Vilitra 60mg

Vilitra 60 is a vardenafil tablet made in India under Centurion's Vilitra brand. The carton in our product photo reads "Vardenafil Tablets 60 mg", which is three times the 20 mg maximum dose in the US and EU vardenafil labels. We sell it in packs of 60, 90 and 120 tablets, from $1.13 a tablet in the largest pack.

We stock Vilitra 60 because customers ask for it by name, but we would not recommend it first or second. The label starts most men on 10 mg and allows a move up to 20 mg, the labelled maximum, and we found no published study of 60 mg in men with erectile dysfunction. This page covers the price per tablet, what the vardenafil labels say about doses above 20 mg, which strength suits most men, who must not take it, and how delivery works. Clinical figures come from the current US prescribing information for vardenafil tablets, the EU product information for Levitra and published studies, listed at the end.

Vilitra 60 at a glance

Price per tablet

Prices below are as of October 2026; the pack selector shows the current price.

No pack reaches the $149 free shipping threshold on its own; the 120 pack is $13 short. Vardenafil is taken as needed, no more than once a day, so a pack is a number of doses rather than a course: 60 tablets are 60 doses. Check the expiry date on the strips when your order arrives and plan how many tablets you will realistically use before it.

For comparison, before shipping, Alvitra 20, at the labelled maximum dose, costs $0.93 to $1.13 a tablet, Vilitra 10, at the usual starting dose, costs $0.53 to $0.63, and Filitra 40 costs $1.09 to $1.32.

Vilitra 60 compared with Levitra and US generics

There is no Levitra 60 mg and no FDA-approved 60 mg vardenafil tablet to compare with; the highest strength is 20 mg. Levitra was approved on clinical trial evidence, US generics had to prove bioequivalence to it, and the FDA inspects manufacturing for both. The Indian Vilitra 60 pack is not registered with the FDA, MHRA, TGA or Health Canada, and we have not seen bioequivalence data comparing it with Levitra.

NADAC is the average price US pharmacies pay to buy a medicine, published by the US Medicaid programme; the price at the counter is higher and depends on the pharmacy and your insurance. In the NADAC file effective 21 October 2026, all five rows for generic vardenafil 20 mg tablets were $2.63235 a tablet, and the five rows for 10 mg tablets were $4.12686. Per tablet, Vilitra 60 from us costs less than a US pharmacy pays for one generic 20 mg tablet, but that does not make it better value: each tablet is three times the labelled maximum, and a higher dose has not been shown to work better. If you are in the US and have a prescription, compare cash prices for FDA-approved generic vardenafil 10 mg or 20 mg, the labelled doses.

What the evidence says about 60 mg

We searched PubMed in October 2026 and found no published study of vardenafil 60 mg in men with erectile dysfunction. The efficacy results in the vardenafil label cover 5 mg, 10 mg and 20 mg. In the label's main North American trial, the per-patient rate of successful intercourse at 3 months was similar at 10 mg and 20 mg:

The highest dose tested in men with erectile dysfunction that we found is 40 mg. In a small crossover trial of 21 men (Stark 2001), erection measurements improved over placebo by similar amounts on 20 mg and 40 mg; the published abstract compares each dose with placebo, not with each other, and side effects, mainly headache, flushing and nasal congestion, were slightly more common on 40 mg than on placebo. Nothing in the label or in that trial shows that 60 mg works better than 20 mg. In two other label trials, successful intercourse rates on 10 mg and 20 mg were 49% and 54% in men with diabetes (23% on placebo), and 37% and 34% after prostate surgery (10% on placebo) (US label 14.2, 14.3).

What the labels say about doses above 20 mg

Doses above 20 mg appear mainly in the overdose, warnings and clinical pharmacology sections of the label, mostly from small studies in healthy volunteers. The label gives no figures for 60 mg.

