Zhewitra 60 mg is typically taken as needed, about 60 minutes before sexual activity. This higher dose is generally prescribed for men who do not respond to lower doses. Take the tablet orally with a glass of water. It can be taken with or without food, although a high-fat meal might delay its effectiveness. Vardenafil increases blood flow to the penis during sexual stimulation by inhibiting the PDE5 enzyme, which helps in achieving and maintaining an erection. https://www.flatmeds.com/product/zhewitra-60-mg/