Vilitra 60 mg, which contains vardenafil, is typically used to treat erectile dysfunction. It generally starts showing effects within 30 to 60 minutes after taking the pill. However, it can take up to 2 hours to reach its peak effectiveness. For optimal results, it’s recommended to take the pill about 30 to 60 minutes before any sexual activity. Its effects can last for up to 4-5 hours, although this can vary from person to person. It's important to note that sexual stimulation is still required for the medication to work. Additionally, individual factors like your health, diet, and other medications can affect the timing and effectiveness.