Filagra FXT (Sildenafil Citrate/Fluoxetine)

Critical Notice – Read Before Anything Else

This product works differently from other combination tablets. Understanding this is essential.

If you have premature ejaculation without depression, ask your doctor about alternatives. Dapoxetine is designed for on-demand use. Fluoxetine is not.

What is Filagra FXT?

How It Works (Mechanism of Action)

This product works through two separate pathways on different timescales.

Sildenafil – the erection pathway (works within an hour)

Fluoxetine – the ejaculation pathway (works over weeks)

The interaction inside the tablet

Dosage Guide

There are two ways this product is used. Both have significant problems.

Usage Model	What Happens	Problem
On-demand, before sex	Sildenafil works; fluoxetine does not	No ejaculation benefit for weeks; drug still accumulates
Daily, continuous	Both eventually work	Chronic SSRI therapy without psychiatric supervision

Patient Group	Recommended Approach	Key Notes
Adult men, first-time use	Separate medicines are usually preferred	Doses cannot be adjusted independently here
Adult men prescribed this combination	One tablet as directed	Only on specific medical direction
Maximum sildenafil component	100 mg in 24 hours	Never take two tablets in a day
Fluoxetine component	40 mg per tablet	20 mg is the usual starting antidepressant dose
Men aged 65 and over	Not recommended	Both components need dose reduction
Men under 18	Contraindicated	SSRIs carry specific risks in this age group
Men aged 18 to 24	Requires close monitoring	Higher risk of mood changes on SSRIs
Mild liver impairment	Reduced dose or alternate-day dosing	Both drugs are cleared by the liver
Moderate or severe liver impairment	Not recommended	Both components accumulate
Severe kidney impairment	Not recommended	Requires specialist supervision
Taking any other antidepressant	Contraindicated	Risk of serotonin syndrome
Taking CYP3A4 inhibitors	Not recommended	Sildenafil levels rise further
Taking alpha-blockers	Use with caution	Increased risk of low blood pressure
Absolute limit for any patient	One tablet in 24 hours	Never double the dose

4. How to Take It

Precautions

Absolute Contraindications – Do Not Use If You

Because of sildenafil:

Because of fluoxetine – these are frequently overlooked:

General:

Conditions to Disclose to Your Doctor

Tell your doctor before use if you have or had:

Also disclose every medicine, supplement, and herbal product you take.

Food and Drink Precautions

Item	Effect	Recommendation
Alcohol	Worsens drowsiness, dizziness, and mood effects	Avoid entirely during treatment
Grapefruit and grapefruit juice	Raises blood levels of both drugs	Avoid entirely
High-fat meals	Slow sildenafil absorption and onset	Take after a light meal instead
Caffeine	May worsen anxiety, insomnia, and palpitations	Reduce intake, especially in the evening
Recreational drugs	Risk of serotonin syndrome and cardiac effects	Avoid entirely
St John’s Wort and mood supplements	Serious serotonin syndrome risk	Avoid; check all supplement labels
Tryptophan supplements	Increase serotonin levels dangerously	Avoid entirely
Salt and fluid intake	Fluoxetine can lower blood sodium	Discuss with your doctor if you take diuretics

Before-Use Safety Checklist

Confirm every point below before starting and before each dose:

Side Effects

Side Effect	Source Drug	Frequency	What To Do
Headache	Both	Common	Usually mild; rest and hydrate
Nausea	Fluoxetine	Common	Take after food; usually improves over weeks
Insomnia or disturbed sleep	Fluoxetine	Common	Take the dose in the morning
Anxiety or nervousness	Fluoxetine	Common	Tell your doctor; common in early weeks
Drowsiness or fatigue	Fluoxetine	Common	Do not drive
Reduced libido	Fluoxetine	Common	Discuss at your review appointment
Difficulty reaching orgasm	Fluoxetine	Common	Part of the intended effect; report if excessive
Facial flushing or warmth	Sildenafil	Common	Settles as the drug wears off
Blocked or runny nose	Sildenafil	Common	Temporary; no treatment usually needed
Indigestion or heartburn	Both	Common	Avoid heavy or spicy meals
Diarrhoea	Fluoxetine	Common	Stay hydrated; report if persistent
Sweating	Fluoxetine	Common	Usually settles over time
Dizziness	Both	Common	Sit or lie down; avoid driving
Tremor	Fluoxetine	Common	Report to your doctor
Blurred or blue-tinged vision	Sildenafil	Common	Avoid driving; tell your doctor
Dry mouth	Fluoxetine	Common	Sip water regularly
Reduced appetite or weight loss	Fluoxetine	Common	Monitor weight; report significant loss
Back pain or muscle ache	Sildenafil	Common	Usually resolves within 24 hours
Rapid or pounding heartbeat	Both	Less common	Rest; seek advice if it persists
Restlessness or agitation	Fluoxetine	Less common	Contact your doctor promptly
Skin rash or itching	Both	Less common	Stop use and contact your doctor
Easy bruising or bleeding	Fluoxetine	Less common	Tell your doctor promptly
Worsening erectile function	Fluoxetine	Less common	Discuss with your doctor
Low blood sodium (hyponatraemia)	Fluoxetine	Uncommon	Confusion or weakness; seek medical care
Chest pain	Sildenafil	Rare	Emergency; see section 8
Priapism (erection over 4 hours)	Sildenafil	Rare	Emergency; see section 8
Sudden vision loss (NAION)	Sildenafil	Rare	Emergency; stop use permanently
Sudden hearing loss	Sildenafil	Rare	Emergency; stop use immediately
Suicidal thoughts or self-harm urges	Fluoxetine	Rare	Emergency; seek help immediately
Mania or elevated mood	Fluoxetine	Rare	Emergency; stop use immediately
Seizure	Both	Rare	Emergency; call for help
Serotonin syndrome	Fluoxetine	Very rare	Emergency; see section 8
QT prolongation or irregular rhythm	Fluoxetine	Very rare	Emergency; seek cardiac assessment

Early weeks matter most. Anxiety, insomnia, and mood changes are most likely in the first few weeks. Tell your doctor about any change in how you feel.

Drug Interactions – Avoid With

Never combine (dangerous):

Fluoxetine blocks CYP2D6 strongly. Avoid or monitor closely:

Use only with medical supervision:

Always show your doctor a full list of your medicines. Fluoxetine’s interaction list is one of the longest in common use.

Emergency Warning Signs

Stop the medicine and seek emergency care immediately if you experience:

Signs of serotonin syndrome a medical emergency:

Mental health emergency take this seriously:

These changes are most likely in the first few weeks of treatment. Tell someone close to you that you have started this medicine. Ask them to watch for changes in your mood or behaviour.

If you are having thoughts of harming yourself, contact a doctor or your local emergency number immediately. Crisis helplines are available in most countries and can help at any hour.

Why Choose Filagra FXT

This section is deliberately cautious. Read all of it.

Genuine advantages:

Significant limitations you must understand:

Consider alternatives if:

Storage Instructions

Medical Disclaimer

This content is for information only. It is not medical advice. Filagra FXT is a prescription-only medicine. This fixed-dose combination is not approved by the FDA, EMA, or MHRA. Fluoxetine is an antidepressant requiring ongoing medical supervision. Its use for premature ejaculation is off-label. Use this product only under a qualified doctor’s direction, with scheduled review. Always read the manufacturer’s package insert before use. Consult your doctor or pharmacist about your specific condition and dose.

Mental health topics are covered in this page because they are directly relevant to fluoxetine. If you are struggling with your mental health, speak to a doctor or a trusted person. Support is available.