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Generic Cialis 20 mg 360 pills
$402.52
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Generic Viagra with Fluoxetine 100 mg / 40 mg 30 pills
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5%
Characteristics:
- SKU: 384690111369411
- Availability: In Stock
- dosage mg 100 mg / 40 mg
- Ingredient Sildenafil + Fluoxetine
- pills 30 pills
Select product:
dosage mg 100 mg / 40 mg
dosage mg 100 mg / 60 mg
dosage mg 100 mg / 40 mg
dosage mg 100 mg / 60 mg
Description
This dual-component medication combines:
- Sildenafil Citrate (100mg): PDE5 inhibitor that enhances penile blood flow
- Fluoxetine (30mg): SSRI that modulates serotonin levels to delay ejaculation
Clinical Benefits:
- Achieves firm erections with sexual stimulation
- Extends sexual performance duration (4-5x longer)
- Dual action for both ED and premature ejaculation
Dosage & Administration
- Standard dose: 1 tablet (100mg/30mg)
- Optimal timing: 1 hour before sexual activity
- Administration guidelines:
- Take with water (empty stomach for faster onset)
- Maximum frequency: Once per 24 hours
- Avoid alcohol consumption
- Duration of effect: 5-8 hours (individual variation)
Safety Considerations
Common Side Effects (15% incidence):
- Headaches (mild to moderate)
- Facial flushing
- Nasal congestion
- Gastrointestinal discomfort
- Temporary color vision changes (blue tint)
Serious Adverse Effects:
- Priapism (>4 hour erection)
- Visual disturbances
- Suicidal ideation (especially in patients <24 years)
- Serotonin syndrome symptoms
- Cardiovascular events
Critical Precautions
Absolute Contraindications:
- Nitrate medication use
- MAOI therapy (within 14 days)
- Uncontrolled hypertension
- Severe hepatic impairment
- Angle-closure glaucoma
Require Medical Supervision:
- History of depression/suicidal thoughts
- Bipolar disorder
- Seizure disorders
- Bleeding disorders
Drug Interactions
Potentially Dangerous Combinations:
- All nitrate preparations
- Other SSRIs/SNRIs
- Triptans
- Blood thinners
- Strong CYP3A4 inhibitors
Patient Counseling Points
- Report any erection >4 hours immediately
- Monitor for mood changes/suicidal thoughts
- Avoid hazardous activities if dizzy
- Does not prevent STDs/pregnancy
- Allow 14-day washout after MAOI use
Storage Requirements:
- Room temperature (15-30°C)
- Protect from moisture
- Keep in original packaging
- Secure from children/pets
Note: This medication requires prescription and regular medical supervision. Not for use in women or pediatric populations. Discontinue use and seek immediate medical attention for any severe adverse reactions.
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