However, some states require a live video consultation. Stop using vardenafil and get emergency medical help if you have: heart attack symptoms–chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; vision changes or sudden vision loss; or erection is painful or lasts longer than 4 hours prolonged erection can damage the penis. Stendra avanafil : This is an as-needed medication taken 30 minutes before sex and can last up to six hours. Yes, you need a prescription for ordering Tadalafil. Oral medicine for ED also might not be safe or work well if you have: Very low blood pressure, called hypotension, or uncontrolled high blood pressure, called hypertension. They have the same benefits and risks as their brand-name counterparts. They are used to treat erectile dysfunction in adult men, which implies difficulties in getting or keeping an erection.Levitra – Uses, Side Effects, and More. Generic Name (S): vardenafil. Uses. Side Effects. Precautions. Interactions. Overdose. Images. Reviews () Uses. Vardenafil is used to treat male sexual. For ED treatment, PlushCare physicians can prescribe brand-name or generic Viagra, Cialis, Levitra, and Stendra. The prescription is electronically sent to the pharmacy of your choice in as little as 24 hours. Levitra (vardenafil hydrochloride) is an oral medication taken to treat erectile dysfunction (ED). It’s in the same class of drugs as other popular ED medications, including Viagra and Cialis.