Malegra DXT Plus is a combination medication used to treat two common physical health issues in men: erectile dysfunction (ED) and PE. It contains two active ingredients: Sildenafil Citrate (for ED) and Duloxetine (for PE). Take Malegra DXT Plus as prescribed by your doctor. It is typically taken orally with water, about 30 minutes to 1 hour before physical activity. https://www.genericday.com/malegra-dxt-plus.html