For Vilitra 60 mg, individuals who may require a lower starting dose typically include: 1. Older Adults: Older individuals may experience heightened sensitivity to medications and may benefit from starting with a lower dose like Vilitra 20 mg or 40 mg to minimize potential side effects. 2. Individuals with Pre-existing Health Conditions: Those with cardiovascular issues, liver or kidney problems, or other chronic health conditions may need a lower starting dose to avoid complications. Vilitra 20 mg or 40 mg might be recommended initially. 3. Those New to PDE5 Inhibitors: People who have never used ED medications before may start with a lower dose like Vilitra 60mgto assess tolerance and effectiveness. 4. Sensitivity to Side Effects: If a person is prone to side effects such as headaches, dizziness, or stomach discomfort, a lower dose such as Vilitra 20 mg or 40 mg could be considered initially. Always consult a healthcare professional before starting any new dosage of Vilitra or similar ED medications to ensure it is safe and effective for your specific health needs.