Buy Malegra FXT
Malegra FXT

$3.65
Active Ingredients
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Malegra FXT Properties

Active Ingredients
Primary Category
Pharmacological Class
PDE5 Inhibitor, SSRI
Minor Side Effects
Dosage Forms
Tablets
Administration Route
Oral
Mechanism of Action
Sildenafil increases blood flow to the penis for erection. Fluoxetine is an antidepressant that increases serotonin levels to help delay ejaculation.
Prescription Status
Rx
Patient Summary
Used to treat both erectile dysfunction and premature ejaculation in men.
Onset Time
Typically within 30-60 minutes
Duration
Duration of action for Sildenafil is generally 4-5 hours, Fluoxetine effects may be longer.
Storage Instructions
Store at room temperature, away from moisture and heat
Age Restrictions
Adult males aged 18 to 64
Pregnancy Use
Not indicated for use in women.

About Malegra FXT

Malegra FXT combines two well-studied agents-sildenafil, a phosphodiesterase-5 inhibitor that enhances penile blood flow, and fluoxetine, a selective-serotonin reuptake inhibitor that can improve mood and delay ejaculation. The tablet is available in 100 mg sildenafil / 40 mg fluoxetine and 100 mg sildenafil / 60 mg fluoxetine strengths, designed for adult men who experience erectile dysfunction alongside premature-ejaculation or depressive symptoms. Both ingredients have a long regulatory history in Australia, but the fixed-dose combination itself is not listed on the Therapeutic Goods Administration (TGA) register, meaning it is typically accessed through private import or specialized pharmacies. When prescribed, the goal is to address both vascular and neuro-chemical contributors to sexual health problems in a single daily dose.

What is Generic Malegra FXT (Sildenafil, Fluoxetine)?

Generic Malegra FXT (Sildenafil, Fluoxetine) is a combination oral tablet that brings together two active pharmaceutical ingredients (APIs) under one pill. Sildenafil belongs to the class of phosphodiesterase-5 (PDE5) inhibitors, while fluoxetine is classified as a selective-serotonin reuptake inhibitor (SSRI). The product is marketed for adult men experiencing erectile dysfunction (ED) together with premature ejaculation (PE) or depressive-related sexual dysfunction. Although each component is individually approved by the TGA, the combined formulation has not received a separate Australian approval; it is therefore considered a “unregistered” therapeutic option that may be obtained via private channels for patients whose clinicians deem the combination appropriate.

How Malegra FXT Works

Sildenafil blocks the enzyme PDE5, which normally degrades cyclic guanosine monophosphate (cG + ). By inhibiting PDE5, cG + accumulates in the smooth muscle of the corpus cavernosum, promoting nitric-oxide-mediated relaxation and allowing increased arterial inflow during sexual stimulation. The effect typically begins within 30-60 minutes and can last up to 12 hours, depending on dose and individual metabolism.

Fluoxetine enhances serotonergic neurotransmission by preventing the re-uptake of serotonin into presynaptic neurons. Elevated serotonin levels in the central nervous system modulate the ejaculatory reflex, often extending intravaginal ejaculatory latency time. Fluoxetine also exerts mood-stabilising effects by gradually normalising serotonergic tone, which can alleviate depressive or anxiety-related sexual dysfunction over several weeks of consistent use.

Pharmacokinetically, sildenafil reaches peak plasma concentrations in 1-2 hours and is metabolised primarily by CYP3A4, with a half-life of about 4 hours. Fluoxetine has a longer half-life (2-4 days for the parent drug, 7-9 days for its active metabolite norfluoxetine), leading to steady-state concentrations after about two weeks of daily dosing. The fixed-dose tablet therefore delivers an acute vasodilatory effect from sildenafil while providing a chronic serotonergic influence from fluoxetine, aligning short-term erectile support with longer-term ejaculatory control and mood improvement.

Why Malegra FXT is Used for Sexual Health and Mental Health Conditions

  • Erectile Dysfunction (ED) - Sildenafil’s ability to increase penile blood flow directly counteracts the vascular insufficiency that underlies most cases of ED. Clinical trials of sildenafil monotherapy consistently show response rates of 70 %-80 % in men with mild-to-moderate ED. Combining it with fluoxetine does not diminish this effect and may improve overall satisfaction by addressing co-existing mood issues.

  • Premature Ejaculation (PE) - Fluoxetine’s serotonergic amplification prolongs the ejaculatory latency interval. Studies of daily-dose fluoxetine report mean latency increases of 2-5 minutes compared with placebo, and when paired with an ED experience a more balanced sexual encounter.

