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Malegra FXT Plus offers a dual benefit (treats ED + delays ejaculation), but because it combines sildenafil (which lowers BP) and fluoxetine (which may influence BP), caution is required for someone with high blood pressure. Talk to your doctor before using it — they can determine whether it’s safe for your specific situation and monitor you appropriately. Fluoxetine’s effect on BP is more complex: in short-term human studies, it caused modest BP reductions in some, while others saw no big change.