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Viagra Super Dulox-force

Viagra Super Dulox-force (Generic)

Viagra Super Dulox-Force is a combined medication used for the treatment of erectile dysfunction and premature ejaculation. Hot offer!

Envío del correo aéreo estandarto gratuito para todos los paquetes con precio de salida de $200.00

Viagra Super Dulox-force (Generic), 100mg + 30mg

PaquetePer PastillasPrecioVuestro pedido
10 tablet x 100mg + 30mg $3.32 $33.22 Comprar!
20 tablet x 100mg + 30mg $2.75 $55.06 Comprar!
30 tablet x 100mg + 30mg $2.56 $76.90 Comprar!
60 tablet x 100mg + 30mg $2.29 $137.22 Comprar!
90 tablet x 100mg + 30mg $2.15 $193.38 Comprar!
120 tablet x 100mg + 30mg
Free airmail shipping
$2.05 $246.42 Comprar!
180 tablet x 100mg + 30mg
Free airmail shipping
$1.79 $322.34 Comprar!
270 tablet x 100mg + 30mg
Free airmail shipping
$1.59 $429.46 Comprar!
360 tablet x 100mg + 30mg
Free airmail shipping
$1.40 $502.26 Comprar!

Viagra Super Dulox-force (Generic), 100mg + 60mg

PaquetePer PastillasPrecioVuestro pedido
10 tablet x 100mg + 60mg $3.84 $38.42 Comprar!
20 tablet x 100mg + 60mg $3.27 $65.46 Comprar!
30 tablet x 100mg + 60mg $2.91 $87.30 Comprar!
60 tablet x 100mg + 60mg $2.70 $162.18 Comprar!
90 tablet x 100mg + 60mg
Free airmail shipping
$2.39 $215.22 Comprar!
120 tablet x 100mg + 60mg
Free airmail shipping
$2.16 $258.90 Comprar!
180 tablet x 100mg + 60mg
Free airmail shipping
$1.94 $348.34 Comprar!
270 tablet x 100mg + 60mg
Free airmail shipping
$1.83 $493.94 Comprar!
360 tablet x 100mg + 60mg
Free airmail shipping
$1.61 $579.22 Comprar!
Testimonios
Descripción De Producto

Escribe una opinión Comentarios de los clientes

Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. My doctor recommended the usual prescription pills for my condition but he failed to mention how expensive these were. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. Fast and secure shipping together with great prices will always be my first choice.

4 buenos votos

Útil para usted esta opinión?

Gladys, Downey, on December 6, 2019

Now, after 3 orders I can confidently say you do an awesome job. I have already placed a second order. The delivery system is great! I received my order in exactly 10 days. Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you.

5 buenos votos

Útil para usted esta opinión?

Felicia, Mobile, on November 27, 2019

I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy. The generic ED pills really do work as advertised and have allowed me to save quite a lot of money.

5 buenos votos

Útil para usted esta opinión?

Alex, Portsmouth, on November 17, 2019

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. I have already placed a second order. I have been a regular customer of your online pharmacy for a few months now and I am completely satisfied with the services you provide.

2 buenos votos

Útil para usted esta opinión?

Sylvia, High Point, on November 8, 2019

Fortunately I read about generic pills on the internet and decided to give them I try. I have already placed a second order. Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again. Thank you! My boyfriend was really grateful when I told him I had ordered some sexual enhancement products for him.

5 buenos votos

Útil para usted esta opinión?

Tracey, Vancouver, on October 30, 2019

Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. My wife and I would like to offer you our sincere thanks. Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago.

4 buenos votos

Útil para usted esta opinión?

Patricia, Naperville, on October 22, 2019

Cheap and high quality medication will always be my first choice. My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. The delivery system is great! I received my order in exactly 10 days.

4 buenos votos

Útil para usted esta opinión?

Jenny, North Vancouver, on October 11, 2019

The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. My husband had been struggling in bed but was afraid to do anything about it so as not to upset me. My doctor recommended the usual prescription pills for my condition but he failed to mention how expensive these were.

