Malegra DXT Plus is kept away from children because it is intended for adult men and can be harmful to children if accidentally swallowed. The product is commonly listed as containing sildenafil 100 mg + duloxetine 60 mg. A Arrowmeds +1 The ingredients can cause significant effects in a child, such as: Dizziness, nausea, vomiting, or changes in blood pressure Drowsiness or other nervous-system Malegra DXT Plus from duloxetine Potentially serious effects from sildenafil, particularly with an inappropriate dose So “keep out of reach of children” is a safety precaution, not because the medicine is unusually dangerous when correctly used by the intended adult patient. If a child has actually swallowed Malegra DXT Plus, don't wait for symptoms—contact a poison-control service or seek urgent medical attention, and take the medication package with you.