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Vilitra 40 mg works by blocking the enzyme PDE5, which normally limits blood vessel relaxation. When PDE5 is inhibited, the smooth muscles in the penile blood vessels relax, allowing increased blood flow during sexual arousal. This mechanism helps produce a stronger and more sustained erection, but only when sexual stimulation is present. Because it is a high-strength dose, Vilitra 40 mg is usually prescribed only when lower doses (such as 10 mg or 20 mg) are not effective. It typically starts working within 30 to 60 minutes, and its effects can last for about 4 to 6 hours.

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