  • Depression-Related Sexual Dysfunction - Depression and anxiety frequently reduce libido and impair erectile capacity. Fluoxetine’s antidepressant action can restore desire and confidence, while sildenafil resolves the physiological barrier to erection. The combination aligns treatment with guideline recommendations that advise addressing both psychogenic and organic contributors.

  • First-Line Position in Tailored Therapy - Guidelines from the International Society for Sexual Medicine (ISSM) suggest a stepwise approach: lifestyle modification, monotherapy, and then combination therapy when monotherapy fails to resolve all symptoms. Malegra FXT fits the “combination therapy” tier for men who present with both ED and PE or depressive symptoms.

  • Convenience and Adherence - Taking two separate pills can be cumbersome and may reduce compliance. A single fixed-dose tablet simplifies the regimen, which is particularly valuable for men who prefer discreet, once-daily dosing.

  • Cost-Effectiveness - While branded single agents can be expensive, the fixed-dose tablet often offers a lower per-tablet cost when sourced through reputable online channels, delivering savings without sacrificing therapeutic efficacy.

Off-Label and Investigational Uses of Malegra FXT

Evidence exploring the combined formulation beyond its approved sexual-health indications is limited. Small pilot studies have examined sildenafil-fluoxetine mixtures for pulmonary arterial hypertension, leveraging sildenafil’s vasodilatory properties, but fluoxetine’s serotonergic effects raise safety concerns in this population. In the mental-health arena, occasional case reports describe adjunctive fluoxetine use to counteract sexual side effects of antipsychotics, yet these reports involve fluoxetine alone, not the combination product.

Off-label use should only be considered under the supervision of a qualified healthcare provider. Clinicians must weigh the potential benefits against the risks of drug-drug interactions, especially given fluoxetine’s strong inhibition of CYP2D6, which could affect the metabolism of other concomitant medications.

Is Malegra FXT Right for You?

Malegra FXT may be appropriate for adult men who:

  • Experience persistent ED despite lifestyle changes.
  • Report premature ejaculation that has not responded to behavioural techniques alone.
  • Suffer from depressive or anxiety symptoms that interfere with sexual performance.
  • Prefer a single daily tablet over multiple medications.
  • Have no contraindications to either sildenafil (e.g., concurrent nitrate therapy, severe cardiovascular disease) or fluoxetine (e.g., uncontrolled bipolar disorder, concomitant MAO-inhibitors).

Special populations require extra caution. The elderly may exhibit prolonged fluoxetine half-life, increasing the risk of accumulation. Pregnant or lactating men are not a concern, but for women of child-bearing potential, fluoxetine carries a known teratogenic risk and should be avoided. Patients with significant liver or renal impairment should have dose adjustments or alternative therapies considered, as both APIs are metabolised hepatically and excreted renally.

Taking Malegra FXT Effectively

  • Timing: Take the tablet with a full glass of water about 30-60 minutes before sexual activity. The sildenafil component works best on an empty or lightly-fed stomach; a heavy, fatty meal may delay onset.
  • Frequency: The product is intended for once-daily use. Do not exceed the prescribed dose; taking more than one tablet in a 24-hour period can increase the risk of hypotension and serotonin syndrome.
  • Missed Dose: If you forget a dose and it is still within the usual activity window, you may take it immediately. If the next planned sexual encounter is more than 24 hours away, skip the missed dose and resume the regular schedule.
  • Alcohol & Grapefruit: Moderate alcohol consumption generally does not interfere, but excessive intake can amplify vasodilatory effects, leading to dizziness. Grapefruit juice can raise sildenafil plasma levels, potentially increasing side-effects; avoid it around dosing.
  • Travel: For flights longer than 8 hours, maintain hydration and avoid sudden positional changes that could trigger orthostatic drops in blood pressure after sildenafil ingestion.

Understanding Side Effects and How to Manage Them

Common, Mechanism-Linked Effects

  • Headache - Result of systemic vasodilation from sildenafil. Stay hydrated, limit caffeine, and consider an over-the-counter analgesic if needed.
  • Flushing and Warmth - Again tied to vasodilation; wearing loose clothing and keeping ambient temperature moderate can help.
  • Nausea - Fluoxetine may irritate the gastrointestinal lining initially; taking the tablet with food can mitigate discomfort.
  • Mild Visual Disturbances - Sildenafil can affect retinal PDE6; these are usually transient. Reduce exposure to bright screens if you notice them.