• The highest dose with human data is a single 120 mg dose given to healthy male volunteers. The majority had reversible back pain or muscle pain, "abnormal vision", or both (US 10).
• Single doses up to 80 mg, and 40 mg once daily for 4 weeks, were tolerated without serious side effects (US 10; the EU label gives the 80 mg figure, 4.9).
• When 40 mg was given twice daily, cases of severe back pain were seen. No muscle or neurological toxicity was identified (US 10; EU 4.9).
• In 25 healthy men, a single 40 mg dose did not change visual acuity, eye pressure or eye examination findings (US 12.2).
• In a heart rhythm study of 59 healthy men aged 45 to 60, the usual 10 mg dose raised the corrected QT interval (Fridericia) by 8 msec and a single 80 mg dose by 10 msec, against 8 msec for the antibiotic moxifloxacin, a drug known to prolong it. The clinical impact is unknown. The 80 mg dose was chosen because it gives blood levels similar to 5 mg taken with the HIV medicine ritonavir (US 12.2). In a separate study, 10 mg taken with gatifloxacin, another drug with a similar QT effect, raised QTc by 9 msec, an additive effect (US 12.2).
• The label says vardenafil's blood levels rise roughly in step with the dose "over the recommended dose range" (US 12.3), so it gives no estimate of blood levels at 60 mg.
• The placebo-controlled trials "suggested a dose effect" in headache, flushing, indigestion, nausea and runny or blocked nose over 5 mg, 10 mg and 20 mg (US 6.1), and the impairment of colour discrimination (blue and green) is dose related (US 12.2).
• The nitrate interaction study used 20 mg: blood pressure fell further when nitroglycerin was given 1 or 4 hours after vardenafil, and heart rate rose when it was given up to 8 hours after (US 7.1, 12.2). The label says a safe interval between vardenafil and nitrates has not been determined (US 4.1). There are no nitrate data at 60 mg.

These were small studies, mostly in healthy volunteers. They do not show that 60 mg is safe for men with heart disease, men aged 65 or over, or men taking other medicines, and they are not evidence that it works better than 20 mg.

Which strength to choose

The US label recommends 10 mg for most men, allows 20 mg or 5 mg depending on effect and side effects, sets 20 mg as the maximum, and advises considering 5 mg to start for men aged 65 or over (US 2.1, 2.3). The EU label also starts at 10 mg with a maximum of 20 mg (4.2).

If 20 mg is not working, check the practical causes first: judging it after too few attempts, taking it too close to sex or after a heavy, high-fat meal, too little sexual stimulation, or heavy drinking (our advice). Some men respond better to a different drug, such as tadalafil (Vidalista 20) or sildenafil (Cenforce 100), which is a question for a doctor. Erectile dysfunction that does not respond to the labelled dose is also a reason to see a doctor, because it can be an early sign of heart disease or diabetes. Our comparison of sildenafil, tadalafil and vardenafil explains how the three differ.

Men for whom 60 mg is not suitable

Vardenafil is broken down mainly by the liver enzyme CYP3A4, and some medicines and conditions raise its blood levels many times over. For most of the groups below the labels set a lower starting dose or a lower limit, far below 60 mg; in our view Vilitra 60 is not suitable for any of them. Each point says which label it comes from.

• Ritonavir or cobicistat: no more than 2.5 mg in 72 hours (US 2.4). Ritonavir raised vardenafil exposure 49-fold (US 7.2). The EU label contraindicates vardenafil with ritonavir and indinavir (4.3).
• Indinavir, saquinavir, atazanavir, clarithromycin, or ketoconazole or itraconazole at 400 mg a day: no more than 2.5 mg in 24 hours (US 2.4).
• Erythromycin, or ketoconazole or itraconazole at 200 mg a day: no more than 5 mg in 24 hours (US 2.4). The EU label says ketoconazole and itraconazole taken by mouth should be avoided with vardenafil, and are contraindicated with it in men over 75 (4.3, 4.4).
• Alpha blockers (for example tamsulosin, doxazosin or terazosin): be stable on the alpha blocker first, then start vardenafil at 5 mg, because the combination can cause symptomatic low blood pressure such as fainting (US 2.4, 5.6; EU 4.4).
• Liver impairment: for moderate impairment the US label recommends a 5 mg start and a maximum of 10 mg (2.3); exposure rose by 160% (8.6). The EU label says a 5 mg start should be considered for mild and moderate impairment, with a maximum of 10 mg in moderate impairment (4.2).
• Severe kidney impairment (creatinine clearance below 30 mL/min): the EU label says a 5 mg start should be considered (4.2). The US label says no adjustment is needed at 30 to 80 mL/min, reports exposure 20% to 30% higher below 50 mL/min, and says not to use vardenafil on dialysis (US 2.3, 8.7).
• Age 65 or over: total exposure was 52% higher and peak levels 34% higher than in men aged 18 to 45, and the US label says to consider 5 mg to start (US 2.3, 8.5). The EU label says a move to 20 mg should be carefully considered, and at 20 mg older men had more headache (16.2% against 11.8%) and dizziness (3.7% against 0.7%) than younger men (4.2, 4.8).
• Grapefruit juice: likely to raise vardenafil levels (US 7.2); the EU label says the combination should be avoided (4.4).

