
Silvitra 120 Mg
300 Tablets $280.00
Silvitra 120 mg combines sildenafil 100 mg and vardenafil 20 mg — the active ingredients of Viagra and Levitra — in one tablet for erectile dysfunction. Ships from India. Delivery to the USA takes 7–14 days, 100% delivery guaranteed. Shipping fee: $12.99. Free shipping on orders over $100.
| Strength | Sildenafil 100 mg + Vardenafil 20 mg |
|---|---|
| Active Ingredients | Sildenafil citrate + Vardenafil (both PDE5 inhibitors) |
| Treats | Erectile dysfunction (ED) |
| Works In | 30–60 minutes; lasts about 4–6 hours |
| When to Take | About 1 hour before sex. Maximum one tablet in 24 hours. |
| Expiry Date | January 2028 Note: The expiration date of the product you receive may be longer than the expiration date listed on the page. |
| Quantity per Box | 100 Tablets Note: For orders of less than one box, the product may be shipped without its original packaging. |
| Pharmaceutical Company | RSM Enterprises |
- Discreet packaging on every order
- Tracked worldwide shipping
- Reship or refund if your parcel does not arrive
Category: Erectile Dysfunction Treatment, Sildenafil


On this page
What is Silvitra 120 mg?
Silvitra 120 mg is an erectile dysfunction (ED) tablet that contains two PDE5 inhibitors: sildenafil citrate 100 mg (the ingredient in Viagra) and vardenafil 20 mg (the ingredient in Levitra). The name comes from adding the two together — 120 mg in total. It is made in India by RSM Enterprises.
It is aimed at men who have tried a single ED medicine and felt it was not quite enough. It treats ED only; it contains no dapoxetine and does not delay ejaculation.
Sildenafil and Vardenafil: Why Combine Them?
Sildenafil and vardenafil work in the same way. Both block the PDE5 enzyme, which allows the blood vessels of the penis to stay relaxed during arousal so blood can flow in and an erection can form and last. Neither causes an erection without arousal.
The two differ in the details:
- Vardenafil is more potent milligram for milligram, so a 20 mg dose — the maximum approved for Levitra — is a full dose. Its absorption is less affected by a moderate meal than sildenafil’s.
- Sildenafil is the most studied ED medicine in the world, with over 25 years of use; 100 mg is its maximum approved dose.
The idea behind Silvitra is that combining a full dose of each gives a stronger effect than either alone.
What You Should Know About Combination PDE5 Tablets
No regulator, including the FDA, has approved taking two PDE5 inhibitors together, and the official prescribing information for both Viagra and Levitra says not to combine them with other ED treatments. Because sildenafil and vardenafil act on the same enzyme, taking both mainly adds to the same effects — including the side effects. Headache, flushing, dizziness and drops in blood pressure are more likely than with a single tablet.
For that reason we suggest Silvitra only for men who:
- Have already taken sildenafil or vardenafil on its own, without problems, and
- Found that the maximum single dose — 100 mg sildenafil or 20 mg vardenafil — was not effective enough, and
- Have no heart disease, blood-pressure problems or interacting medicines.
If you have never taken an ED medicine, start with a single ingredient: Cenforce 50 mg or Cenforce 100 mg (sildenafil), or a vardenafil tablet from our vardenafil range. Many men who think they need a stronger tablet simply need a different one — tadalafil works for some men when sildenafil does not.
Onset and Duration
- About 30–60 minutes: onset for most men.
- Around 1 hour: both ingredients near their peak.
- 4–6 hours: the typical window of effect. Some men report it lasting longer, but this varies widely.
How to Take Silvitra
- Take one tablet with water about 1 hour before sex. Some men find half a tablet is enough.
- Never take more than one tablet in 24 hours, and never with any other ED medicine.
- Avoid a heavy or fatty meal beforehand, which can slow the sildenafil.
- Keep alcohol to a minimum — the risk of dizziness and low blood pressure is higher with two PDE5 inhibitors.
Silvitra vs Single-Ingredient Tablets
| Product | What it contains | Duration | Notes |
| Silvitra 120 mg | Sildenafil 100 mg + vardenafil 20 mg | 4–6 hours | Combination; for men who need more than one ingredient gives |
| Cenforce 100 mg | Sildenafil 100 mg | 4–6 hours | Standard full dose of sildenafil |
| Zhewitra 20mg | Vardenafil 20 mg | 4–6 hours | Standard full dose of vardenafil |
| Vidalista 20 mg | Tadalafil 20 mg | Up to 36 hours | Different PDE5 inhibitor, much longer-acting |
| Sildalist | Sildenafil + tadalafil | Up to 36 hours | Another dual-PDE5 combination |
Side Effects of Silvitra 120 mg
Most people who take Silvitra 120 mg have either no side effects or mild ones that fade as the medicine wears off over a few hours. The higher the dose, the more likely they are. Side effects are more likely with Silvitra than with either ingredient alone, because both add to the same effects.
