Vilitra 20, which contains Vardenafil as its active ingredient, is primarily used to treat erectile dysfunction (ED) by increasing blood flow to the penis. While it is not specifically designed to address performance anxiety, it can potentially help individuals experiencing ED due to performance anxiety. Performance anxiety can cause temporary erectile dysfunction, and using medications like Vilitra 20 may help alleviate the physical symptoms of ED, thus reducing anxiety during sexual performance. However, it's important to note that Vilitra 20 does not address the psychological aspect of performance anxiety, so consulting a healthcare professional for comprehensive treatment, including therapy or counseling, is recommended.