Malegra DXT Plus is usually taken about 30 to 60 minutes before sexual activity. Sildenafil helps improve erection quality during arousal, while duloxetine helps increase control over ejaculation. Sexual stimulation is still required for the medicine to work. Because it combines two active drugs, the side effect profile may be stronger than single-ingredient medicines. Common effects include headache, dizziness, nausea, dry mouth, flushing, indigestion, and fatigue. Some users may also experience mild mood changes or sleep disturbances due to duloxetine. https://www.genericday.com/malegra-dxt-plus.html