Vilitra 40 (Vardenafil 40 mg) is available in an oral tablet and is to be swallowed whole like a pill. It should not be chewed. It does not have to be broken or crushed. Before the s*xual activity, a tablet of the medicine should be swallowed with water. Before engaging in s*xual activity, it is recommended that you take Vilitra 40 (Vardenafil 40 mg) 30 to 60 minutes in advance. The drug begins to work after about 30 minutes.