Zhewitra 20 mg is a medication used to treat erectile dysfunction (ED), and its active ingredient is vardenafil. Vardenafil works by increasing blood flow to the penis, helping to achieve and maintain an erection. As for its impact on bone density, there is no direct evidence or clinical data suggesting that vardenafil or similar medications used for ED have any effect on bone density. Zhewitra 20 mg medications primarily target the vascular system to improve erectile function and are not known to influence bone metabolism or density. If you have concerns about bone density or are experiencing symptoms related to bone health, it’s best to consult with a healthcare provider who can provide guidance based on your specific health needs and medical history.