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Malegra FXT Plus is typically taken orally, with a glass of water, about 30 minutes to 1 hour before anticipated sexual activity. The effects of Malegra FXT Plus can last for several hours, providing a window of opportunity for sexual activity. The combination of Sildenafil Citrate and Fluoxetine in Malegra FXT Plus provides dual action for men experiencing both ED and PE, allowing for improved sexual performance and satisfaction.