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Take Malegra DXT orally with a light meal at least 60 minutes prior to a sexual activity. Do not double dose. Malegra DXT is a combination of Sildenafil Citrate and Duloxetine. Do not consume alcohol or fatty meal to avoid interaction with the medicine. However, consult your doctor for your dose. It’s action at the postsynaptic cleft increases thereby preventing premature ejaculation.Patients using Malegra DXT may encounter unwanted side effects such as: flushing, headache, dyspepsia, nasal discharge and stuffiness, vision disturbances (blurred vision, photophobia, blue-tinted vision).Duloxetine is a serotonin-norepinephrine reuptake inhibitor. Sildenafil is a selective and reversible inhibitor of phosphodiesterase type 5 with specificity to cGMP. An increased level of cGMP relaxes the smooth muscles of the arteries and improves blood flow into the penis and causes an effective erection.If it is time for your next dose, then skip the missed dose or else take it as soon as you remember.Consult your doctor right away. It inhibits serotonin reuptake, thereby increasing its amount exponentially in the blood. Its PDE5 inhibiting action releases more of cGMP in the corpus cavernosum of a penis.The usual recommended dose is one pill a day. Do not take Malegra DXT with medicines containing nitrates.Inform your doctor about other disease conditions you are suffering from and the medications taking. The effect may last up to many hours. Seek immediate medical help if your erection lasts for more than 4 hours.
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