Buy Sildenafil and Duloxetine Online in USA

Buy Sildenafil and Duloxetine Online in USA

Buy Sildenafil and Duloxetine Online

Sildenafil & duloxetine is a combination of well-known sildenafil citrate and duloxetine, a serotonin-norepinephrine reuptake inhibitors (SNRI).

Antidepressants of the SNRI and SSRI classes including duloxetine have long been used off-label to treat premature ejaculation. Delayed orgasm is a well known effect of such drugs.

Duloxetine in combination with sildenafil citrate has been shown to be more effective than duloxetine alone in delaying ejaculation and providing sexual satisfaction.

Usually a single dose before having sex is enough to achieve a satisfactory length of intercourse.

Most common sex related problems in men are erectile dysfunction and premature ejaculation. Several men try natural remedies and other products but the effects are not experienced for long. This is one problem that cannot be left to time to get solved. It is a great hindrance when it comes to sexual pleasure for both the man and the woman involved.

As an effective treatment, Sildenafil & Duloxetine is designed to treat both erectile dysfunction and early climax. You can buy Sildenafil & Duloxetine online. Buy online Sildenafil & Duloxetine and enjoy lovemaking like never before.  It consists of two chemicals sildenafil and duloxetine; one helps to get hard erections and the other causes delayed climax. Duloxetine is an antidepressant and causes delay in climax during sex.

How does the Sildenafil & Duloxetine work?

There is a twofold action following the consumption of Sildenafil & Duloxetine. The first action is the sildenafil dissolves in the blood stream. Here, its main purpose is the PDE-5 inhibitor, and by doing this the blood flows easily to the penile section. An enzyme called cyclic GMP increases and this boosts the blood flow to this region.  This is complemented by the secretion of nitric oxide supplement, and the main purpose of this is to unwind the arteries and muscle tissues around the penile area and help in the entire love making session. Once the stiffness is attained then the Duloxetine comes into play and this chemical delays the serotonin breakdown. A guy prematurely climaxes due to the low levels of serotonin and due to the deferred breakdown of serotonin the presence increases in the body and this helps to postpone the climax and in this way both partners enjoy the lovemaking session. The Sildenafil & Duloxetine pill has these two active ingredients that help in long and strong love making session.

Brand Name


Sildenafil & Duloxetine should not be used with other treatments that cause erection or nitrates, because they can cause your blood pressure to drop very low. This may cause dizziness, fainting, heart attack, or stroke. Women, children and people with sensitivity to any component of the drug can’t use it.


A regular prescribed dose of Sildenafil & Duloxetine is 100mg of Sildenafil and 30mg of Duloxetine for most part of the patients. The effect of this medication lasts up to 4 hours. It’s not recommended to eat high fat food, grapefruit or drink grapefruit juice.

Important Safety Information

  • Sildenafil & Duloxetine may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Sildenafil & Duloxetine with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
  • Sildenafil & Duloxetine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
  • Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Sildenafil & Duloxetine; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Do not suddenly stop taking Sildenafil & Duloxetine. Some conditions may become worse when the medicine is suddenly stopped or the dose of Sildenafil & Duloxetine is decreased. Your dose may need to be slowly lowered to decrease the risk of side effects.
  • Children and teenagers who take Sildenafil & Duloxetine may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk may also be greater in patients who have had bipolar (manic-depressive) illness, or if their family members have had it. Watch patients who take Sildenafil & Duloxetine closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
  • Serotonin syndrome is a possibly fatal syndrome that can be caused by Sildenafil & Duloxetine. Your risk may be greater if you take Sildenafil & Duloxetine with certain other medicines (eg, MAOIs, SSRIs, “triptans”). Symptoms may include agitation; coma; confusion; excessive sweating; fast or irregular heartbeat; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your doctor at once if you have any of these symptoms.
  • Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Sildenafil & Duloxetine. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
  • Diabetes patients – Sildenafil & Duloxetine may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • If your doctor tells you to stop taking Sildenafil & Duloxetine, you will need to wait for at least 5 days before beginning to take certain other medicines (eg, MAOIs). Ask your doctor when you should start to take your new medicines after you have stopped taking Sildenafil & Duloxetine.
  • Lab tests, including blood pressure and liver function, may be performed while you use Sildenafil & Duloxetine. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Sildenafil & Duloxetine with caution in the elderly; they may be more sensitive to its effects, especially low blood sodium levels.
  • Caution is advised when using Sildenafil & Duloxetine in children; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
  • Sildenafil & Duloxetine should be used with extreme caution in children; safety and effectiveness in children have not been confirmed.
  • Pregnancy and breast-feeding: Sildenafil & Duloxetine may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Sildenafil & Duloxetine while you are pregnant. Sildenafil & Duloxetine is found in breast milk. Do not breastfeed while taking Sildenafil & Duloxetine.


Before starting the treatment with Sildenafil Citrate, tell your doctor or health care adviser about any allergy you have. Middle aged people can be more sensitive to side effects of the medicine. This drug may make you dizzy or cause vision problems. Limit alcoholic beverages. Before using this medication, tell your doctor or pharmacist your medical history, especially of: sickle cell disease, high or low blood pressure, a severe loss of body water (dehydration), history of painful/prolonged erection (priapism), eye problems, heart problems, kidney disease, liver disease, pulmonary edema, problem with shape of penis (such as angulation, fibrosis/scarring, Peyronie’s disease). Sildenafil does not protect against sexually transmitted infections such as HIV.


  • Sildenafil & Duloxetine should not be consumed on an everyday basis as it can get habitual within the person. Thus, this kind of consumption could lead to addiction of this medication in the person. Thus, this can bring out adverse side effects over the person.
  • Men suffering from Peyronie’s dieses should first consult their doctor about the medication of Sildenafil & Duloxetine. It is highly advisable that they should strictly avoid the consumption of Sildenafil & Duloxetine as it can cause sudden strengthening of the muscles in the male reproductive system which would lead to unbearable pain.
  • Nitrate containing pills should be avoided with the consumption of Sildenafil & Duloxetine medications as their combination could lead to severe health complications in the person. This is because, nitrate pills are used in the treatment of chest pain and troubles relating to heart.
  • Women, children and teenagers should not intake this medication as it could have adverse effect over their problem.


These pills must be used with water for about half an hour prior the intercourse. 1 pill per day is the recommended dosage. In some cases, the dosage may be changed, but only after a consultation with your physician. Fatty food may delay the beginning of the action, so try to avoid them in you menu. There are no special regulation for elderly examinees.

In occasions of overdosing or harmful interaction with some products, immediately turn to the nearest hospital. Do not delay and hope that unwanted events would soon pass away. Every minute is vital and hesitation may bring serious troubles to your health.

Side Effects

  • Flushing
  • Headache
  • Muscle mass ache
  • Short term defect in eye sight
  • Runny nose
  • Urinary tract infection
  • Nausea
  • Vomiting
  • Back pain
  • Tremors
  • Digestive troubles
  • Diarrhea


Store Sildenafil & Duloxetine at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Sildenafil & Duloxetine out of the reach of children and away from pets.


Sildenafil & Duloxetine is a combination drug, having Sildenafil and Duloxetine in its compound. The therapeutic effect is great: aside from long and stable erection, usual for Sildenafil drugs, Sildenafil & Duloxetine provides its patient with longer sex before ejaculation, treating premature ejaculation problems.