3 buenos votos

Útil para usted esta opinión?

Ada, Chichester, on October 3, 2019

Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again. I appreciate the wide range of ED treatments that your website offers. I will surely use your services again! Thanks for the fast delivery of my order.

3 buenos votos

Útil para usted esta opinión?

Sonia, Bellevue, on September 25, 2019

Our marriage was saved when I began using some of your anti-impotence solutions. I appreciate the wide range of ED treatments that your website offers. I had no idea generic pills work this well. I already am a regular customer of your pharmacy and I will continue to be for a long time if you keep offering great products at affordable prices.

3 buenos votos

Útil para usted esta opinión?

Earl, Bellevue, on September 16, 2019

I have already placed a second order. Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. I have told all my friends about your website. I will order again as soon as I run out of pills.

3 buenos votos

Útil para usted esta opinión?

Joel, Stirling, on September 9, 2019

I had no idea generic pills work this well. I am still trying to find the one that works best for me and thanks to your great offers I can continue to experiment. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that.

2 buenos votos

Útil para usted esta opinión?

Sherri, Downey, on September 2, 2019

Now, after 3 orders I can confidently say you do an awesome job. I am still trying to find the one that works best for me and thanks to your great offers I can continue to experiment.

5 buenos votos

Útil para usted esta opinión?

Caroline, Gloucester, on August 23, 2019

Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life. Cheap and high quality medication will always be my first choice. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that.

3 buenos votos

Útil para usted esta opinión?

Jackie, Warren, on August 9, 2019

I feel very secure when ordering from your online pharmacy. Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man. Great service! My order arrived just as advertised. Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger.

4 buenos votos

Útil para usted esta opinión?

Conor, Bristol, on August 2, 2019

Fast and secure shipping together with great prices will always be my first choice. You guys are doing a great job.

5 buenos votos

Útil para usted esta opinión?

Wayne, Fort Worth, on July 25, 2019

I will surely use your services again! Thanks for the fast delivery of my order. I have already placed a second order. I am still trying to find the one that works best for me and thanks to your great offers I can continue to experiment.

3 buenos votos

Útil para usted esta opinión?

Julie, Irvine, on July 17, 2019

My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. A friend from work told me about your website.

3 buenos votos

Útil para usted esta opinión?

Kathy, Wakefield, on July 8, 2019

Your pills are also very high quality. Your marketing strategies are great and I really appreciate your promotional offers.

5 buenos votos

Útil para usted esta opinión?

Lori, Stoke-on-Trent, on June 30, 2019

Great service! My order arrived just as advertised. Your pills are also very high quality.

5 buenos votos

Útil para usted esta opinión?

Shannon, Williams Lake, on June 23, 2019

The results were great and I continue to take them. Very professional service! Thanks for the bonus pills! You've just gained another regular customer. I appreciate the swift and professional delivery! From all the online pharmacies I have tried, yours is by far the best.

2 buenos votos

Útil para usted esta opinión?

Rita, Armstrong, on June 15, 2019

My husband had been struggling in bed but was afraid to do anything about it so as not to upset me. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know. I appreciate the swift and professional delivery! From all the online pharmacies I have tried, yours is by far the best.

5 buenos votos

Útil para usted esta opinión?

Rose, Hollywood, on June 6, 2019

The generic ED pills really do work as advertised and have allowed me to save quite a lot of money. Thank you. The pills actually have the same effects as the brand name ones but at a fraction of the cost.

5 buenos votos

Útil para usted esta opinión?

Darrell, Mount Pearl, on May 29, 2019

Fortunately I read about generic pills on the internet and decided to give them I try. Cheap and high quality medication will always be my first choice. You sure saved me a lot of money.

3 buenos votos

Útil para usted esta opinión?

