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    The most common medications used to treat erectile dysfunction (ED) are Viagra, Cialis, Sildenafil, and Levitra. They belong to a class of drugs called phosphodiesterase 5 inhibitors (PDE5 inhibitors), which will be explained below. An erection occurs when someone is stimulated by an erotic thought or sexual contact. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis. An erection might last indefinitely if it weren’t for chemicals called phosphodiesterases. They work at reversing the process that keeps the penis erect. Usually there is a balance between the chemicals that cause an erection and those that would return the penis to being flaccid. They pull in opposite directions with one dominating over the other in a perfect sequence that lets a man have an erection as long as it is needed. Levitra refers to drugs for the treatment of erectile dysfunction. Levitra restores impaired erectile function and provides a normal response to sexual stimulation. The physiological mechanism of erection is to relax the smooth muscles of cavernous bodies and arterioles. Vardenafil blocks a specific type 5 phosphodiesterase that enhances the action of endogenous nitric oxide, which is released during sexual stimulation from the nerve endings of the cavernous bodies and promotes an increase in blood flow to the penis. Due to the high selectivity of vardenafil relative to phosphodiesterase 5 Levitra has no effect on organs and systems, the function of which is regulated by other phosphodiesterases. The tablets are covered with a film membrane: round biconvex form, with a slightly rough surface, from gray-orange to light orange color, on one side there is engraved "5", "10" or "20", on the other - a brand mark of Bayer (1 or 4 pieces in a blister, in a cardboard bundle 1 blister). The active substance of Levitra is vardenafil hydrochloride trihydrate, in 1 tablet there may be: 5,926 mg of an active component which is an equivalent to 5 mg; 11,852 mg, which is equivalent to 10 mg of vardenafil; 23,705 mg, which is equivalent to 20 mg of vardenafil.

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