arginine and yohimbine can help mild cases but lack the reliability of prescription PDE5 inhibitors.
What Is Levitra?
Levitra is a prescription pill that contains vardenafil, a selective phosphodiesterase‑5 (PDE5) inhibitor. It was approved by the FDA in 2003 and quickly became a popular alternative to Viagra because of its slightly faster onset.
How Levitra Works
Levitra belongs to the class of PDE5 inhibitors. By blocking the PDE5 enzyme, it helps retain cyclic guanosine monophosphate (cGMP) in penile tissue, which relaxes smooth muscle and allows blood to flow in, producing an erection when sexual stimulation occurs.

Major Alternatives at a Glance
Cialis contains tadalafil, another PDE5 inhibitor known for a 36‑hour window of effectiveness.
Viagra delivers sildenafil, the original PDE5 drug that set the standard for modern ED treatment.
Stendra contains avanafil, a newer PDE5 inhibitor that works in as little as 15 minutes.
Generic vardenafil offers the same active ingredient as Levitra at a lower price point, though brand‑name formulations may have slightly different inactive ingredients.
L‑Arginine is a dietary amino acid that can boost nitric oxide levels, modestly improving blood flow to the penis.
Yohimbine derives from the bark of the African yohimbe tree and has been used as an herbal remedy for mild ED, though side effects can be significant.
Side‑Effect Profile Comparison
All PDE5 inhibitors share common side effects such as headache, flushing, nasal congestion, and visual disturbances. However, the degree and frequency vary.
Attribute | Levitra (Vardenafil) | Viagra (Sildenafil) | Cialis (Tadalafil) | Stendra (Avanafil) |
---|---|---|---|---|
Typical Dose | 10‑20mg | 25‑100mg | 2.5‑20mg | 100‑200mg |
Onset of Action | 30‑60min | 30‑60min | 30‑120min | 15‑30min |
Duration | 4‑6h | 4‑5h | 24‑36h | 6‑12h |
Food Interaction | High‑fat meals may delay onset | Heavy meals can reduce effectiveness | Minimal impact | Little to none |
Common Side Effects | Headache, flushing, nasal congestion | Headache, visual blur, dyspepsia | Back pain, muscle aches, headache | Headache, nasopharyngitis, flushing |
Average Cost (US, 2025) | $12‑$15 per tablet | $10‑$13 per tablet | $15‑$20 per tablet | $18‑$22 per tablet |
Decision‑Making Criteria
- Speed of onset: If you need an erection within 15‑30 minutes, Stendra is the clear winner.
- Duration of effect: For weekend‑long spontaneity, Cialis offers the longest window.
- Cost sensitivity: Generic vardenafil and sildenafil provide the most budget‑friendly options.
- Health considerations: Users with heart disease, low blood pressure, or those taking nitrates should avoid all PDE5 inhibitors; consulting a doctor is essential.
- Side‑effect tolerance: If you’re prone to visual disturbances, avanafil’s lower visual side‑effect rate may be appealing.

Best‑Fit Scenarios
Fast‑acting need: Choose Stendra if you value a rapid response and you’re comfortable a slightly higher price.
Longest playtime: Cialis shines for anyone who wants flexibility without planning the exact timing.
Balanced performer: Levitra offers a middle ground-faster than Viagra, shorter duration than Cialis, and a modest side‑effect profile.
Budget‑first choice: Generic sildenafil or vardenafil deliver comparable efficacy at the lowest cost, especially when insurance covers them.
Natural supplement route: For mild ED or as an adjunct, L‑arginine (3‑5g daily) and yohimbine (5‑10mg) can provide modest gains, but they’re not replacements for prescription meds.
Practical Tips & Common Pitfalls
- Never combine any PDE5 inhibitor with nitrate medication (e.g., nitroglycerin) - the risk of a dangerous drop in blood pressure is real.
- Take the pill on an empty stomach for faster absorption, especially with Levitra and Viagra.
- If you experience persistent headache, consider lowering the dose before switching to a different drug.
- Alcohol can blunt the effect of all ED meds; limit intake to a single drink.
- Keep a medication diary: note dose, timing, meals, and effectiveness. Patterns help you and your doctor fine‑tune the regimen.
Frequently Asked Questions
Can I take Levitra and Viagra together?
No. Both drugs belong to the same PDE5‑inhibitor class, and using them together can dramatically increase the risk of side effects such as severe headache, low blood pressure, and vision problems. Choose one medication and stick with the prescribed dose.
How long does Levitra stay in my system?
The drug’s half‑life is about 4‑5 hours, meaning most of it is cleared within a day. However, its therapeutic effect can last 4‑6 hours after taking a dose.
Is there a safe over‑the‑counter alternative to Levitra?
Over‑the‑counter options like L‑arginine or yohimbine may help mild cases, but they lack the potency and consistency of prescription PDE5 inhibitors. Discuss any supplement use with a healthcare provider, especially if you have cardiovascular concerns.
Can I use Levitra if I have high blood pressure?
Generally, yes. Most PDE5 inhibitors are safe for people with controlled hypertension, but they can interact with certain blood‑pressure meds. Always get clearance from your doctor before starting.
What should I do if Levitra doesn’t work?
First, check timing, food intake, and dosage. If the issue persists, talk to your doctor about trying a different PDE5 inhibitor, adjusting the dose, or exploring combination therapy with counseling or vacuum devices.
Choosing the right ED medication shouldn’t be a guesswork game. By weighing onset speed, duration, cost, and personal health factors, you can land on a solution that fits your lifestyle and delivers confidence when it counts.
Comments
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Paul Hill II
Levitra hits the sweet spot for many guys.
Stephanie Colony
When you compare the American pharmaceutical giants, it becomes glaringly obvious that the marketing hype around Levitra is nothing but a patriotic shill for big pharma, a corporate leviathan that masquerades as a savior for the average man while draining his wallet under the guise of innovation.
Abigail Lynch
People think the government is hiding the real cure, but the truth is out there in the shadows; every time you swallow a pill you’re stepping into a grand experiment, and the side‑effects are just signals from the hidden agenda.
David McClone
Honestly, if you’re paying $15 a pop for a fire‑and‑forget solution, you might as well invest in a decent steak dinner and forget the whole pill business.