The short answer
A compounded 20 mg vardenafil capsule, taken as needed about an hour before. Vardenafil is the third of the three well-studied erection medicines, and a sensible next try when sildenafil or tadalafil has not suited. Prepared by a licensed compounding pharmacy and not FDA-approved.
- Usually taken about 60 minutes before; stimulation is still needed.
- A different molecule from sildenafil and tadalafil, which is the point: some men respond better to one than another.
- Never combine with nitrates (including nitroglycerin), poppers, riociguat, cocaine, or another erection medicine.
- Avoid with long-QT syndrome or certain heart-rhythm medicines; tell your clinician.
A different option. Same honest conversation.
Vardenafil is a PDE5 inhibitor, like sildenafil and tadalafil, that helps the erectile response to sexual stimulation. Men respond differently to the three, so when one has not suited, another is a reasonable next try rather than a last resort. It does not increase desire, does not change your size, and no erection medicine works for everyone.1
Before the moment.
It is generally taken about 60 minutes ahead. Take only the prescribed capsule, do not switch formulations on your own, and do not combine erection medicines. A heavy meal can slow it down.1
Heart rhythm deserves a mention.
Vardenafil should be avoided with congenital long-QT syndrome or class IA and III antiarrhythmic medicines. Cocaine and other stimulants raise cardiovascular and rhythm risk and must never be combined with it. Severe liver disease, dialysis, heart disease and interacting medicines also need review before prescribing.1
Possible side effects
Headache, flushing, nasal congestion, indigestion and dizziness can occur. An erection lasting four hours is an emergency. Sudden vision or hearing loss means stop and get care. Report anything persistent to your clinician.1
Compounded capsule. Here is what that means.
This capsule is prepared for you by a licensed compounding pharmacy on a clinician’s prescription. It is not FDA-approved. Vardenafil is also available as FDA-approved generic tablets from a retail pharmacy; this capsule is not one of those products and is not a generic of them.3
Give your clinician the whole picture.
Heart health and rhythm history, blood pressure, kidney or liver problems, past sudden vision loss, and every medicine, supplement and recreational drug. Nitrates, poppers and riociguat rule it out entirely.2
Strengths and plans
Dark Horse, your way.
Every strength costs the same. Your clinician chooses the strength with you; you choose how long to ride. The price includes your consult.
- Dark HorseVardenafil 20 mg capsuleOne strength. Your clinician may still adjust how and when you take it.
One price covers the consult and, if prescribed, the medication for the full plan. A plan never guarantees a prescription; if medication is not appropriate for you, you are refunded under the Refund Policy. Compounded medicines are not FDA-approved.
Hard questions, straight answers
Is vardenafil FDA-approved for this use?
No. This is a compounded capsule prepared by a licensed compounding pharmacy and is not FDA-approved. Vardenafil is available as FDA-approved generic tablets from a retail pharmacy; this capsule is not one of those products.
How do I get vardenafil through Hung?
Pick this medicine and a plan length in the plan builder: $35 a month for 3 months, $30 for 6, $25 for 9 or $20 for 12, paid once, consult included. A licensed LPMD Medical Group clinician reviews your health history over secure chat and, if this medicine is appropriate and safe for you, chooses the strength with you and sends the prescription to a licensed compounding pharmacy that ships discreetly to your door or to a pharmacy near you. A plan never guarantees a prescription; if medication is not appropriate you are refunded under the Refund Policy.
Sources
- DailyMed: vardenafil prescribing information ↗
- NIDDK: treatment for erectile dysfunction ↗
- FDA: compounding questions and answers ↗
Information checked September 13, 2026. This page summarizes selected points and is not the full prescribing information. Your clinician and dispensing pharmacist provide instructions for your actual prescription.