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For most people, this is anywhere from 30 minutes to 1 hour after you take Levitra. For some people, it can start working even faster. The effects of the drug can last 4 to 5 hours. If an erection lasts longer than 4 hours, which is called priapism, seek medical help right away.

However, a vardenafil dosage of 20 mg not only increases the risk of serious side effects but won't get you the rock-hard, ready-for-action erection you're looking for. Despite which dosage you take, vardenafil lasts the same amount of time. Vardenafil can remain active in the body anywhere between five to seven hours.

For oral dosage form (tablets): Adults 65 years and older—5 milligrams (mg) as a single dose, no more than once per day, approximately 1 hour before sexual activity. Your doctor may adjust your dose if needed. However, the dose is usually not more than 20 mg once per day.