Filagra FXT Plus

Last Updated on 10/10/2026 ✔ Medically Reviewed by Dr. Arjun Srivastav

Filagra FXT Plus is a fixed dose combination tablet designed to address two separate intimate concerns that some men face at the same time. Each tablet brings together two active ingredients in a single formulation.

• Sildenafil at 100 mg strength
• Fluoxetine at 60 mg strength

These strengths are subject to product verification and should be confirmed with your supplier or pharmacist before use. The combination is intended to address erectile dysfunction and premature ejaculation simultaneously. This product is not suitable for everyone and requires professional assessment before use.

What Is Filagra FXT Plus?

Filagra FXT Plus is a fixed dose combination tablet that brings together two medicines with two separate jobs. Each tablet contains sildenafil citrate 100 mg and fluoxetine 60 mg. Sildenafil belongs to the PDE5 inhibitor class and is used to support erectile function. Fluoxetine belongs to the SSRI class and is used, off label, to help with premature ejaculation.

The key thing to understand is that this is not simply a 160 mg ED medicine. The two ingredients act on completely different systems in the body: sildenafil works locally on blood flow, while fluoxetine works on serotonin signalling in the brain. They are paired for men who have both concerns, not to create a more powerful single action pill.

An important clarification on the 160 mg figure: Filagra FXT Plus 160 mg refers to the combined amount of its two active ingredients, 100 mg sildenafil + 60 mg fluoxetine. It does not mean the tablet contains 160 mg of sildenafil. This distinction matters because many pages use Filagra FXT Plus 160 mg next to the 100 mg sildenafil strength without explaining it, which can lead to dangerous misunderstandings about dose.

Filagra FXT Plus Ingredients

Sildenafil citrate is a PDE5 inhibitor. During sexual stimulation it enhances the nitric oxide pathway that increases blood flow into the penis, helping produce and maintain an erection. For more information on what sildenafil is, including its role in erectile dysfunction, you can read the detailed explanation.

Fluoxetine is an SSRI. By affecting serotonin reuptake, it can help delay ejaculation and is used off label for PE in some men.

How Does Filagra FXT Plus Work?

How Sildenafil Works

Sexual stimulation triggers the release of nitric oxide (NO) in the corpus cavernosum. NO activates an enzyme that produces cyclic guanosine monophosphate (cGMP), which relaxes the smooth muscle and increase blood to flow into the penis, producing an erection. Sildenafil is a PDE5 inhibitor: it slows the breakdown of cGMP, so more of it stays available to support this process .

Critically, sildenafil does not automatically cause an erection without sexual stimulation. It only enhances a response that the body has already started . This is why taking more tablets does not produce a stronger effect if the underlying stimulation or arousal is absent. Understanding how sildenafil works can also explain why sexual stimulation is still needed for an erection to occur.

How Fluoxetine Works

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). It increases the availability of serotonin in the central nervous system, and this serotonergic effect is associated with delayed ejaculation. Clinical evidence supports the off label use of SSRIs, including fluoxetine, for PE, though the effect typically builds over days to weeks rather than acting instantly .

Why Are Two Medicines Combined?

The combination is intended for men who have both erection difficulties and ejaculation control concerns, not as a stronger form of sildenafil. Each ingredient addresses a different concern that may occur together, with sildenafil supporting erectile function and fluoxetine potentially helping with ejaculation control.

What Is Filagra FXT Plus Used For?

Erectile Dysfunction

The sildenafil component (100 mg) supports erectile function by improving blood flow to the penis during sexual stimulation. It is the same active ingredient used in standard ED treatment. It is one of the medicines used in erectile dysfunction treatment, although the appropriate treatment depends on the individual’s health and medical history.

Premature Ejaculation

The fluoxetine component (60 mg) is used off label to help delay ejaculation by affecting serotonin signalling. As noted above, the ejaculatory delay effect is generally not immediate and tends to build with continued use .

Remember: Filagra FXT Plus is not simply a higher strength sildenafil tablet. Users searching Filagra FXT Plus 160 mg should not read the 160 figure as a sildenafil dose.

Who May Be Prescribed Filagra FXT Plus?

