76 College Green Mon-Fri: 9:00–18:00, Sat: 10:00–15:00
EmeraldCHEMIST
πŸ“ž Contact phone β€” free, 24/7

Buy Sildenafil Citrate/Duloxetine online in Ireland – fast, discreet & affordable

★★★★☆ 4.5 (225 reviews)
In stock β€” ready for delivery today
Choose dosage and pack size
PackagePrice per DosePrice
360 pills€1.78
€711.52
€640.37
Free shipping
270 pills€1.96
€589.77
€530.79
Free shipping
180 pills€2.18
€434.81
€391.33
Free shipping
120 pills€2.48
€330.45
€297.41
Free shipping
90 pills€2.60
€260.88
€234.79
Free shipping
60 pills€2.70
€180.24
€162.22
30 pills€3.46
€115.41
€103.87
20 pills€4.55
€101.18
€91.06
10 pills€6.55
€72.72
€65.45
360 pills€1.96
€785.84
€707.25
Free shipping
270 pills€2.22
€665.67
€599.10
Free shipping
180 pills€2.35
€469.60
€422.64
Free shipping
120 pills€2.60
€347.85
€313.06
Free shipping
90 pills€2.90
€290.92
€261.83
Free shipping
60 pills€3.24
€216.61
€194.95
Free shipping
30 pills€3.70
€123.32
€110.99
20 pills€4.27
€94.86
€85.37
10 pills€6.97
€77.46
€69.72
€640.37
Quantity:
✈️
Airmail 14–21 days
⚑
Express delivery 5–9 days
🎁
Free Airmail from €171.46
πŸ”’
Crypto discount βˆ’10%

Sildenafil Citrate was discovered in 1989 and revolutionized erectile dysfunction treatment, becoming one of the most widely prescribed medicines worldwide. An interesting pharmacological property is that it boosts a natural signal in your body called cGMP, which helps blood flow to the penis after sexual stimulation. Duloxetine, approved later, is an antidepressant and pain reliever that works on serotonin and norepinephrine in the brain. When combined, these medicines address both sexual function and mood or pain symptoms, under careful medical supervision.

What Sildenafil Citrate/Duloxetine is

This is a prescription medicine that contains two active ingredients: sildenafil citrate and duloxetine. It is designed as a fixed-dose combination to address both erectile function and mood or chronic pain aspects in certain patients. The product is not suitable for everyone, and your clinician will decide if this specific pairing fits your health needs.

You should take this medicine exactly as prescribed. A clinician will review your medical history, current medicines, and potential risks before starting it. Because it combines two different drug classes, the dosing, timing, and monitoring may differ from taking sildenafil or duloxetine alone. Tell your clinician about any past reactions to similar medicines, liver or kidney problems, high or low blood pressure, or eye disease.

What it is used for

The sildenafil component helps support erectile function when there is sexual stimulation. The duloxetine part works on mood and certain types of pain, such as fibromyalgia, nerve pain, or chronic musculoskeletal pain, depending on your condition. Together, the medicine aims to improve both sexual health and mood or pain symptoms in people who have these coexisting needs.

Your clinician will decide if this combination is appropriate for you. It may be considered when ED symptoms persist alongside mood concerns or pain that duloxetine can help. It is not a first‑line choice for everyone, and it is not intended to treat conditions outside its approved uses. If you have questions about whether this product is right for you, discuss them with your clinician before starting therapy.

Contraindications and precautions

Do not use this medicine if you take nitrates for chest pain or use other nitrate-containing medicines. Combining a PDE5 inhibitor like sildenafil with nitrates can cause a dangerous drop in blood pressure. Do not start this product if you are pregnant or breastfeeding unless your clinician specifically approves it for a compelling reason, and always discuss with your clinician if you have a history of heart attack, stroke, or life-threatening irregular heartbeats in the past six months.

Be cautious if you are taking alpha-blockers or other medicines that lower blood pressure. The combination can cause dizziness, lightheadedness, or fainting. Your clinician may adjust doses or recommend a different treatment. Tell your clinician about all medicines you take, including over‑the‑counter drugs, vitamins, and herbal products, as these can affect blood pressure or interact with duloxetine or sildenafil.

There are specific safety concerns for the duloxetine component. Do not use this product if you have serious liver disease, glaucoma with high pressure, or a history of bipolar/manic episodes unless your clinician has carefully weighed the risks. Duloxetine can interact with alcohol and other drugs that affect the central nervous system, raising the risk of liver injury or excessive sedation. If you have kidney or liver impairment, discuss dose and monitoring with your clinician before starting this medicine.

If you have a history of seizures, low sodium levels, or significant eye or cardiovascular disease, tell your clinician. In older adults, the risk of hyponatremia, dizziness, or falls may be higher. If you experience any sudden vision changes, chest pain, or fainting, seek urgent medical care. This combination is not advised for everyone and requires close supervision by a healthcare professional.

Side effects by frequency

Side effects are listed by how often they occur. If you notice any persistent or troublesome symptoms, contact your clinician.

  • Common (happen to many people): headache, flushing, indigestion, nasal congestion, dizziness, fatigue, dry mouth, and upset stomach. You may also notice muscle or back pain and sweating.
  • Less common: nausea, sleep disturbances or vivid dreams, changes in taste, constipation, blurred vision, or mild numbness/tingling. Some people may feel faint or dizzy when standing up quickly.
  • Rare: priapism (an erection lasting longer than 4 hours) or sudden vision loss; severe allergic reactions such as swelling of the face or throat; severe skin rashes; signs of liver irritation (dark urine, yellowing of the skin or eyes).
  • Serious but uncommon: mood changes, severe confusion, thoughts of self-harm, or signs of serotonin syndrome (agitation, rapid heart rate, high blood pressure, sweating, tremor) especially if you take other serotonergic medicines.

Interactions with other substances

This medicine can interact with several other drugs and substances. These interactions can change how well the medicines work or raise your risk of serious side effects. Always tell your clinician about all medicines you take, including herbal products and alcohol.

Major interactions include:

  • Nitrates or NO donors (for chest pain): do not use with sildenafil citrate, as the combination can cause a dangerous drop in blood pressure.
  • Alpha-blockers or other treatments for high blood pressure: may cause dizziness, fainting, or low blood pressure. Dose adjustments or alternative therapies may be needed.
  • Other erectile dysfunction medicines or PDE5 inhibitors: avoid combining with this product unless explicitly advised by a clinician.
  • Strong serotonergic medicines (for example certain antidepressants, tramadol, or triptans): duloxetine increases serotonin; combining with other serotonergic drugs can raise the risk of serotonin syndrome.
  • Alcohol: can increase dizziness, drowsiness, and liver load. Limit intake and discuss safe levels with your clinician.
  • Liver or kidney disease medications: duloxetine is processed by the liver and kidneys. If these organs are impaired, dosages may need adjustment and closer monitoring.

Always review your complete list of medications with your clinician before starting this combination. If you notice unusual symptoms after starting therapy, contact a healthcare professional promptly. This product is intended to be used under medical supervision, with attention to how your body responds and any changing health conditions.

✈️

Airmail

14–21 days. Free from €171.46 .

⚑

Express delivery

5–9 days. €25.72

πŸ”’

Crypto discount

βˆ’10% when paying with cryptocurrency.

πŸ”„

Reorder discount

βˆ’10% on all repeat orders.

πŸ“¦ Packaging and discretion

All orders are packed in neutral, unbranded boxes with no product name on the outside.

Declan Farrell
Medically reviewed by
Declan Farrell
Registered Pharmacist (MPharm), Medical Editor