Zhewitra 40 mg (which contains vardenafil, the same active ingredient as Levitra) can be effective in older men, including those over 65, but there are some important nuances to understand.  Effectiveness Across Ages Clinical studies show that vardenafil improves erectile function across different age groups, including men aged 65 and older. In research where men were grouped by age (< 45, 45–64, and ≥ 65 years), those treated with vardenafil had significant improvements in erectile function scores and other measures of performance compared with placebo, regardless of age. Another analysis found that vardenafil improved key domains of ****** function (like erection, intercourse satisfaction, and overall satisfaction) in men across age ranges, demonstrating benefits irrespective of how old they were.   What This Means for Older Men  Older men can experience better erections and an increased likelihood of successful ****** activity with a dose like Zhewitra 40 mg when there is ****** stimulation and the drug is taken as directed.  However, some real‑world evidence suggests that while many older patients respond well, effectiveness may be somewhat lower in very elderly men (e.g., those over 70), likely due to greater severity of underlying vascular issues and age‑related changes in erectile function.   Important Considerations ✔ You must take Zhewitra only with a doctor’s advice, especially in older age, because the risk of interactions and side effects (especially with heart disease or other meds) is higher.  It relies on ****** stimulation to work — it doesn’t cause spontaneous erections.