Features of Zhewitra Oral Jelly
Zhewitra Oral Jelly is a medication designed to treat erectile dysfunction (ED) by improving symptoms of erection difficulties.

This product contains the same active ingredient as the globally popular Levitra, but comes in a strawberry-flavored jelly form for unique administration.

Effects of Zhewitra Oral Jelly
The main component of Zhewitra Oral Jelly is Vardenafil, which works by inhibiting the PDE-5 enzyme (phosphodiesterase type 5) that interferes with erections.

PDE-5 is an enzyme that breaks down cyclic guanosine monophosphate (cGMP), which plays a crucial role in the erection process.

When cGMP is broken down, the ability to maintain an erection is lost, resulting in erectile dysfunction (ED).

Vardenafil inhibits the activity of PDE-5, dilates blood vessels around the penis, and relaxes the smooth muscle tissue of the corpus cavernosum.

Through these mechanisms, blood vessels expand and muscles relax, allowing more blood to flow into the corpus cavernosum, thereby facilitating erections.

Duration of Zhewitra Oral Jelly's Effects
Approximately 4 to 6 hours, though the medication itself does not forcibly induce erections—sexual stimulation or arousal is still required for it to take effect.

Dosage of Zhewitra Oral Jelly
This website offers personal proxy purchasing services for the 20mg dosage.

Additional Information
Zhewitra Oral Jelly has the same efficacy as Levitra, but its jelly form requires no water for administration and has higher absorption rates. It not only aids in achieving strong erections but also works faster than traditional tablets.

Related Pages
Vardenafil Product List
・Levitra Generic Drugs

Timing of Administration
The correct way to take Zhewitra Oral Jelly is on an empty stomach, 15-30 minutes before sexual activity.

After the first dose, subsequent doses should be taken at least 24 hours apart.

Recommended Dosage
The Zhewitra Oral Jelly sold on our site contains only 20mg of vardenafil as the active ingredient.

First-time users or those sensitive to effects are advised to start with half a dose.

If half a dose shows insufficient effect, you may increase to a full dose—adjust according to your individual response.

Some users take 2-3 times the recommended dose, but this does not enhance effectiveness.

The maximum dose per sexual encounter should not exceed 20mg.

Standard Dosage
When first taking vardenafil-containing medication, start with 10mg.

Food Interactions
Zhewitra Oral Jelly is minimally affected by food intake.

Manufacturer data indicates meals containing approximately 700kcal with ≤30% fat content show no significant impact.

Thanks to vardenafil's water-soluble properties, Zhewitra Oral Jelly offers rapid onset of action.

Taking it 30 minutes before meals allows optimal absorption and minimizes food interference.

If taken after meals, wait about 2 hours to avoid digestion-related absorption issues.

High-fat meals (e.g., barbecue/fried foods) may require longer digestion time—fasted administration is preferable.

Once absorbed, normal eating is unrestricted.

Alcohol Interaction
While compatible with alcohol, its vasodilatory effects may accelerate intoxication—monitor consumption carefully.

Contraindications
・Cardiovascular patients (those unfit for sexual activity)

・Severe hepatic impairment

・Hypotensive patients or uncontrolled hypertension

・Individuals with stroke/myocardial infarction within the past 6 months

※Use under medical supervision

Main Side Effects
Common side effects include symptoms such as lowered blood pressure due to vasodilation, eye congestion, facial flushing, palpitations, and nasal congestion.

These symptoms are typically caused by the vasodilation effect and may alleviate as sexual stimulation increases and more blood flows into the penis.

Less Common Symptoms
Rarer symptoms include visual abnormalities such as a sensation of wearing blue-tinted glasses or difficulty distinguishing between blue and green.

Most of these cases are temporary and generally not problematic. However, if vision significantly deteriorates, there is a risk of non-arteritic anterior ischemic optic neuropathy (NAION).

If symptoms such as sudden vision loss or deterioration occur, consult an ophthalmologist or other medical professional immediately.

Additionally, if an erection persists for more than 4 hours with pain, it may indicate Priapism.

If an erection lasts longer than 4 hours, seek immediate medical attention for professional treatment.

※What is Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)?
This refers to a condition where blood supply to the optic nerve is interrupted, leading to dysfunction or necrosis of optic nerve cells, known as ischemic optic neuropathy.
Although no definitive causal relationship has been established, there have been rare reports of similar symptoms in individuals taking ED treatment drugs, suggesting a possible correlation.

※What is Priapism?
Priapism, also known as persistent erection disorder, refers to a prolonged erection without sexual stimulation that does not naturally subside.
This condition is also referred to as penile rigidity.
The primary cause is often abnormal arterial circulation within the corpora cavernosa of the penis.
If a persistent erection lasts more than 4 hours without resolving on its own, immediate medical examination and treatment are essential.

Contraindicated Drugs
Contraindicated drugs are those with significant interactions with this product and should not be taken simultaneously.

・Nitrates and nitric oxide donors
(e.g., nitroglycerin, amyl nitrite, isosorbide dinitrate, etc.)
Concurrent use may enhance blood pressure-lowering effects, potentially leading to hypotension.

・Amiodarone hydrochloride
(e.g., amiodarone tablets)
May increase the risk of adverse effects such as QTc interval prolongation.

・CYP3A4 enzyme inhibitors
(e.g., antifungal agents, HIV medications, telithromycin, nefazodone, ketoconazole, itraconazole, ritonavir, saquinavir, nelfinavir, atazanavir, etc.)
May elevate plasma concentrations of this product and prolong its metabolic duration in the body.

・Nirmatrelvir/Ritonavir (Paxlovid)

・Ensitrelvir

Drugs Requiring Caution
The following drugs or food items require special attention when used concurrently with this product.

・Grapefruit (including grapefruit juice)
Contains furanocoumarins that inhibit metabolic enzyme activity, slowing drug breakdown and potentially enhancing both efficacy and side effects.

・Antihypertensive drugs
Since this product has blood pressure-lowering effects, concurrent use with antihypertensives may cause temporary dizziness, fatigue, or other symptoms of low blood pressure.