Malegra DXT does contain Sildenafil citrate as one of its active ingredients, but it is a combination medication designed to treat erectile dysfunction (ED) and premature ejaculation (PE). Components of Malegra DXT: Sildenafil Citrate (100 mg): Sildenafil is the same active ingredient found in Viagra and is used to treat erectile dysfunction. It works by inhibiting the enzyme PDE5, increasing blood flow to the penis to help achieve and maintain an erection in response to sexual arousal. Dapoxetine (60 mg): Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that is used to treat premature ejaculation. It works by increasing the levels of serotonin in the brain, which helps to delay ejaculation and improve control over ejaculation during sexual activity. How Malegra DXT Works: Sildenafil helps with ED by enhancing blood flow to the penis, allowing men to achieve and maintain an erection. Dapoxetine helps to manage premature ejaculation by delaying the process of ejaculation, thus improving sexual performance. Dosage and Administration: Malegra DXT is typically taken as a single tablet approximately 1 hour before sexual activity. It is usually recommended to be taken once per day and should not be taken more than once in a 24-hour period. The medication can be taken with or without food, though a heavy meal may delay its onset of action.