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Levitra 20 mg is an oral medication taken to treat erectile dysfunction. It is a drug in the form of round, orange tablets. It comes in three strengths – 5 mg, 10 mg, and 20 mg – and can be taken as needed, usually about one hour before sexual activity. Each tablet contains the active ingredient vardenafil, which works by increasing blood flow to the penis when aroused resulting in an erection. It should be taken as needed, no more than once a day and at least 4 hours apart. Levitra should not be taken with other medications that contain nitrates or with alcohol, as this can lower your blood pressure to dangerous levels. If taken as recommended, Levitra should help you achieve and maintain an erection.