A healthcare professional may consider the combination when:

• Erectile dysfunction is present, and
• Premature ejaculation is also a concern, and
• The individual ingredients are each considered appropriate for the person, and
• Current medicines and full medical history have been reviewed.

This combination is not for everyone with ED alone, nor for everyone with PE alone. It is specifically relevant when both concerns coexist and the prescriber judges that a single combination tablet is suitable. If you have only one of these issues, a single ingredient medicine may be more appropriate.

How to Take Filagra FXT Plus

Taking this product correctly starts with following the prescribed directions provided by your healthcare professional. The regimen must always be determined by the prescribing doctor who has reviewed your medical history. Understanding when to take sildenafil can help clarify how timing, food and sexual stimulation may affect its use.

• Swallow the tablet with water as directed
• Follow administration instructions only where supported by verified product information
• Avoid combining with other ED medicines and refer to the drug interactions section for details
• Never change the regimen independently as this is a fixed dose combination

Always consult your prescriber if you feel the current regimen needs adjustment.

Filagra FXT Plus Dosage

Each tablet contains sildenafil 100 mg and fluoxetine 60 mg. Verify the exact formulation with your pharmacist before starting use.

The label may show a total of 160 mg which refers to the combined weight of both active ingredients together. This figure does not represent 160 mg of sildenafil alone. The appropriateness of both ingredients and their doses depends on:

• Your complete medical history
• Current medicines you are taking
• Prescribing advice from your healthcare professional

Dose adjustment should never be done on your own. Taking extra tablets or adding another product containing sildenafil or any other PDE5 inhibitor without professional direction is strongly discouraged.

Other Dose:

• Filagra Pink 100 Mg
• Filagra Double 200 Mg

Is Filagra FXT Plus a Daily or an As Needed Medicine?

The dosing schedule matters because sildenafil and fluoxetine serve different clinical purposes and have different dosing considerations. Sildenafil is often taken on an as needed basis in sildenafil only products. Fluoxetine has a different profile as its use for premature ejaculation is off label and its effects may develop gradually over days to weeks with continued use.

Because these two ingredients work on different timelines you should not assume that the schedule from a sildenafil only product applies to this combination. The appropriate regimen must be established by a qualified prescriber using verified product information. If you miss a dose refer to the missed dose section of this page for guidance.

Filagra FXT Plus Side Effects

Side effects can vary from person to person. Some reactions may be mild and temporary, while others can require prompt medical attention. More information about sildenafil side effects can help you understand which reactions are commonly reported and which may require medical attention.

Filagra FXT Plus Drug Interactions

Medicines that require particular caution:

• Nitrates (e.g. nitroglycerin, isosorbide): sildenafil can cause a dangerous, potentially life threatening blood pressure drop.
• Riociguat and other guanylate cyclase stimulators.
• Other PDE5 inhibitors and other sildenafil containing medicines.
• Alpha blockers (used for blood pressure or prostate conditions).
• Medicines affecting sildenafil metabolism (e.g. certain antifungals and antibiotics via CYP3A4).
• Other antidepressants.
• Serotonergic medicines (risk of serotonin syndrome with fluoxetine).
• MAO inhibitors: must not be combined with fluoxetine; a washout period is required.
• St. John’s Wort and other herbal or serotonergic supplements: can interact unpredictably with the fluoxetine component .
• Blood thinners / medicines affecting bleeding risk: fluoxetine may add to bleeding risk.

“Can I take Filagra FXT Plus with another ED medicine?” No, do not combine ED medicines containing sildenafil, tadalafil or other PDE5 inhibitors unless a healthcare professional specifically directs it. Doubling up sharply increases the risk of low blood pressure and prolonged erection.

“Can I take Filagra FXT Plus with antidepressants?” This needs explicit medical advice. Because the product already contains fluoxetine, adding another antidepressant or serotonergic medicine can raise the risk of serotonin syndrome, a potentially serious condition.

Food, Alcohol and Filagra FXT Plus

Can it be taken with food? Yes, but a heavy or high fat meal can slow the onset of sildenafil’s effect, so it may take longer to work .

Can you drink alcohol? Alcohol can worsen dizziness, lower blood pressure further, and make sexual performance more difficult. Keep intake minimal and discuss it with your prescriber.