Tonya, Hereford, on May 23, 2019

The delivery system is great! I received my order in exactly 10 days. Very professional service! Thanks for the bonus pills! You've just gained another regular customer. Now impotence is just a bad memory and I intend to keep it that way by using your range of ED medication. I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy.

3 buenos votos

Útil para usted esta opinión?

Dora, Dieppe, on May 14, 2019

Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again. I have already recommended your site to all of my friends and they agree it is a great business.

4 buenos votos

Útil para usted esta opinión?

Bobby, Lowell, on May 6, 2019

I am a satisfied customer and I will continue to order your products as long as you keep the prices low. Our marriage was saved when I began using some of your anti-impotence solutions. The delivery system is great! I received my order in exactly 10 days. I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels.

3 buenos votos

Útil para usted esta opinión?

Hazel, Paterson, on April 28, 2019

The delivery system is great! I received my order in exactly 10 days. I am a satisfied customer and I will continue to order your products as long as you keep the prices low. I have already recommended your site to all of my friends and they agree it is a great business. I had second thoughts before ordering from your website but a friend of mine told me not to worry about it.

4 buenos votos

Útil para usted esta opinión?

Kim, Cape Coral, on April 20, 2019

I feel very secure when ordering from your online pharmacy. Thank you for restoring my youth.

3 buenos votos

Útil para usted esta opinión?

Tony, Coral Springs, on April 12, 2019

You sure saved me a lot of money. Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties.

2 buenos votos

Útil para usted esta opinión?

Stephanie, Chilliwack, on April 4, 2019

The delivery system is great! I received my order in exactly 10 days. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know. Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite.

4 buenos votos

Útil para usted esta opinión?

Esther, Dundee, on March 27, 2019

Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that. I share a flat with four other people and I didn't want them to know that I had ordered Viagra. Thank you for restoring my youth.

4 buenos votos

Útil para usted esta opinión?

Katrina, Mesa, on March 19, 2019

I am a satisfied customer and I will continue to order your products as long as you keep the prices low. After a great first order experience I have decided to place a second, more substantial order. I appreciate the swift and professional delivery! From all the online pharmacies I have tried, yours is by far the best.

3 buenos votos

Útil para usted esta opinión?

Joan, Augusta, on March 11, 2019

Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that.

5 buenos votos

Útil para usted esta opinión?

Carol, Pompano Beach, on March 4, 2019

Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. I think I have already tried out most of your promotions and I have never felt disappointed.

2 buenos votos

Útil para usted esta opinión?

Yass, Visalia, on February 23, 2019

I will continue to order from your website on a regular basis. I share a flat with four other people and I didn't want them to know that I had ordered Viagra.

3 buenos votos

Útil para usted esta opinión?

Liam, Dauphin, on February 15, 2019

Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you. I have told all my friends about your website. Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time.

4 buenos votos

Útil para usted esta opinión?

Glenda, Newport News, on February 6, 2019

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy.

3 buenos votos

Útil para usted esta opinión?

Rory, Duncan, on January 28, 2019

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. I appreciate the wide range of ED treatments that your website offers. You guys are doing a great job. They help save a few extra dollars and that goes a long way these days.

5 buenos votos

Útil para usted esta opinión?

Dolores, Lloydminster, on January 19, 2019

Please let me know if you could send me the same pills every month. Now, after 3 orders I can confidently say you do an awesome job. I will continue to order from your website on a regular basis.

3 buenos votos

Útil para usted esta opinión?

Erika, Burbank, on January 10, 2019

Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life. I check your website every week because I don't want to miss any of your amazing offers.

4 buenos votos

Útil para usted esta opinión?

Lois, Worcester, on January 3, 2019

Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man. I share a flat with four other people and I didn't want them to know that I had ordered Viagra. The results were great and I continue to take them. After a great first order experience I have decided to place a second, more substantial order.

4 buenos votos

Útil para usted esta opinión?

Jo, Newry, on December 27, 2018

My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. The delivery system is great! I received my order in exactly 10 days. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know.

4 buenos votos

Útil para usted esta opinión?

