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Vilitra 20 mg is manufactured by Centurion Laboratories in India. It contains Vardenafil, a PDE5 inhibitor like Sildenafil (Viagra) and Tadalafil (Cialis). The 20 mg dose is generally considered the maximum recommended starting dose and is prescribed for men who do not respond adequately to lower doses (e.g., 5 mg or 10 mg). Vardenafil works by inhibiting the phosphodiesterase type-5 (PDE5) enzyme, which breaks down cyclic GMP in the penis. Cyclic GMP helps relax blood vessels and increase blood flow, facilitating an erection during sexual stimulation. Vilitra 20 mg usually takes effect in 30–60 minutes, and its effects can last approximately 4–5 hours. Unlike Tadalafil, its duration is shorter, so timing before sexual activity is important.