Vardenafil also adds to the effect of blood pressure medicines: single 20 mg doses lowered lying-down blood pressure by an average of 7/8 mmHg more than placebo (US 7.1), and in men whose blood pressure was controlled with nifedipine, by an extra 6/5 mmHg (US 7.3).

If you and your doctor decide on Vilitra 60

• Only consider it if a doctor has looked at why 20 mg is not working and agrees to a dose above it. 60 mg is three times the labelled maximum, and it has not been shown to work better than 20 mg.
• Take one tablet about an hour before sex. On an empty stomach, peak levels after 20 mg usually arrive between 30 minutes and 2 hours after a dose (median 60 minutes) (US 12.3). It can be taken with or without food, though high-fat meals lowered the peak level by 18% to 50% (US 2.2, 12.3).
• Take no more than one tablet in 24 hours (US 2.1). Do not combine it with another vardenafil, sildenafil, tadalafil or avanafil product; the US label says combinations with other erectile dysfunction treatments are "not recommended" (5.10).
• It works only with sexual stimulation.
• If side effects are troublesome, stop and speak to your doctor.

Side effects at the labelled doses

These rates come from the placebo-controlled trials of vardenafil 5 mg to 20 mg, pooled in the label. The table lists every row of the label's Table 1 (reported by 2% or more of men and more often than with placebo). The label gives no figures for 60 mg.

Back pain was reported by 2.0% of men on vardenafil and 1.7% on placebo at the labelled doses (US 6.1), but it was the main problem at the highest doses tested: severe back pain at 40 mg twice daily and back or muscle pain in most men given 120 mg (US 10). In the trials, 3.4% of men on vardenafil stopped because of side effects, against 1.1% on placebo (US 6.1). Vardenafil can also cause temporary colour vision changes, such as a blue tinge or difficulty telling blue from green (Patient Information).

When to get urgent help

• An erection lasting more than 4 hours. Without prompt treatment it can permanently damage the penis and cause lasting erectile dysfunction (US 5.3).
• Sudden loss or reduction of vision in one or both eyes. Stop taking vardenafil and get medical help straight away (US 5.4).
• Sudden loss or reduction of hearing, sometimes with ringing in the ears or dizziness. Stop taking vardenafil and get prompt medical attention (US 5.5).
• Chest pain, fainting, palpitations or severe dizziness during or after sex: stop and get medical help right away (our advice). The patient information warns that, if vardenafil is taken with certain other medicines, a sudden drop in blood pressure can make you dizzy or faint, or lead to a heart attack or stroke.
• Swelling of the lips, tongue or throat, difficulty breathing or swallowing, or a rash or hives (allergic swelling and angioedema are listed in US 6.1).
• Blistering or peeling skin. The EU label reports Stevens-Johnson syndrome and toxic epidermal necrolysis, which can be life threatening or fatal, and says vardenafil should be stopped at once and never restarted (4.4).
• If you take more than one tablet, call a doctor or emergency room straight away (Patient Information).

