Malegra FXT isn’t just another pill for erectile dysfunction. It’s a two-in-one solution designed for men who deal with both trouble getting or keeping an erection and premature ejaculation. If you’ve tried one medication and still feel like something’s missing, Malegra FXT might be the combination you’ve been looking for. But it’s not magic. It’s science - and like any science, it works best when you understand how it works.
What’s Inside Malegra FXT?
Malegra FXT contains two active ingredients: sildenafil citrate and fluoxetine. These aren’t random chemicals slapped together. They’re chosen because they target two different problems at the same time.
Sildenafil citrate is the same compound found in Viagra. It works by relaxing blood vessels in the penis, letting more blood flow in when you’re sexually stimulated. Without stimulation, it does nothing. This isn’t an automatic erection pill - it needs your brain to kickstart the process.
Fluoxetine is an SSRI, a type of antidepressant. But in lower doses, it’s been shown to delay ejaculation. It doesn’t numb sensation. Instead, it slightly changes how your brain processes signals from the genitals, giving you more control over when you climax.
Together, they form a dual-action formula. One part helps you get hard. The other helps you stay hard longer - and last longer in bed. This isn’t theoretical. Clinical studies on similar combinations show men report significantly improved performance in both areas compared to using either drug alone.
Who Is Malegra FXT For?
If you’re under 18, pregnant, or not sexually active, this isn’t for you. But if you’re an adult man who’s tried sildenafil by itself and still struggles to last more than a minute or two, Malegra FXT could be worth considering.
It’s not for everyone. People with heart conditions, uncontrolled high blood pressure, or those taking nitrates (like nitroglycerin for chest pain) should avoid it. Mixing sildenafil with nitrates can cause a dangerous drop in blood pressure. If you’ve had a stroke or heart attack in the past six months, talk to your doctor first.
Fluoxetine can also interact with other antidepressants, migraine meds like triptans, or blood thinners. If you’re already on medication for anxiety or depression, don’t assume Malegra FXT is safe to add on your own. Self-medicating with SSRIs can lead to serotonin syndrome - a rare but serious condition.
How Do You Take It?
Take one tablet about 45 to 60 minutes before sex. It works best on an empty stomach or with a light meal. A heavy, fatty meal can delay how fast it kicks in.
The standard dose is 100 mg of sildenafil and 30 mg of fluoxetine. That’s the most common starting point. Some men do fine with half a tablet, especially if they’re older or sensitive to medications. Others might need the full dose after a few tries.
Don’t take more than one tablet in 24 hours. Fluoxetine builds up in your system over time. Taking it daily isn’t recommended unless your doctor says so. This isn’t a daily pill like some ED meds - it’s meant for use as needed.
Alcohol can make side effects worse. Even one or two drinks might increase dizziness, lower blood pressure, or make you feel nauseous. It’s best to skip the beer or wine on the night you plan to use it.
What Are the Side Effects?
Most men tolerate Malegra FXT well. But side effects happen. The most common ones are mild and go away on their own:
- Headache
- Flushing or warm feeling in the face
- Nasal congestion
- Upset stomach or nausea
- Dizziness
- Blurred vision or sensitivity to light
Fluoxetine can cause dry mouth, reduced appetite, or trouble sleeping - especially at first. These usually fade after a week or two as your body adjusts.
More serious side effects are rare but need attention:
- Prolonged erection (lasting more than 4 hours) - this is a medical emergency
- Sudden vision loss (could be NAION)
- Sudden hearing loss
- Severe dizziness, fainting, or chest pain
If you experience any of these, stop taking it and get help immediately. Don’t wait. Even if it happens once, it’s a sign your body isn’t handling the combo well.
How Long Does It Last?
Sildenafil lasts about 4 to 6 hours. That’s the window when you can get an erection if you’re stimulated. But fluoxetine doesn’t wear off quickly. It stays in your system for days. That’s why you don’t need to take it every day - just before sex.
Some men report improved control over ejaculation for up to 24 hours after taking it. That’s because fluoxetine’s effect builds up. You might notice you last longer even on days you didn’t take the pill - but that’s not guaranteed. Don’t rely on it.
