Men with erectile dysfunction can get treatment with the vilitra 20mg Pill. A component in this medication called vardenafil helps men achieve a powerful erection during sexual activity. Men over the age of 18 are the only ones who take this medicine. This medication can be used either before or after food. Consume this medication with water; do not crush or chew the tablet. This medication takes four to six hours to take effect. Avoid taking this medication with cold or fatty foods as they will lessen its effectiveness. Follow your doctor's advice when taking this medication.