Vardenafil (Levitra) Refill Online — Board-Certified MD Review
Vardenafil is the least-prescribed of the three main PDE5 inhibitors, which means patients on it often struggle to get it refilled when a prescriber becomes unavailable. If you are established on a stable dose, this is a renewal.
Same-dose continuation only. Dr. Refills renews vardenafil (Levitra) for patients already established on it, at the dose they are already taking. We do not start new prescriptions and we do not change doses. Available to patients located in California, Texas, Florida, New York, Illinois, Pennsylvania, Ohio, Georgia, Michigan, and Minnesota.
Why patients stay on vardenafil
Most men on vardenafil got there by trial. Sildenafil and tadalafil are prescribed first far more often, so a patient on vardenafil has usually either tolerated it better or responded to it when another agent did not. That is a real clinical reason to continue it rather than substitute, and it is why we refill the drug you are on rather than moving you to whatever is cheapest.
Pharmacokinetically it sits close to sildenafil — onset around 30 to 60 minutes, half-life of roughly four to five hours — rather than in tadalafil's long-acting territory.
Standard doses
Vardenafil is typically taken as needed at 5, 10 or 20 mg, about an hour before activity, no more than once daily. An orally disintegrating formulation exists at 10 mg and is not interchangeable milligram-for-milligram with the standard tablet, so tell us which you take.
Lower starting doses are usual in men over 65 and in hepatic impairment. We continue your established dose; we do not titrate.
Nitrates, and one difference worth knowing
As with every PDE5 inhibitor, nitrate use is an absolute contraindication — nitroglycerin, isosorbide mononitrate or dinitrate, and amyl nitrite. The combination can drop blood pressure catastrophically. A disclosed nitrate ends the request, at no charge.
Vardenafil carries one consideration the others do not share to the same degree: it can prolong the QT interval. That makes it a poor match for congenital long QT syndrome and for patients taking class IA or class III antiarrhythmics such as quinidine, procainamide, sotalol or amiodarone. We screen for this, and it is a reason a vardenafil refill may be declined where a different PDE5 inhibitor would not be.
Alpha-blockers, and other screening
Alpha-blockers for prostate symptoms lower blood pressure additively with vardenafil, and dose separation is often advised. We also review recent cardiac events, uncontrolled blood pressure in either direction, hepatic and renal function, and conditions predisposing to priapism — sickle cell disease, myeloma, leukemia. An erection lasting over four hours needs emergency care.
Need Your Vardenafil Refilled?
A board-certified internist reviews your request personally and, if approved, sends the prescription to your pharmacy — often within the hour. Flat $59 for 30 days, $79 for 90 days, covering every chronic medication in the request. No charge if it is not approved.
Start my refill →Frequently Asked Questions About Vardenafil Refills
We can send the prescription; we cannot control stock. Vardenafil is dispensed less often than sildenafil or tadalafil and some pharmacies do not keep it on the shelf. It is worth calling ahead, or asking the pharmacy to order it before we transmit.
Not through this service. A switch between PDE5 inhibitors is a new prescription rather than a continuation. Dr. Refills renews what you are already established on.
It can. Vardenafil is contraindicated with nitrates and should be avoided with certain antiarrhythmics because of QT prolongation. List every cardiac medication on your request and the physician will assess it.
$59 for 30 days, $79 for 90 days, any number of chronic medications in one request. Nothing if the refill is not approved.
This page is general information about a medication Dr. Refills can continue for established patients. It is not medical advice and does not replace the prescriber managing your condition. If you are having a medical emergency, call 911.