What about grapefruit? Grapefruit and grapefruit juice can affect the CYP3A4 enzyme involved in sildenafil metabolism, potentially raising drug levels in the body. Ask your pharmacist or doctor whether grapefruit is appropriate with your specific medicines; don’t rely on a blanket assumption.

When Should You Avoid Filagra FXT Plus?

Avoid or seek medical assessment first if any of the following apply:

• You take nitrates or riociguat.
• You are allergic to either active ingredient.
• You have significant cardiovascular concerns or have had a recent cardiovascular event.
• You have severe liver or kidney problems requiring medical assessment.
• You have a history of certain eye conditions (e.g. non arteritic anterior ischaemic optic neuropathy).
• You are already on antidepressants or serotonergic medicines.
• You have bleeding risks or other fluoxetine related precautions.

This is not an exhaustive disease list; your healthcare professional should review your full history before prescribing.

What Happens If You Take Too Much Filagra FXT Plus?

• Do not take another tablet to compensate for a perceived lack of effect.
• Overdose can increase adverse effects from both ingredients.
• Seek urgent medical advice if excessive medication has been taken or serious symptoms develop.

Treat the following as urgent warning signs: prolonged erection, severe dizziness or fainting, chest symptoms, and sudden vision or hearing changes.

What If You Miss a Dose?

A missed dose should not automatically be treated as irrelevant because Filagra FXT Plus contains fluoxetine, whose effects on ejaculation may develop over time. What to do after missing a dose depends on how the medicine has been prescribed, such as whether it is taken regularly or according to a specific schedule. The important rule is to never double the next dose to make up for a missed one. If you are unsure what to do, ask your prescriber or pharmacist for advice.

How Long Does Filagra FXT Plus Take to Work?

The time it takes depends on which ingredient you are considering.

• Sildenafil commonly begins to have an effect within approximately 30 to 60 minutes
• Food intake can affect timing and a heavy meal may slow down activation
• Sexual stimulation is required for sildenafil to support an erection
• Fluoxetine effects on ejaculation develop gradually over days to weeks with continued use

Individual variation plays a significant role in response. If you do not notice expected benefit after a reasonable period a healthcare professional should review your situation rather than increasing the dose on your own.

How Long Does Filagra FXT Plus Last?

The duration of effects varies between the two active ingredients.

• Sildenafil effects may persist for several hours with individual variation
• This does not mean an erection continues throughout that period as sexual stimulation is still required
• Fluoxetine effects on ejaculation cannot be described by the same short window used for sildenafil
• There is no fixed guarantee of how long any specific effect will last for any individual

If you experience an erection lasting more than four hours seek immediate medical attention. Refer to the serious side effects section for information about urgent symptoms.

Filagra FXT Plus Safety Advice

Filagra FXT Plus Safety Advice: Use Filagra FXT Plus only as prescribed, avoid interacting medicines, and seek medical help promptly if serious or unusual symptoms occur.

Avoid Nitrates

Do not use Filagra FXT Plus with nitrate medicines used for chest pain or with riociguat, as the combination can cause a significant and potentially dangerous drop in blood pressure.

Check Other Medicines

Tell your doctor or pharmacist about all medicines and supplements you take, particularly antidepressants or other products that affect serotonin.

Limit Alcohol

Alcohol may increase dizziness and lower blood pressure. Limiting alcohol can help reduce the chance of these unwanted effects.

Discuss Heart Conditions

Speak with your doctor before using Filagra FXT Plus if you have a heart condition or have previously been advised to avoid sexual activity for medical reasons.

Know When to Get Help

Seek urgent medical attention for chest pain, fainting, severe allergic symptoms, sudden vision or hearing loss, seizures, or an erection lasting longer than 4 hours.

Storage and Handling

Keep Filagra FXT Plus in its original packaging until you are ready to take a tablet. Store it at room temperature, in a cool and dry place, away from direct sunlight, heat and moisture. Do not store it in the bathroom or near the kitchen sink, as humidity can affect the tablets.

Keep the medicine out of the sight and reach of children and pets. Do not use the tablets after the expiry date printed on the pack, and do not take any tablet that appears discolored, broken or damaged. Dispose of unused or expired medicine safely rather than flushing it or throwing it in household waste.