<p><strong>The recommended starting dose</strong>: 10 mg once daily, taken orally approximately 60 minutes before sexual activity. The dose may be increased to a maximum dose of 20 mg or decreased to 5 mg based on efficacy and side effects. The maximum recommended dosing frequency is once per day. Vardenafil can be taken with or without food.<br />
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<strong>Geriatrics</strong>: A starting dose of 5 mg should be considered in patients &gt;65 years of age.<br />
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<strong>Renal impaired patients</strong>: In patients with renal impairment, no dose adjustment is required.<br />
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<strong>Hepatic impaired patients</strong>: In patients with moderate hepatic impairment, a starting dose of 5 mg is recommended and the maximum dose should not exceed 10 mg. Do not use in patients with severe hepatic impairment.</p>