Common and usually mild:
- Headache
- Facial flushing or warmth
- Blocked or runny nose
- Indigestion or heartburn
- Dizziness or light-headedness
- Back or muscle aches
- A temporary blue tinge to vision, or sensitivity to light
Get emergency medical help right away if you have:
- An erection that lasts longer than 4 hours (priapism). Left untreated it can permanently damage the penis.
- Sudden loss or dimming of vision in one or both eyes.
- Sudden hearing loss or ringing in the ears, especially with dizziness.
- Chest pain, a racing or irregular heartbeat, or fainting during or after sex. Tell the medical team you took a PDE5 inhibitor so they do not give you a nitrate.
- Signs of an allergic reaction: rash, hives, or swelling of the face, lips or throat.
Who Should Not Take Silvitra 120 mg
Do not take Silvitra 120 mg if you:
- Take any nitrate (nitroglycerin, isosorbide) or use amyl nitrite “poppers”, or take riociguat.
- Have been told your heart is not healthy enough for sex, or have had a heart attack, stroke or serious arrhythmia in the last 6 months.
- Have low blood pressure (below 90/50) or uncontrolled high blood pressure.
- Have a heart-rhythm problem called long QT syndrome, or take medicines for an irregular heartbeat such as amiodarone, sotalol, quinidine or procainamide — vardenafil can affect heart rhythm.
- Have severe liver disease or kidney failure needing dialysis.
- Have retinitis pigmentosa or have ever had NAION (sudden vision loss in one eye).
- Are a woman or under 18.
Talk to a doctor first if you take an alpha-blocker, any blood-pressure medicine, or a CYP3A4 inhibitor such as ritonavir, ketoconazole, itraconazole, clarithromycin or erythromycin; if you are over 65; or if you have Peyronie’s disease, sickle cell anemia, a bleeding disorder or a stomach ulcer. Please consult your doctor before taking this medicine.
How to Store Your Tablets
- Store at room temperature, below 86°F (30°C).
- Keep the tablets in their blister strip until you need one, away from heat, moisture and direct sunlight.
- Do not keep them in the bathroom — steam and humidity damage tablets.
- Keep out of reach of children and pets.
- Do not use after the expiry date printed on the strip.
Shipping, Delivery and Discreet Packaging
- Ships from: India
- Delivery to the USA: 7–14 days, with a tracking number provided once your order ships
- Shipping: free on orders over $100
- Delivery guarantee: 100% delivery guaranteed — see our shipping policy
- Discreet packaging: the outer box does not show the name Silvitra 120 mg or the drug name, so nobody handling the parcel can tell what is inside
- Pack sizes: 50, 100, 200 or 300 tablets — choose a pack above to see the current price per tablet
Sources and Medical Review
The medical information on this page is drawn from U.S. National Library of Medicine references and the published prescribing information for the active ingredients.
- Sildenafil — MedlinePlus Drug Information (U.S. National Library of Medicine)
- Vardenafil — MedlinePlus Drug Information
- PDE5 Inhibitors — StatPearls, NCBI Bookshelf
Sildenafil and vardenafil are prescription-only medicines in the USA. Silvitra 120 mg is manufactured in India and is not an FDA-approved product. The information on this page is for reference only and does not replace advice from a licensed doctor or pharmacist. Talk to a doctor before taking this medicine, especially if you take any heart, blood-pressure or psychiatric medication.
Frequently Asked Questions
What is Silvitra 120 mg?
Silvitra is an erectile dysfunction tablet containing sildenafil 100 mg (the ingredient in Viagra) and vardenafil 20 mg (the ingredient in Levitra). It is made by RSM Enterprises in India.
Is Silvitra stronger than Viagra?
It contains a full dose of sildenafil plus a full dose of vardenafil, so it acts more strongly on the same enzyme. Side effects are also more likely, and taking two ED medicines together has not been approved by the FDA or other regulators.
How long does Silvitra last?
Most men find it works within 30 to 60 minutes and lasts around 4 to 6 hours, though this varies from person to person.
Should I try Silvitra as my first ED medicine?
No. Start with a single ingredient such as sildenafil 50 mg or 100 mg. Consider Silvitra only if a full single dose was not effective enough and you had no problems taking it.
Does Silvitra help with premature ejaculation?
No. Neither sildenafil nor vardenafil delays ejaculation. For ED and premature ejaculation together, a sildenafil and dapoxetine tablet such as Super P Force is designed for that.
Can I drink alcohol with Silvitra?
Keep it to a minimum. Alcohol adds to the dizziness and drop in blood pressure that two PDE5 inhibitors can cause.
Can Silvitra be taken with heart medicines?
Never with nitrates or riociguat. Vardenafil can also affect heart rhythm, so do not take Silvitra with anti-arrhythmic drugs such as amiodarone or sotalol, and talk to a doctor if you take any heart or blood-pressure medicine.
