Vilitra 20 is a medication primarily used to treat erectile dysfunction (ED) in men. The active ingredient in Vilitra 20 is Vardenafil, which is a PDE5 inhibitor—a class of drugs commonly prescribed for ED. Vardenafil works by increasing blood flow to the penis, helping men achieve and maintain an erection when sexually aroused. Vardenafil, the active ingredient in Vilitra 20, works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). The effects of Vilitra 20 can last for 4-6 hours, but this can vary from person to person.