Sudden vision loss from NAION, a problem with blood flow to the optic nerve, has been reported rarely with all PDE5 inhibitors. Two observational studies suggest about a 2-fold higher risk shortly after a dose (risk estimates 2.15 and 2.27), though they do not prove the drugs cause it (US 5.4). Men who have had NAION before are at higher risk of it happening again, and most reported cases had risk factors such as a "crowded" optic disc, age over 50, diabetes, high blood pressure, coronary artery disease, high cholesterol or smoking (US 5.4, 6.2).

If you need emergency care for a heart problem, tell the staff that you took vardenafil, how much and when. Nitrates are a standard emergency treatment for chest pain, and the label says a safe interval between vardenafil and nitrates has not been determined (US 4.1).

Who must not take Vilitra 60

Never take it if (contraindications in both the US label, section 4, and the EU label, section 4.3):

• You use nitrates or nitric oxide donors in any form, regularly or occasionally, including nitroglycerin sprays, tablets or patches for angina, and amyl or butyl nitrite "poppers".
• You take a guanylate cyclase stimulator such as riociguat (Adempas).

The EU label also lists these as contraindications (4.3):

• An allergy to vardenafil or any ingredient of the tablet.
• Loss of vision in one eye from NAION, whether or not it followed a PDE5 inhibitor. The US label says men who have had NAION should use PDE5 inhibitors with caution, and only when the anticipated benefits outweigh the risks (5.4).
• Because vardenafil has not been studied in them: severe liver impairment (Child-Pugh C), kidney failure needing dialysis, blood pressure below 90/50 mmHg, a stroke or heart attack in the last 6 months, unstable angina, and hereditary retinal disorders such as retinitis pigmentosa.
• HIV protease inhibitors such as ritonavir and indinavir; and ketoconazole or itraconazole taken by mouth in men over 75.

The US label says these men should avoid it, should not use it or are not recommended to take it:

• Men with congenital long QT syndrome, or who take class IA antiarrhythmics (such as quinidine or procainamide) or class III antiarrhythmics (such as amiodarone or sotalol): "should avoid" (5.7).
• Men for whom sex is not recommended because of a heart condition: "should not be used" (5.1). Use is not recommended, because there are no controlled data, with unstable angina, resting systolic blood pressure below 90 mmHg, uncontrolled high blood pressure (above 170/110 mmHg), a stroke, life-threatening arrhythmia or heart attack in the last 6 months, or severe heart failure (5.1).
• Severe liver impairment or kidney dialysis: "do not use" (2.3). Hereditary retinal disorders such as retinitis pigmentosa: "not recommended" (5.4).
• Combining it with other erectile dysfunction treatments: "not recommended" (5.10).

Talk to a doctor first if you have aortic stenosis or another obstruction to blood flow out of the heart (US 5.1), a deformed penis (angulation, cavernosal fibrosis or Peyronie's disease) or a condition that raises the risk of prolonged erections such as sickle cell anaemia, multiple myeloma or leukaemia (US 5.3), a bleeding disorder or an active stomach ulcer (US 5.11), or pulmonary hypertension or a past seizure (Patient Information). Vilitra is for adult men only; vardenafil is not indicated for women or children (US 8.1, 8.4). It does not protect against sexually transmitted infections (US 5.12).

Prescription and legal status

Vardenafil is a prescription medicine in the US, UK, Australia and Canada. In the US, FDA-approved generics come in 2.5 mg to 20 mg. In Canada, Health Canada's drug database lists prescription vardenafil from several makers (Bayer's Levitra was cancelled after marketing). In Australia, the TGA register lists generic vardenafil, such as Vardenafil Apotex 20 mg, and Bayer's Levitra 20 mg tablet has been cancelled. In the UK, the emc lists vardenafil 5 mg, 10 mg and 20 mg tablets from several makers. We found no vardenafil product licensed above 20 mg by the FDA, the EMA, the MHRA, the TGA or Health Canada, and the Indian Vilitra 60 pack is not registered with any of them. The carton in our product photo is marked "For export only", and we have not confirmed its prescription status in India.

