Sildenafil citrate and duloxetine are the two active components of the combination medication Malegra DXT.

To ensure long-lasting, powerful erections, sildenafil citrate dissolves in the blood, clears blockages in the arteries and blood vessels, and boosts blood flow to the male organ.

Malegra DXT contains the antidepressant duloxetine, which has been demonstrated to have a significant impact on early ejaculation and lengthen sexual encounters.