

| Package | Price per Dose | Price | |
|---|---|---|---|
| 360 pills | β¬1.78 | β¬711.52 β¬640.37 Free shipping | |
| 270 pills | β¬1.96 | β¬589.77 β¬530.79 Free shipping | |
| 180 pills | β¬2.18 | β¬434.81 β¬391.33 Free shipping | |
| 120 pills | β¬2.48 | β¬330.45 β¬297.41 Free shipping | |
| 90 pills | β¬2.60 | β¬260.88 β¬234.79 Free shipping | |
| 60 pills | β¬2.70 | β¬180.24 β¬162.22 | |
| 30 pills | β¬3.46 | β¬115.41 β¬103.87 | |
| 20 pills | β¬4.55 | β¬101.18 β¬91.06 | |
| 10 pills | β¬6.55 | β¬72.72 β¬65.45 | |
| 360 pills | β¬1.96 | β¬785.84 β¬707.25 Free shipping | |
| 270 pills | β¬2.22 | β¬665.67 β¬599.10 Free shipping | |
| 180 pills | β¬2.35 | β¬469.60 β¬422.64 Free shipping | |
| 120 pills | β¬2.60 | β¬347.85 β¬313.06 Free shipping | |
| 90 pills | β¬2.90 | β¬290.92 β¬261.83 Free shipping | |
| 60 pills | β¬3.24 | β¬216.61 β¬194.95 Free shipping | |
| 30 pills | β¬3.70 | β¬123.32 β¬110.99 | |
| 20 pills | β¬4.27 | β¬94.86 β¬85.37 | |
| 10 pills | β¬6.97 | β¬77.46 β¬69.72 |
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.
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.
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 firstβline 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.
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 overβtheβcounter 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 are listed by how often they occur. If you notice any persistent or troublesome symptoms, contact your clinician.
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:
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.
14β21 days. Free from β¬171.46 .
5β9 days. β¬25.72
β10% when paying with cryptocurrency.
β10% on all repeat orders.
All orders are packed in neutral, unbranded boxes with no product name on the outside.
