Description

Viagra with Duloxetine has a duo-action thanks to the content of two potent active ingredients – Sildenafil Citrate, a phosphodiesterase type 5 inhibitor, and Duloxetine, a serotonin-norepinephrine reuptake inhibitor (SNRI). Viagra with Duloxetine has a rapid action and provides positive results after the first use. The medication doesn't cause a dependence.

Indications:

- erectile dysfunction (ED), a condition where a man cannot achieve and sustain erection;

- prematurity of ejaculation (PE), a condition when ejaculation occurs too rapidly (within 1 minute after penetration).

Sildenafil is approved for the treatment of PAH (pulmonary arterial hypertension).

MOA (mechanism of action):

Sildenafil usually breaks down enzyme phosphodiesterase type 5 and results in release of cGMP in the penis. An increased level of cGMP relaxes the smooth muscles and improves blood flow inducing an erection. Duloxetine promotes the activity of serotonin and noradrenaline, that are neurotransmitters involved in passing messages between nerve cells, including those that result in ejaculation. Promoted activity of these two neurotransmitters increases the time it takes to ejaculate and improves control over the ejaculation.

Dosage

Viagra with Duloxetine pills can be taken with or without food.

Swallow a pill whole with a drink of water.

Take one pill of Viagra with Duloxetine orally 1 hour prior sexual activity.

Precautions:

Viagra with Duloxetine does not protect you or your partner from sexually transmitted diseases (including HIV) or from pregnancy.

Take Viagra with Duloxetine tablet not more than once every 24 hours.

It should only be taken when sexual activity is anticipated and is not intended as a regular treatment that is taken each day.

Missing a dose

Viagra with Duloxetine is used only when needed, therefore missed dosages are not relevant. Do not exceed the doctor's recommended dose. Do not take a double dose.

Overdose

If you take an overdose of Viagra with Duloxetine, you should seek emergency medical attention or contact your healthcare provider immediately.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Viagra with Duloxetine are:

• dizziness
• headache
• feeling sick
• anxiety, irritability, restlessness or agitation
• difficulty concentrating
• difficulty sleeping
• feeling tired or sleepy
• yawning
• tremor
• tinnitus
• blurred vision
• sinus congestion
• upset stomach
• indigestion, flatulence and dry mouth
• excessive sweating
• flushing

Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Do not take Viagra with Duloxetine if you are allergic to Sildenafil, Duloxetine, other PDE-5 inhibitors (Tadalafil, Vardenafil, Udenafil), other SNRIs or to any of the medication's components.

Do not take Viagra with Duloxetine if you have taken recreational drugs such as ecstasy (MDMA), ketamine, LSD, poppers (amyl nitrate), narcotics or benzodiazepines.

Do not take Viagra with Duloxetine if you are taking other medications, including erythromycin, alpha-blockers, antifungal medications (ketoconazole and itraconazole), medications for HIV (ritonavir, saquinavir, nelfinavir and atazanavir), certain antibiotics (telithromycin), alprazolam (Xanax), anticoagulants (warfarin), antidepressants (Elavil, Asendin, Anafranil, Norpramin), MAOI antidepressants (Marplan, Nardil, Eldepryl, Emsam, Zelapar), NSAIDs (Advil, Motrin, Aleve, Naprosyn), clopidogrel (Plavix), diazepam (Valium), digoxin (Lanoxin), diuretics ('water pills'), linezolid, flecainide (Tambocor), medications for diabetes, lithium (Eskalith, Lithobid), medications for anxiety and Parkinson's disease, methylene blue, medications for mental illness (Clozaril, Haldol), medications for migraine (Axert, Relpax, Frova, Amerge), medications for seizures (Tegretol, Dilantin), sedatives, sibutramine (Meridia), sleeping pills, tramadol (Ultram), tranquilizers, and vinblastine (Velban).

Do not take Viagra with Duloxetine if you if you experience seizures (convulsions or fits).

Try not to consume alcohol while using Viagra with Duloxetine, as it can lower your blood pressure, causing dizziness and rapid heart rate (tachycardia).

Do not take Viagra with Duloxetine if you suffer from or have history of cardiovascular disease, liver or kidney disorders, hypotension, leukemia, peptic ulcer disease, rhinitis, glaucoma, epilepsy.

Do not take Viagra with Duloxetine if you have a history of fainting, mania (feeling overexcited, irritable or not being able to think clearly) or severe depression.

Do not take Viagra with Duloxetine if you have inflammation or injury on the penis.

Do not take Viagra with Duloxetine if you have recently undergone a surgery.

Viagra with Duloxetine is not for use in women, children or adolescents under age 18 years.

Q: What is Viagra with Duloxetine?

A: Viagra with Duloxetine is a medication formulated of two active components aimed to tackle the most serious problems associated with men's sexual health – ED (erectile dysfunction) and PE (premature ejaculation). Taking just one drug, a man can significantly improve stamina, restore potency and have satisfying sexual intercourse. For use in males over 18 years of age.

Q: How does Viagra with Duloxetine work?

A: Sildenafil usually breaks down enzyme phosphodiesterase type 5 and results in release of cGMP in the penis. An increased level of cGMP relaxes the smooth muscles and improves blood flow inducing an erection. Duloxetine inhibits serotonin reuptake, thereby increasing its amount exponentially in the blood. It’s action at the postsynaptic cleft increases thereby preventing premature ejaculation.

Q: When should I not use Viagra with Duloxetine?

A: Do not take Viagra with Duloxetine if you are allergic to Sildenafil, Duloxetine, other PDE-5 inhibitors (Tadalafil, Vardenafil, Udenafil), other SNRIs or to any of the medication's components. A full list of contraindications is given in the section Safety Info.

Point cible	Méthode d'Expédition	Suivi	Delay de Livraison	Prix
La livraison à travers le monde entier		Non traçable	21-40 jours ouvrables	USD 15.00 par commande
		Traçable, si disponible	15-30 jours ouvrables	USD 25.00 par commande

Délai de livraison est:

Courrier Recommandé - 21-40 jours ouvrables, Prix - USD 15.00, aucune signature n'est requise à la livraison.
SME - 15-30 jours ouvrables, Prix - USD 25.00, signature est requise à la livraison.
Votre commande sera emballée avec soin et expédiée dans les 24 heures.

C'est exactement l'aspect de votre colis (images d'un objet de livraison réel). On dirait une lettre ordinaire privé, rien ne décèle son contenu. Taille - 9.4x4.3x0.3 pouces (24x11x0.7cm).