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Malegra FXT is a combination medication primarily used to treat erectile dysfunction (ED) and premature ejaculation (PE) in men. It usually contains sildenafil citrate (a PDE5 inhibitor) and dapoxetine (a selective serotonin reuptake inhibitor, SSRI). Sildenafil works by increasing blood flow to the penis during sexual stimulation, helping achieve and maintain an erection. Dapoxetine helps delay ejaculation, allowing for longer-lasting sexual activity. Common side effects include headache, dizziness, flushing, nausea, or upset stomach. Rare but serious side effects include sudden vision or hearing loss, prolonged erections (priapism), or heart-related issues.