Filagra FXT Plus

Last Updated on 09/21/2026 ✔ Medically Reviewed by Dr. Arjun Srivastav

Filagra FXT Plus is a prescription combination tablet containing Sildenafil Citrate 100 mg + Fluoxetine 60 mg. The two active ingredients work through entirely different pathways: sildenafil is a PDE5 inhibitor used for erectile dysfunction (ED), while fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that may be used off label to help with premature ejaculation (PE). A healthcare professional may consider this combination when a man has both erection difficulties and ejaculation control concerns, and when each individual ingredient has been reviewed as appropriate for him. It is not a stronger version of sildenafil, and the two medicines should not be mixed with other ED or antidepressant products on your own.

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.

The point that most competitor pages blur: these two ingredients do not both boost sexual performance in the same way. They work through different pharmacological mechanisms on different problems.

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 sildenafil. Competitor pages often market it as dual action performance enhancement, but the more accurate way to understand it is that each ingredient addresses a different problem that can occur together.

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

Sildenafil is generally taken before sexual activity, and sexual stimulation is required for it to produce an erection. Understanding when to take sildenafil can help clarify how timing, food and sexual stimulation may affect its use.

• Swallow the tablet whole with water.
• Follow the prescribed instructions exactly: timing should follow your healthcare professional’s directions.
• Do not crush or chew the tablet unless specifically instructed.
• Do not take additional sildenafil or another ED medicine alongside it.
• Do not exceed the prescribed amount.

⚠️ What Not to Do

• Don’t take an extra tablet because the first dose seemed ineffective.
• Don’t combine it with another sildenafil product (e.g. Viagra).
• Don’t combine it with another ED medicine without medical advice.
• Don’t change the fluoxetine dose yourself.

Some competitor pages simply say take one tablet before intercourse with fixed, unqualified timing. That oversimplifies how a combination containing an SSRI actually works.

Filagra FXT Plus Dosage

Each tablet contains 100 mg sildenafil + 60 mg fluoxetine. The appropriate regimen depends on the prescriber’s instructions, which consider your medical history and other medicines.

Do not increase the dose because the desired response was not achieved after a single use. The fixed 100/60 formulation should never be treated as equivalent to taking 160 mg of sildenafil, that would be a significant overdose of the ED component.

Why shouldn’t you increase the dose? Because raising either component increases the risk of adverse effects: more sildenafil raises the chance of low blood pressure, visual disturbance and prolonged erection, while more fluoxetine raises the risk of nausea, neurological symptoms and serotonin related effects.

Other Dose:

• Filagra Oral Jelly
• Filagra Pink 100 Mg
• Filagra Double 200 Mg

Is Filagra FXT Plus a daily or an as needed medicine?

This is one of the most confusing points about the product, and many pages give contradictory advice, saying both take one tablet daily and take 30 to 60 minutes before sex without reconciling the two .

The reason for the confusion is that the two ingredients work on different timelines:

• Sildenafil is an as needed medicine. It is taken before sexual activity and works within a window of hours.
• Fluoxetine does not work as a single before sex pill. As an SSRI used off label for PE, its effect on ejaculation typically builds over days to weeks of consistent use, not within 30 minutes.

Because the two ingredients have different dosing logics, only your prescriber can decide whether this combination is taken daily, on a schedule, or in a particular pattern. Do not assume it is simply a take before sex tablet the way a sildenafil only product is, and do not assume a single missed dose is irrelevant the way some pages suggest, because the fluoxetine component depends on steady levels.

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?

Several competitor pages treat a missed dose as irrelevant because sildenafil is often used around sexual activity, but that advice is incomplete for a combination product that contains fluoxetine. Because the SSRI component’s effect on ejaculation depends on steady serotonin levels that build over time, the correct response depends on how the medicine has been prescribed for you (daily versus on demand). The one rule that always applies: do not double the next dose to make up for a missed one. If you are unsure, ask your prescriber or pharmacist what to do.

How Long Does Filagra FXT Plus Take to Work?

Sildenafil generally requires sexual stimulation to work, and its onset varies between individuals (commonly around 30 to 60 minutes), with food influencing how quickly it takes effect.

Fluoxetine is different. Its effect on ejaculation is not an immediate 30 minute response: the ejaculatory delay effect of SSRIs typically builds over days to weeks of use . This is a major point competitors get wrong: many pages imply the entire combination works in 30 minutes before sex, even though fluoxetine’s role is pharmacologically different from sildenafil’s.

How Long Does Filagra FXT Plus Last?

Sildenafil’s effects have a limited duration (commonly up to several hours), and this does not mean an erection lasts continuously: sexual stimulation remains necessary and individual response varies.

Fluoxetine’s effects should not be described as simply lasting 4 to 6 hours, because its mechanism is cumulative rather than time limited. Avoid the competitor style claim of 5 hours of sexual activity: that misrepresents how the SSRI component actually works.

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.