Malegra DXT is effective for erectile dysfunction (ED). Malegra DXT is a combination medication that contains: Sildenafil Citrate (usually 100 mg) — treats erectile dysfunction by increasing blood flow to the penis. Dapoxetine (usually 60 mg or 30 mg) — used to treat premature ejaculation. Because it combines these two active ingredients, Malegra DXT is designed for men who experience both erectile dysfunction and premature ejaculation. How it works for ED: Sildenafil in Malegra DXT works by relaxing blood vessels, improving blood flow to help achieve and maintain an erection during sexual stimulation. Effectiveness: Sildenafil is well-established and clinically proven to be effective for ED. Many men find Malegra DXT helpful if they also have issues with premature ejaculation. Important Notes: Take Malegra DXT 30–60 minutes before sexual activity. Do not take more than one dose per day. Avoid alcohol, grapefruit juice, and other medications that can interact. Not suitable for people using nitrates or with certain heart conditions. Side effects may include headache, dizziness, nausea, flushing, or sometimes anxiety due to dapoxetine.