Malegra FXT is marketed as a combination of sildenafil 100 mg and fluoxetine 40 mg. Sildenafil is used for erectile dysfunction, while fluoxetine is an SSRI that may delay ejaculation.
For someone who already has delayed ejaculation or difficulty reaching orgasm, Malegra FXT may not be an appropriate choice. Fluoxetine itself can cause delayed ejaculation, inability to ejaculate, reduced libido, and erectile difficulties in some men.
Therefore, adding fluoxetine could potentially worsen existing ejaculation problems, even if its sildenafil component improves erectile function. The combination should not be used simply to improve sexual performance without discussing the underlying problem with a healthcare professional.
If delayed ejaculation developed while taking an antidepressant, do not stop or change the antidepressant on your own. A doctor can review the medication, timing of symptoms, mental-health factors, and other possible causes and determine whether a different treatment is more suitable.
Sildenafil also has important safety considerations: it must not be combined with nitrate medicines, because the combination can cause a dangerous drop in blood pressure.
Men with a history of delayed ejaculation should seek medical advice before using Malegra FXT, because its fluoxetine component may aggravate ejaculation difficulties.
