Malegra FXT Plus contains two active ingredients: Sildenafil citrate (100 mg) A PDE5 inhibitor used to treat erectile dysfunction Works by increasing blood flow to the penis, helping achieve and maintain an erection Fluoxetine (60 mg) A selective serotonin reuptake inhibitor (SSRI) antidepressant Commonly used for depression, but in this combination it is also used to help delay ejaculation and improve Malegra FXT Plus during sexual activity So, in simple terms, Malegra FXT Plus is a dual-action tablet: Sildenafil helps with erection quality Fluoxetine helps with ejaculation timing and performance-related anxiety Because it combines a strong ED drug and an antidepressant, it should only be used under medical supervision due to possible side effects and drug interactions.