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Vilitra 20 mg is typically taken as needed, 30–60 minutes before sexual activity. It is taken orally and can be taken with or without food, although a heavy meal may slow its onset. The effect usually lasts up to 4–5 hours, but sexual stimulation is necessary for it to work. Vilitra 20 mg is a stronger dose than 10 mg and can be more effective for men who do not respond to lower doses. It helps improve erectile function but does not increase sexual desire or cure ED permanently. Use it only under a doctor’s guidance.