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Zhewitra 40 mg is a medication containing Vardenafil, which is used to treat erectile dysfunction (ED) in men. It is similar to other PDE5 inhibitors like Sildenafil (Viagra) and Tadalafil (Cialis), but it is known for having a faster onset of action and slightly different pharmacokinetics. Common side effects include headache, flushing, dizziness, indigestion, nasal congestion, and back pain. In rare cases, more serious side effects may occur, such as sudden vision loss or an erection lasting more than 4 hours (priapism), which requires immediate medical attention.