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Filitra 20 mg is an oral medication used to treat erectile dysfunction (ED) in adult men. It contains vardenafil, a PDE5 inhibitor that works by relaxing blood vessels in the penis, improving blood flow during pill stimulation. This helps men achieve and maintain a firm erection. physical arousal is required for the medication to be effective; it does not automatically induce an erection or increase desire. The 20 mg dose is considered a moderate-to-high strength and is typically prescribed when lower doses such as 5 mg or 10 mg do not provide adequate results. Filitra 20 mg usually starts working within 30 to 60 minutes, and its effects can last up to 4–6 hours, offering a window for spontaneous physical activity.