Don’t mistake this for a long-term fix. It helps with performance in the moment. It doesn’t cure the underlying causes of ED or PE. If stress, anxiety, or hormonal issues are behind the problem, you’ll need to address those separately.
Where Can You Buy It?
Malegra FXT is not approved by the FDA or the UK’s MHRA. That means you won’t find it in pharmacies like Boots or Superdrug. You’ll need to buy it online from reputable international suppliers.
But here’s the catch: a lot of fake versions are out there. Some contain no active ingredients. Others have too much sildenafil - or dangerous additives like black market PDE5 inhibitors or even amphetamines.
Look for suppliers that provide:
- Batch numbers you can verify
- Lab test results (certificate of analysis)
- Clear contact information and customer support
- Secure payment options (no Bitcoin or wire transfers only)
Avoid sites that offer it for £5 a tablet. That’s too good to be true. Real Malegra FXT costs between £20 and £35 per tablet depending on the supplier and quantity.
Alternatives to Consider
If you’re unsure about combining two drugs, there are other options:
- Viagra + dapoxetine: Dapoxetine is the only licensed SSRI for PE in Europe. It’s taken 1-3 hours before sex, same as Malegra FXT. You’d need to buy two separate pills.
- Generic sildenafil + behavioral therapy: For PE, working with a therapist on techniques like the stop-start method can be just as effective as medication.
- Topical sprays: Lidocaine sprays reduce sensitivity and delay ejaculation. They don’t help with erections, so you’d still need sildenafil.
Some men prefer splitting the treatments. It gives them more control over dosage and reduces side effects. But it also means two pills, two timing schedules, and two chances for something to go wrong.
Real Results: What Men Say
Online forums and patient reviews show a pattern. Men who’ve tried Malegra FXT report:
- More confidence in bed
- Less anxiety about performance
- Longer intercourse duration - often 8-12 minutes instead of 2-3
- Improved satisfaction for both partners
But the same men also say: “It’s not worth it if you don’t know your limits.” One man in his late 50s shared that he took it after drinking wine and ended up in the ER with low blood pressure. He now takes it only with water, on an empty stomach, and never without checking his BP first.
Another user, 42, said it changed his relationship. “We didn’t talk about it for years. Then I tried this. We both felt better. Not just because of the sex - because I stopped hiding.”
Final Thoughts: Is It Right for You?
Malegra FXT isn’t a miracle cure. But for men with both ED and PE, it’s one of the most effective single-tablet solutions available. It combines proven science with real-world results.
But it’s not for everyone. If you have heart issues, take other medications, or are unsure about SSRIs, talk to a doctor. Don’t skip this step. Your health isn’t worth gambling on.
If you’re healthy, understand the risks, and have tried other options without success, Malegra FXT could give you back what you’ve lost - not just performance, but confidence, connection, and peace of mind.
Can I take Malegra FXT every day?
No. Malegra FXT is designed for use as needed, not daily. Fluoxetine builds up in your system, and taking it every day increases the risk of side effects like nausea, insomnia, or serotonin syndrome. Stick to one tablet per 24 hours, only when you plan to have sex.
Does Malegra FXT work without sexual stimulation?
No. Sildenafil only works when you’re aroused. It doesn’t cause automatic erections. You need mental or physical stimulation for it to trigger blood flow to the penis. If you’re not in the mood, the pill won’t help.
Is Malegra FXT legal in the UK?
Malegra FXT is not approved by the UK’s Medicines and Healthcare products Regulatory Agency (MHRA). It’s not legally sold in UK pharmacies. Buying it online carries legal and safety risks. While many men do use it, there’s no regulatory oversight on quality or dosage.
How long until I feel the effects?
Sildenafil starts working in 45 to 60 minutes. Fluoxetine’s effect on ejaculation delay builds up over time, so you might notice better control after a few uses. Don’t expect immediate results on the first try - give it one or two attempts before deciding if it works for you.
Can women take Malegra FXT?
No. Malegra FXT is formulated specifically for men. Fluoxetine is an antidepressant and can affect hormonal balance in women. Sildenafil has not been proven effective for female sexual dysfunction in the same way. Women should consult a doctor for appropriate treatments.
