Vilitra 60 mg is generally prescribed for men who have not responded adequately to lower doses such as 10–40 mg. Its effects usually begin within 30–60 minutes and can last 6–8 hours, enabling more spontaneous physical activity. Because PDE5 inhibitors affect blood vessels, Vilitra 60 mg can potentially cause chest discomfort, palpitations, or low blood pressure, especially in men with pre-existing heart disease, hypertension, or those taking nitrates. Sexual activity itself also stresses the heart, so medical evaluation is essential before use.

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