• SKU 384690111369411

Generic Viagra with Fluoxetine 100 mg / 60 mg 120 pills

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  • dosage mg 100 mg / 60 mg
  • Ingredient Sildenafil + Fluoxetine
  • pills 120 pills
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$145.01
$152.64
-5%
$1.21/count
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Description

This dual-component medication combines:

  • Sildenafil Citrate (100mg): PDE5 inhibitor that enhances penile blood flow
  • Fluoxetine (30mg): SSRI that modulates serotonin levels to delay ejaculation

Clinical Benefits:

  • Achieves firm erections with sexual stimulation
  • Extends sexual performance duration (4-5x longer)
  • Dual action for both ED and premature ejaculation

Dosage & Administration

  • Standard dose: 1 tablet (100mg/30mg)
  • Optimal timing: 1 hour before sexual activity
  • Administration guidelines:
    • Take with water (empty stomach for faster onset)
    • Maximum frequency: Once per 24 hours
    • Avoid alcohol consumption
    • Duration of effect: 5-8 hours (individual variation)

Safety Considerations

Common Side Effects (15% incidence):

  • Headaches (mild to moderate)
  • Facial flushing
  • Nasal congestion
  • Gastrointestinal discomfort
  • Temporary color vision changes (blue tint)

Serious Adverse Effects:

  • Priapism (>4 hour erection)
  • Visual disturbances
  • Suicidal ideation (especially in patients <24 years)
  • Serotonin syndrome symptoms
  • Cardiovascular events

Critical Precautions

Absolute Contraindications:

  • Nitrate medication use
  • MAOI therapy (within 14 days)
  • Uncontrolled hypertension
  • Severe hepatic impairment
  • Angle-closure glaucoma

Require Medical Supervision:

  • History of depression/suicidal thoughts
  • Bipolar disorder
  • Seizure disorders
  • Bleeding disorders

Drug Interactions

Potentially Dangerous Combinations:

  • All nitrate preparations
  • Other SSRIs/SNRIs
  • Triptans
  • Blood thinners
  • Strong CYP3A4 inhibitors

Patient Counseling Points

  • Report any erection >4 hours immediately
  • Monitor for mood changes/suicidal thoughts
  • Avoid hazardous activities if dizzy
  • Does not prevent STDs/pregnancy
  • Allow 14-day washout after MAOI use

Storage Requirements:

  • Room temperature (15-30°C)
  • Protect from moisture
  • Keep in original packaging
  • Secure from children/pets

Note: This medication requires prescription and regular medical supervision. Not for use in women or pediatric populations. Discontinue use and seek immediate medical attention for any severe adverse reactions.

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