Serious, Less Frequent Effects

  • Priapism - A prolonged erection lasting >4 hours requires immediate medical attention to prevent tissue damage.
  • Cardiovascular Events - Chest pain, palpitations, or abrupt drops in blood pressure warrant urgent evaluation, especially in patients with underlying heart disease.
  • Serotonin Syndrome - Signs include agitation, clonus, hyperreflexia, rapid heart rate, and high fever. This can occur if fluoxetine is combined with other serotonergic agents; seek emergency care if suspected.
  • Psychiatric Changes - Fluoxetine may initially increase anxiety or trigger mood swings. Monitor closely during the first few weeks and report worsening symptoms promptly.

If any side effect feels severe or persists beyond a few days, contact a healthcare professional. Adjusting the dose, switching to separate monotherapy, or adding supportive measures may be necessary.

Buying Malegra FXT from Our Online Pharmacy

Why Choose Our Service?

Access to combination therapies like Malegra FXT can be challenging through conventional Australian pharmacies, especially when the product lacks TGA registration. Our online pharmacy bridges that gap, offering a discreet, pharmacy-verified source that complies with international quality standards.

Quality & Safety

We partner with licensed international pharmacies that operate under stringent regulatory frameworks. All batches are sourced from GMP-certified manufacturers, and each shipment includes a certificate of analysis verifying potency and purity.

Pricing & Access

Because we source the generic formulation directly, the cost per tablet is substantially lower than compounded brand equivalents. We also provide a Lifetime 10 % discount on all reorders, making long-term therapy affordable. Alternative single-agent options such as separate sildenafil and fluoxetine tablets are listed for comparison.

Discreet Delivery

Orders are packaged in plain, tamper-evident envelopes. Express shipping typically arrives within 7 days, while standard delivery takes up to 3 weeks, both with tracking to ensure you know when your medication arrives.

Frequently Asked Questions

  • Can I take Malegra FXT with my blood pressure medication? Sildenafil can lower blood pressure modestly. If you are on a nitrate or a medication that already reduces blood pressure significantly, combining them may cause unsafe hypotension. Discuss your full medication list with a prescriber before starting.

  • How long does it take for fluoxetine’s mood benefits to appear? While the erectile-supporting effects of sildenafil are almost immediate, fluoxetine generally requires 2-4 weeks of daily dosing before noticeable mood improvement occurs.

  • Is it safe to use Malegra FXT more than once a week? The product is designed for daily use; taking it less frequently does not increase efficacy and may lead to inconsistent serum levels of fluoxetine, potentially reducing its antidepressant effect.

  • Will alcohol affect how Malegra FXT works? Moderate alcohol intake usually does not diminish sildenafil’s action, but excessive consumption can enhance vasodilatory side effects, such as dizziness or light-headedness.

  • Can I split the tablet to adjust the dose? The tablet is not scored, and splitting could result in uneven distribution of the two active ingredients. Use the dosage form prescribed by your clinician.

  • Are there any dietary restrictions? Avoid large, high-fat meals shortly before dosing, as they can delay sildenafil absorption. Grapefruit juice should also be avoided due to its effect on sildenafil metabolism.

  • What should I do if I miss a dose while traveling across time zones? Align the next dose with the local time that approximates your usual schedule, ensuring at least 24 hours between doses. Do not double-dose to compensate for missed tablets.

  • Is Malegra FXT covered by Australian Medicare? Because the combination product is not listed on the Australian Register of Therapeutic Goods, it is typically not subsidised. Out-of-pocket costs may be offset by our competitive pricing.

  • Can women use Malegra FXT? The formulation targets male physiology (erectile tissue and ejaculatory reflex). Women should consult their healthcare provider for appropriate treatments for sexual dysfunction.

  • What monitoring is required while on this medication? Periodic blood pressure checks, liver function tests (if you have hepatic impairment), and mental-health assessments are advisable, especially during the first few weeks of fluoxetine therapy.

Glossary

Phosphodiesterase-5 (PDE5) inhibitor
A class of drugs that block the PDE5 enzyme, preventing the breakdown of cG + and thereby promoting smooth-muscle relaxation in the penis.
Selective-Serotonin Reuptake Inhibitor (SSRI)
Antidepressants that increase serotonin levels in the brain by inhibiting its reabsorption into neurons, improving mood and delaying ejaculation.
Serotonin Syndrome
A potentially life-threatening condition caused by excessive serotonergic activity, characterised by agitation, hyperreflexia, rapid heart rate, and high fever.

Disclaimer

The information provided about Malegra FXT is for general knowledge only and does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Malegra FXT for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.


Information Prepared By

Sarah Jones
Tosin (Olalekan) Olaluwoye, MD, PhD