Weighing the benefits and risks of Levitra versus Sildenafil requires some basic knowledge of each. A comparison can be made by examining how they can be used, the time it takes for them to work, the length of time they work, the restrictions on how they can be taken, the contraindications to their use, and their side effects. Viagra, which is Sildenafil, has been approved “for the treatment of erectile dysfunction (ED), including ED patients with diabetes mellitus or following radical prostatectomy.” (PDR) Viagra is available in doses of 25 mg, 50 mg, and 100 mg. However, generic Sildenafil comes only in one size, 20 mg. The FDA approved Sildenafil in the low 20 mg dose for pulmonary hypertension, but since it is the same medication as in Viagra, and only a fraction of the cost, many patients work with their healthcare providers to use sildenafil “off-label” for erectile dysfunction (ED). 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A specific distinction of the proprietary German tablets is an imprint of figure 5 on one side and the Bayer company’s cross on the other side. Levitra 5 mg film-coated tablets: Orange round tablets marked with the BAYER-cross on one side and “5” on the other side. Levitra 10 mg film-coated tablets: Orange round tablets marked with the BAYER-cross on one side and “10” on the other side. Levitra 20 mg film-coated tablets: Orange round tablets marked with the BAYER-cross on one side and “20” on the other side. Erectile dysfunction is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Levitra to be effective, sexual stimulation is required. Use in adult men The recommended dose is 10 mg taken as needed approximately 25 to 60 minutes before sexual activity. Based on efficacy and tolerability the dose may be increased to 20 mg or decreased to 5 mg. The maximum recommended dosing frequency is once per day. 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