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Before delving into the mechanism of action of Zhewitra 20 Mg, it's crucial to understand ED itself. ED is defined as the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can stem from a myriad of causes, including physiological factors such as vascular disease, hormonal imbalances, and neurological disorders, as well as psychological factors like stress, anxiety, and depression. Zhewitra 20 Mg is a phosphodiesterase type 5 (PDE5) inhibitor, primarily used for the management of ED. It contains vardenafil as its active ingredient, which belongs to the class of drugs known as selective PDE5 inhibitors.