MALEGRA DXT Plus

Many men face not just one, but two common sexual issues simultaneously: difficulty achieving an erection (ED) and premature ejaculation (PE). MALEGRA DXT PLUS is a specialized combination medication designed to address both of these problems at the same time.

What is MALEGRA DXT PLUS and its unique composition?

MALEGRA DXT PLUS is a powerful generic medication that combines two different active ingredients in one tablet. Its composition is what makes it unique:

1. Sildenafil Citrate (100 mg): This is the "gold standard" for treating erectile dysfunction, the same as in Viagra or Fildena. It ensures a powerful blood flow to the penis.

2. Duloxetine (60 mg): This is the component responsible for controlling ejaculation.

This medication is intended for men who need not only a firm erection but also a significant prolongation of sexual intercourse.

Dual mechanism of action: How does it work?

MALEGRA DXT PLUS attacks the problems on two fronts:

• Action of Sildenafil (100 mg): Sildenafil is a PDE5 inhibitor. During sexual arousal, it blocks the enzyme that causes blood to flow out and relaxes the blood vessels. This leads to a powerful and stable filling of the corpus cavernosum with blood, i.e., a quality erection.

• Action of Duloxetine (60 mg): Duloxetine is a Serotonin-Norepinephrine Reuptake Inhibitor (SNRI). By increasing the concentration of these neurotransmitters in the synapse, it affects the centers in the brain responsible for ejaculation. This gives the man significantly better control over the process and prolongs the time to orgasm multiple times over.

Instructions for using MALEGRA DXT PLUS

For safety and efficacy, taking this medication requires strict adherence to the rules.

1. Dosage: One tablet of MALEGRA DXT PLUS (100 mg Sildenafil + 60 mg Duloxetine) is the maximum daily dose.

2. Time of Intake: The tablet should be swallowed whole with water 60-90 minutes before planned sexual activity. Duloxetine requires more time to take effect than Sildenafil.

3. Method of Administration: Do not chew or crush the tablet.

4. Food: Taking it with a high-fat meal will sharply decrease the absorption speed of Sildenafil. For the best effect, take it on an empty stomach.

Critical contraindications: Sildenafil and Duloxetine

WARNING! This is a combination drug with two potent components, so the list of contraindications is strict.

It is absolutely forbidden to take MALEGRA DXT PLUS if you:

• Are taking NITRATES (Nitroglycerin, isosorbide dinitrate). The combination with Sildenafil will cause a life-threatening drop in blood pressure.

• Are taking MAO Inhibitors (MAOIs) (medications for depression). The combination with Duloxetine can cause a life-threatening serotonin syndrome. A 14-day "washout period" is required between MAOIs and this drug.

• Have severe heart, liver, or kidney disease.

• Have had a recent heart attack or stroke.

• Have uncontrolled hypertension or hypotension.

Possible side effects from MALEGRA DXT PLUS

Side effects can be caused by either of the two components.

• From Sildenafil: Headache, facial flushing, nasal congestion, changes in color vision ("blue haze").

• From Duloxetine (common): Nausea, dry mouth, drowsiness, dizziness, insomnia, sweating.

Specific Risk: The combination of both substances can intensify dizziness and drowsiness.

Professional advice on using MALEGRA DXT PLUS

1. NO ALCOHOL! This is not just a recommendation; it is a strict rule. Alcohol combined with Duloxetine creates a high risk of toxic liver damage and dramatically increases the sedative effect (drowsiness, loss of coordination).

2. Not for beginners. MALEGRA DXT PLUS is a drug for men who have already tried Sildenafil 100 mg and Dapoxetine/Duloxetine separately and need the combined effect.

3. Caution when driving. Duloxetine can cause significant drowsiness. Do not drive or operate machinery until you know how this medication affects you.

MALEGRA DXT PLUS: Answers to common questions

• How does MALEGRA DXT PLUS differ from Super P-Force? Both are combination drugs. But Super P-Force uses Dapoxetine, while MALEGRA DXT PLUS uses Duloxetine. Duloxetine is considered more potent and longer-lasting for prolongation but potentially has more pronounced side effects (especially nausea and drowsiness).

• How long does the drug last? Sildenafil's window of efficacy is 4-6 hours. The prolongation effect from Duloxetine also lasts for several hours, providing control over ejaculation during this entire period.