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Viagra with Fluoxetine is extremely effective against male impotence, which symptoms include inability to induce and sustain an erection. Furthermore, Viagra with Fluoxetine is beneficial for managing premature ejaculation. The raw materials of the drug are Sildenafil Citrate, a phosphodiesterase type 5 inhibitor, and Fluoxetine, an antidepressant from the drug class of selective serotonin reuptake inhibitors (SSRIs).

Indications:

- erectile dysfunction or impotence (failing to achieve and hold an erection during the sexual copulation);

- premature ejaculation (PE), (or too early ejaculation within 1 minute after penetration).

Sildenafil on its own is used for the treatment of PAH (pulmonary arterial hypertension).

MOA (mechanism of action):

Sildenafil usually breaks down enzyme phosphodiesterase type 5 and results in release of cGMP in the penis. An increased level of cGMP relaxes the smooth muscles and improves blood flow inducing an erection. Fluoxetine works by increasing the activity of serotonin in the nervous system. Serotonin is a neurotransmitter that is involved in passing messages between nerve cells, including those that result in ejaculation. Promoting the activity of serotonin aids in increasing the time it takes to ejaculate and improves control over the ejaculation.

Dosage

Viagra with Fluoxetine pills can be taken with or without food.

Swallow a pill whole with a drink of water.

Take one pill of Viagra with Fluoxetine orally 1 hour prior sexual activity.

Precautions:

Viagra with Fluoxetine does not protect you or your partner from sexually transmitted diseases (including HIV) or from pregnancy.

Take Viagra with Fluoxetine tablet not more than once every 24 hours.

It should only be taken when sexual activity is anticipated and is not intended as a regular treatment that is taken each day.

Missing a dose

Viagra with Fluoxetine is used only when needed, therefore missed dosages are not relevant. Do not exceed the doctor's recommended dose. Do not take a double dose.

Overdose

If you take an overdose of Viagra with Fluoxetine, you should seek emergency medical attention or contact your healthcare provider immediately.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Viagra with Fluoxetine are:

• dizziness
• headache
• feeling sick
• anxiety, irritability, restlessness or agitation
• difficulty concentrating
• difficulty sleeping
• feeling tired or sleepy
• yawning
• tremor
• tinnitus
• blurred vision
• sinus congestion
• upset stomach
• indigestion, flatulence and dry mouth
• excessive sweating
• flushing

Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Do not take Viagra with Fluoxetine if you are allergic to Sildenafil, Fluoxetine, other PDE-5 inhibitors (Tadalafil, Vardenafil, Udenafil), other SSRIs or to any of the medication's components.

Do not take Viagra with Fluoxetine if you have taken recreational drugs such as ecstasy (MDMA), ketamine, LSD, poppers (amyl nitrate), narcotics or benzodiazepines.

Do not take Viagra with Fluoxetine if you are taking erythromycin, alpha-blockers, antifungal medications (ketoconazole and itraconazole), medications for HIV (ritonavir, saquinavir, nelfinavir and atazanavir), certain antibiotics (telithromycin), lithium, antidepressants (venlafaxine, fluoxetine).

Do not take Viagra with Fluoxetine if you are taking other medications, including alprazolam (Xanax), anticoagulants (warfarin), antidepressants (Elavil, Asendin, Anafranil, Norpramin), MAOI antidepressants (Marplan, Nardil, Eldepryl, Emsam, Zelapar), NSAIDs (Advil, Motrin, Aleve, Naprosyn), clopidogrel (Plavix), diazepam (Valium), digoxin (Lanoxin), diuretics ('water pills'), linezolid, flecainide (Tambocor), medications for diabetes, lithium (Eskalith, Lithobid), medications for anxiety and Parkinson's disease, methylene blue, medications for mental illness (Clozaril, Haldol), medications for migraine (Axert, Relpax, Frova, Amerge), medications for seizures (Tegretol, Dilantin), sedatives, sibutramine (Meridia), sleeping pills, tramadol (Ultram), tranquilizers, and vinblastine (Velban).

Do not take Viagra with Fluoxetine if you are taking herbal products that contain St. John's wort or tryptophan.

Do not take Viagra with Fluoxetine if you if you experience seizures (convulsions or fits).

Do not consume alcohol while using Viagra with Fluoxetine, as it can lower your blood pressure, causing dizziness and rapid heart rate (tachycardia).

Do not take Viagra with Fluoxetine if you suffer from or have history of cardiovascular disease, liver or kidney disorders, hypotension, leukemia, peptic ulcer disease, rhinitis, open-angle glaucoma, epilepsy.

Do not take Viagra with Fluoxetine if you have a history of fainting, mania (feeling overexcited, irritable or not being able to think clearly) or severe depression.

Do not take Viagra with Fluoxetine if you have inflammation or injury on the penis.

Viagra with Fluoxetine is not for use in women, children or adolescents under age 18 years.

Q: What is Viagra with Fluoxetine?

A: Viagra with Fluoxetine is aimed to improve the malfunctioning of the penis during the sexual activity. Viagra with Fluoxetine pills help men to renew the ability to get the hard, strong, and long-lasting erections. Suitable for males over 18 years of age.

Q: How does Viagra with Fluoxetine work?

A: Sildenafil usually breaks down enzyme phosphodiesterase type 5 and results in release of cGMP in the penis. An increased level of cGMP relaxes the smooth muscles and improves blood flow inducing an erection. Fluoxetine works by increasing the activity of serotonin in the nervous system. Serotonin is a neurotransmitter that is involved in passing messages between nerve cells, including those that result in ejaculation. Promoting the activity of serotonin aids in increasing the time it takes to ejaculate and improves control over the ejaculation.

Q: When should I not use Viagra with Fluoxetine?

A: Do not take Viagra with Fluoxetine if you are allergic to Sildenafil, Fluoxetine, other PDE-5 inhibitors (Tadalafil, Vardenafil, Udenafil), other SSRIs or to any of the medication's components. A full list of contraindications is given in the section Safety Info.