
ED Medication Comparison Tool
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Levitra Super Active is a fast‑acting, prescription‑only medication for erectile dysfunction that contains the active ingredient vardenafil. It’s marketed as a high‑dose version designed to work within 15‑30 minutes and last up to 5 hours.
Why Vardenafil Matters in the ED Landscape
Vardenafil belongs to the PDE5 inhibitor class, a group of drugs that boost penile blood flow by blocking the phosphodiesterase‑5 enzyme. When a man is sexually aroused, nitric oxide releases cyclic GMP, which relaxes smooth muscle in the penis. PDE5 breaks down cyclic GMP; inhibiting it keeps the vessel dilation longer, resulting in an erection.
Quick Glance: How Levitra Super Active Stacks Up
Medication | Active Ingredient | Typical Dose | Onset | Duration | Common Side Effects |
---|---|---|---|---|---|
Levitra Super Active | Vardenafil | 20mg (single‑tablet) | 15-30min | 4-5hr | Headache, flushing, nasal congestion |
Viagra | Sildenafil | 50mg | 30-60min | 4-6hr | Headache, dyspepsia, visual changes |
Cialis | Tadalafil | 10mg | 30-120min | Up to 36hr | Back pain, muscle aches, indigestion |
Stendra | Avanafil | 100mg | 15min | 4-6hr | Headache, dizziness, rash |
Breaking Down the Alternatives
Viagra (Sildenafil)
Sildenafil was the first oral ED drug approved (1998). It’s widely available as a generic, making it the most cost‑effective option in many markets. Onset is slightly slower than Levitra Super Active, typically 30‑60 minutes, and the duration sits around 4‑6 hours. Visual disturbances (blue‑tinted vision) are a unique side‑effect profile due to PDE6 inhibition.
Cialis (Tadalafil)
Tadalafil’s claim to fame is the “weekend pill” reputation. With an onset of 30‑120 minutes and a half‑life that can stretch to 36 hours, it’s the go‑to for men who want spontaneity across multiple occasions. The trade‑off is a higher incidence of back‑pain and muscle aches, especially at doses above 10mg.
Stendra (Avanafil)
Avanafil is the newest entrant (approved 2012). It boasts the fastest onset-often under 15 minutes-making it attractive for impulsive moments. However, the data pool is smaller, and it’s generally pricier than the older drugs.
Generic Vardenafil
Standard Levitra (10mg) and its generic counterparts provide the same active ingredient as SuperActive but at a lower dose. For men who tolerate the medication well but don’t need the ultra‑rapid onset, the regular version is a cheaper alternative.

Practical Decision Factors
- Onset Time: If you need a pill that works within 15 minutes, Levitra Super Active or Stendra are the clear leaders.
- Duration: For weekend‑style freedom, Tadalafil’s long window beats the shorter 4‑5 hour window of Vardenafil and Sildenafil.
- Side‑Effect Profile: Headache and flushing are common across all PDE5 inhibitors; visual changes are more specific to Sildenafil, while back pain points to Tadalafil.
- Cost & Insurance: Generic Sildenafil and generic Vardenafil are typically the cheapest. In Australia, the PBS may subsidise sildenafil, while vardenafil often requires out‑of‑pocket payment.
- Health Contra‑indications: All PDE5 inhibitors are unsafe with nitrate medications (e.g., nitroglycerin). Tadalafil should be avoided in men with severe renal impairment; avanafil requires caution in patients with severe hepatic disease.
- Personal Lifestyle: If you prefer planning ahead, a longer‑acting drug works best. If spontaneity is key, a rapid‑onset tablet is preferable.
How to Choose the Right Pill for You
Start by answering three questions: How quickly do you need the effect? How long do you want the effect to last? What side‑effects are you willing to tolerate?
Example scenario: John, a 42‑year‑old accountant, has irregular sexual activity and dislikes waiting. He also has mild hypertension controlled with a calcium‑channel blocker (no nitrates). For him, a 20mg dose of Levitra Super Active gives the quick onset he wants without adding visual side‑effects, while staying safe with his current meds.
Another case: Mark, 58, enjoys weekend getaways with his partner. He’s on a low‑dose statin and wants a single dose that covers an entire day. Tadalafil 10mg fits his lifestyle, offering a window that includes afternoon and evening activities.
When in doubt, schedule a brief telehealth consult with a GP. They can review drug interactions, evaluate cardiovascular risk, and prescribe the appropriate dose.
Related Concepts Worth Knowing
The effectiveness of any PDE5 inhibitor ties back to the nitric oxide pathway. Lifestyle factors-like smoking, excess alcohol, and sedentary habits-can blunt nitric oxide production, reducing drug efficacy. Managing stress, maintaining a healthy weight, and regular exercise can enhance outcomes across all ED medications.
Another related entity is the Therapeutic Goods Administration (TGA), Australia’s regulator that approves and monitors prescription ED drugs. Knowing whether a medication is TGA‑approved or imported via an online pharmacy can affect safety and legal standing.
Finally, consider insurance coverage. In many Australian health funds, generic sildenafil may be listed under the Pharmaceutical Benefits Scheme (PBS), while vardenafil often falls under private prescriptions, affecting out‑of‑pocket cost.
Key Takeaways
- Levitra Super Active delivers the fastest onset among approved oral ED pills, thanks to its 20mg vardenafil dose.
- When duration matters more than speed, Tadalafil remains the champion with up to a 36‑hour window.
- Cost‑sensitive users often gravitate to generic sildenafil or standard vardenafil.
- All PDE5 inhibitors share contraindications with nitrates and require medical clearance for cardiovascular disease.
- Lifestyle optimization can boost the success rate of any chosen medication.

Frequently Asked Questions
How quickly does Levitra Super Active work?
Most men feel an erection within 15‑30 minutes after taking the 20mg tablet, provided they are sexually stimulated.
Can I take Levitra Super Active with alcohol?
Moderate alcohol (one to two drinks) usually doesn’t interfere, but heavy drinking can reduce blood flow and lessen the drug’s effectiveness.
Is Levitra Super Active safe for men with heart disease?
If you’re on nitrate medication, do not use any PDE5 inhibitor. For other heart conditions, a doctor should evaluate the risk; many men with stable cardiovascular disease tolerate vardenafil well.
How does Levitra Super Active compare price‑wise to Viagra?
In Australia, generic sildenafil is usually cheaper and may be PBS‑subsidised. Levitra Super Active is a brand‑name product, so it often costs more per tablet.
Can I take Levitra Super Active more than once a day?
The recommended maximum is one dose per day. Taking it more frequently increases the risk of side effects without providing additional benefit.
What should I do if I experience a painful erection lasting over four hours?
Seek emergency medical care immediately. A prolonged erection (priapism) can cause permanent tissue damage.
Is a prescription required for Levitra Super Active in Australia?
Yes, a doctor’s prescription is mandatory. Some telehealth services can provide a quick online assessment and issue a prescription if appropriate.
Hannah Dawson
The data presented suggests the onset claims are not a marketing illusion. A quick look at the pharmacokinetics shows vardenafil peaks earlier than sildenafil, but the difference is marginal. The table omits variance ranges, which is critical for evaluating real‑world performance. In practice, patient preference often outweighs the nanosecond advantage.
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