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Zhewitra 20 mg is one option used to treat erectile dysfunction (ED), but it's not necessarily the most common first choice. Typically, doctors prescribe medications like Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil) as initial treatments for ED. These drugs are well-studied and have a lot of clinical experience backing their efficacy and safety. Zhewitra 20mg contains vardenafil, the same active ingredient as Levitra, so it works similarly. However, the choice of medication can depend on various factors, including the patient's health, any other medications they're taking, and personal preferences. It’s always best to consult a healthcare provider for a recommendation tailored to individual needs.