Malegra FXT is a combination medicine for erectile dysfunction (ED) + premature ejaculation (PE). It usually contains Sildenafil + Fluoxetine (an SSRI). When to take it Take 1 tablet about 1 to 3 hours before sexual activity Swallow it with water It works best when taken on an empty stomach or after a light meal Do not take more than 1 tablet in 24 hours Why the timing matters Sildenafil starts working in ~30–60 minutes (helps erection) Fluoxetine affects ejaculation control and may take longer to build effect over repeated use, Malegra FXT some people feel an effect from the first dose Important precautions Avoid or use only under medical advice if you: Take nitrate heart medicines Have heart, liver, or kidney disease Have seizure disorders or are on other antidepressants Possible side effects: Headache, flushing Dizziness, nausea Sleepiness or fatigue (from fluoxetine) Delayed ejaculation (intended effect, but can sometimes be excessive) Key advice Don’t use it as a “daily performance booster” It is stronger than plain sildenafil tablets because it affects both blood flow and brain chemistry Best used only after a doctor confirms it’s appropriate for you If you want, I can explain the difference between Malegra FXT vs Malegra DXT vs plain Sildenafil so you can understand which one actually fits your situation better.