Vilitra (like 60 mg), you should consider the following key factors and consult with a healthcare provider . Current Health Condition If you have heart problems, liver/kidney issues, or are on other medications (especially nitrates), you may need a lower dose or may not be suitable for Vilitra at all.  ED Severity Mild to moderate ED: Lower doses like Vilitra 10 mg or 20 mg are often sufficient. More severe ED or lack of response to lower doses: A higher dose like Vilitra 40 mg or 60 mg may be considered. Age and Tolerance Older adults or those new to ED medications may start with a lower dose to minimize side effects. If you're younger, healthy, and have  Side Effects History If you've experienced strong side effects on lower doses, a higher dose may worsen them. Always report side effects to your doctor before increasing dosage. Important: Vilitra 60 mg is a high dose and should only be taken under medical supervision. Do not self-increase the dosage without professional guidance.