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Silvitra (sildenafil + vardenafil)

Silvitra combines two ED medicines, sildenafil 100 mg and vardenafil 20 mg, in one tablet. See why that is a concern.

Active ingredients
Sildenafil + Vardenafil
Form
Tablet
Company
RSM Enterprises

Silvitra is listed by RSM Enterprises as an uncoated tablet containing sildenafil 100 mg and vardenafil 20 mg.

Two PDE5 inhibitors together

Sildenafil and vardenafil work in the same way. Their labels advise against combining them with other ED treatments, and this tablet combines each at its maximum single dose. That adds side effects and blood-pressure risk without a proven benefit.

Product record

Company
RSM Enterprises
Strengths listed
Sildenafil 100 mg + vardenafil 20 mg
Treatment area
Erectile dysfunction (ED)
Where we found it
In October 2026 we found it in RSM Enterprises’ own product site, not in the Indian retail pharmacy databases we checked. It appears to be made mainly for export, so it may not be sold in Indian pharmacies.
Information checked
3 October 2026

Listed strengths identify a product; they are not dosing advice. A listing in one country does not show that a product is authorized where you live.

About sildenafil

Sildenafil is a PDE5 inhibitor taken before sexual activity. It supports the natural erection response to sexual stimulation; it does not increase desire. The NHS advises taking it about an hour before sex, and a heavy or high-fat meal can delay the effect.

About vardenafil

Vardenafil is a PDE5 inhibitor taken before sexual activity. Its orodispersible and film-coated tablets are not interchangeable milligram for milligram, and it needs extra care with medicines that affect heart rhythm (QT prolongation).

About Indian brands

Indian brands are made or marketed by Indian pharmaceutical companies. Some are sold in Indian pharmacies; others are made mainly for export and are not sold in India. Neither status means the product is authorized in your country.

Check the product with your national medicines regulator and use a licensed pharmacy with a prescription.

About fixed combinations

A fixed combination puts two medicines in one tablet at set doses. Each ingredient brings its own side effects and interactions, and approval of each ingredient on its own does not mean the combination is approved or suitable.

Do not add another ED or PE medicine to a combination product.

Using a PDE5 inhibitor safely

Never take a PDE5 inhibitor with nitrates, recreational nitrites (“poppers”) or riociguat, and do not combine two ED medicines. Seek urgent medical help for chest pain, an erection lasting more than four hours, or sudden loss of vision or hearing.

Common side effects include headache, flushing, indigestion and a blocked nose.

Sources

Checked .

  1. Silvitra (Sildenafil 100mg + Vardenafil 20mg) Tablets — RSM Enterprises (company site)
  2. VIAGRA (sildenafil) US prescribing information — DailyMed, US National Library of Medicine. Ingredient reference; it does not describe this brand.
  3. Vardenafil hydrochloride tablets: US prescribing information — DailyMed, US National Library of Medicine. Ingredient reference; it does not describe this brand.