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Vardenafil, the active ingredient in Vilitra 20 mg, works by inhibiting the enzyme PDE5 (phosphodiesterase type 5), which breaks down cGMP, a molecule that helps relax the smooth muscles of the blood vessels in the penis. By blocking PDE5, Vilitra 20 mg helps to increase the levels of cGMP, allowing more blood to flow into the penis during sexual stimulation. This leads to improved erectile function and easier achievement of an erection.