Super Vilitra the cause of their erectile dysfunction (ED). Super Vilitra is commonly marketed as a combination of vardenafil and dapoxetine: Vardenafil helps improve blood flow to the penis to support an erection during sexual stimulation. Dapoxetine is used to help manage premature ejaculation (PE) by delaying ejaculation in some men. It is intended to address two different concerns, but it is not Super Vilitra for everyone. Why might it not work? The dose may not be appropriate. Sexual stimulation is still needed for an erection. Anxiety, stress, diabetes, or other health conditions may affect results. Other medicines or alcohol may interfere with effectiveness or increase side effects. Safety warning: Vardenafil must not be taken with nitrate medicines. Because Super Vilitra combines two medicines, it can also cause interactions and side effects such as dizziness, nausea, or a drop in blood pressure. MedlinePlus +1 To help me answer more specifically: Are you asking because Super Vilitra has not worked for you, or because you want to know whether it works better than Vilitra 20 mg alone?