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Malegra FXT is a combination medication used to treat erectile dysfunction (ED) and premature ejaculation (PE). It contains Sildenafil Citrate (100 mg), which enhances blood flow to the penis, and Fluoxetine (20 mg), a selective serotonin reuptake inhibitor (SSRI) used to delay ejaculation. Take Malegra FXT about 60 minutes before sexual activity, with a full glass of water. It can be taken with or without food, but avoid heavy meals or alcohol, as they can reduce the effectiveness of the medication. Do not take more than one tablet in 24 hours.