In the US, the FDA says personal importation of unapproved medicines is illegal in most circumstances. The MHRA warns: "Any medicine not authorised for sale in the UK can be unsafe or ineffective and there is no way of knowing what is in them or the negative health effects they can have." We recommend seeing a doctor before using vardenafil, especially at a dose above 20 mg, and checking the rules where you live before ordering.

Buying genuine Vilitra 60

Counterfeit erectile dysfunction pills are common in unlicensed channels. When Pfizer tested 22 orders from websites claiming to sell its Viagra in 2011, 77% were counterfeit, with 30% to 50% of the labelled dose. The MHRA warning quoted above applies to Vilitra 60, which is not authorised for sale in the UK, and the MHRA says erectile dysfunction pills bought online may contain no active ingredient, the wrong dose, hidden drugs or toxic ingredients. It advises UK buyers: "Only use UK-registered pharmacies, including online pharmacies displaying the official green cross logo". When your order arrives, check that the carton and strips name Centurion and show a batch number and an expiry date, and reject strips that are damaged, unsealed or unmarked. These checks cannot prove a product is genuine on their own, because counterfeiters copy packaging. If a batch causes unusual symptoms, stop using it, seek medical advice, and report it to your medicines regulator (the MHRA Yellow Card scheme in the UK, FDA MedWatch in the US, the TGA in Australia or Health Canada) as well as to us.

Delivery

We ship Vilitra 60 to the US, UK, Australia and Canada in plain packaging with tracking. Standard delivery takes 7 to 14 business days to most countries. Shipping costs a flat $25 on orders under $149 and is free from $149. See our shipping page for times by region, and our refund policy for what happens if a parcel does not arrive.

Related guides

• Filitra 40 review: does twice the maximum vardenafil dose do anything more?
• Sildenafil vs tadalafil vs vardenafil: how the three ED tablets differ
• Tadalafil 40 mg, 60 mg and 80 mg: what the evidence says
• Sildenafil 150 mg and 200 mg: what the evidence says
• Causes of erectile dysfunction
• Tadalafil vs sildenafil

Sources

• Vardenafil hydrochloride tablets, US prescribing information (Lannett Company), July 2026, sections 2, 4, 5, 6.1, 6.2, 7, 8, 10, 12, 14 and Patient Information. DailyMed
• Levitra, EU product information (European Medicines Agency), sections 4.2 to 4.5, 4.8, 4.9 and 5.1. EMA
• Stark S et al. Vardenafil increases penile rigidity and tumescence in men with erectile dysfunction after a single oral dose. Eur Urol 2001. PMID 11528196.
• Drugs@FDA: LEVITRA (vardenafil) NDA 021400, approved 19 August 2003, discontinued, with a Federal Register determination that it was not discontinued for safety or effectiveness reasons; generic vardenafil tablets 2.5 mg to 20 mg, via the openFDA drugsfda API, October 2026.
• Centers for Medicare and Medicaid Services. National Average Drug Acquisition Cost (NADAC), 2026 file, rows effective 21 October 2026 (generic vardenafil 20 mg, 5 NDCs at $2.63235; 10 mg, 5 NDCs at $4.12686; no Levitra rows). data.medicaid.gov
• Health Canada Drug Product Database, vardenafil products (Levitra cancelled post market; Mylan, Apotex, JAMP and Sanis vardenafil marketed, prescription), checked 21 October 2026.
• Therapeutic Goods Administration. ARTG 289162, Vardenafil Apotex 20 mg; Levitra 20 (ARTG 90500) cancelled under section 30(1)(c), checked 21 October 2026.
• Campbell N et al. Internet-ordered Viagra (sildenafil citrate) is rarely genuine. J Sex Med 2012;9(11):2943-51. PMID 22925379.
• MHRA. 20 million illegal erectile dysfunction pills seized as MHRA warns against risky online buys, 13 February 2026. GOV.UK.
• US Food and Drug Administration. Personal Importation. FDA

This page is for information and is not medical advice. Vardenafil is a prescription medicine; speak to a doctor or pharmacist before using it, and do not exceed the dose your doctor recommends.