Becky, Pasadena, on December 19, 2018

Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. Is it possible to have discount for the shipping fees if I order pills in large quantities? Please let me know.

3 buenos votos

Útil para usted esta opinión?

Holly, Jersey City, on December 11, 2018

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. Our marriage was saved when I began using some of your anti-impotence solutions.

2 buenos votos

Útil para usted esta opinión?

Bertha, Green Bay, on December 2, 2018

Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again. I think I have already tried out most of your promotions and I have never felt disappointed. The products we received work great and our sex life has never been better. He is more confident in bed and we feel like a young couple again.

3 buenos votos

Útil para usted esta opinión?

Christy, Richmond, on November 23, 2018

He is more confident in bed and we feel like a young couple again. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that. The products we received work great and our sex life has never been better.

5 buenos votos

Útil para usted esta opinión?

Pauline, Enderby, on November 15, 2018

The results were great and I continue to take them. Now, after 3 orders I can confidently say you do an awesome job. Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you. I will surely use your services again! Thanks for the fast delivery of my order.

5 buenos votos

Útil para usted esta opinión?

Jennifer, Worcester, on November 8, 2018

I had no idea generic pills work this well. You guys are doing a great job. I was relieved to see just a plain paper envelope.

5 buenos votos

Útil para usted esta opinión?

Theresa, Augusta, on October 31, 2018

Our marriage was saved when I began using some of your anti-impotence solutions. I check your website every week because I don't want to miss any of your amazing offers. The pills actually have the same effects as the brand name ones but at a fraction of the cost.

2 buenos votos

Útil para usted esta opinión?

Elsie, Downey, on October 23, 2018

After a great first order experience I have decided to place a second, more substantial order. Now impotence is just a bad memory and I intend to keep it that way by using your range of ED medication. Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. My husband had been struggling in bed but was afraid to do anything about it so as not to upset me.

3 buenos votos

Útil para usted esta opinión?

Kim, Edmonton, on October 15, 2018

Although I had some problems with the ordering process at first, your customer support team proved to be really helpful and polite. Please let me know if you could send me the same pills every month. A friend from work told me about your website. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that.

4 buenos votos

Útil para usted esta opinión?

Donna, Pompano Beach, on October 4, 2018

The delivery system is great! I received my order in exactly 10 days. Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you. He is more confident in bed and we feel like a young couple again. I appreciate the swift and professional delivery! From all the online pharmacies I have tried, yours is by far the best.

5 buenos votos

Útil para usted esta opinión?

Alice, Airdrie, on September 26, 2018

I was relieved to see just a plain paper envelope. Many thanks.

2 buenos votos

Útil para usted esta opinión?

Mitchell, Santa Clarita, on September 16, 2018

I was relieved to see just a plain paper envelope. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that. Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. I feel very secure when ordering from your online pharmacy.

2 buenos votos

Útil para usted esta opinión?

Christina, Chattanooga, on September 1, 2018

Excellent service! I have recommended your products to all my friends and family and they all seemed to have a great experience when ordering from you. Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers.

5 buenos votos

Útil para usted esta opinión?

Diane, Cape Coral, on August 16, 2018

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. I think I have already tried out most of your promotions and I have never felt disappointed.

3 buenos votos

Útil para usted esta opinión?

Vivian, Wolverhampton, on August 1, 2018

Best wishes! Great discounts on the ED treatments! Your pills helped me bring my sex life back on track and feel a whole lot younger. I am 100% satisfied with how it worked out and I want to congratulate you on operating such a professional service. A friend from work told me about your website.

4 buenos votos

Útil para usted esta opinión?

Philip, Elgin, on July 24, 2018

I will continue to order from your website on a regular basis. Please let me know if you could send me the same pills every month. Your pills are also very high quality. He is more confident in bed and we feel like a young couple again.

2 buenos votos

Útil para usted esta opinión?

Loretta, St Albans, on July 17, 2018

The delivery system is great! I received my order in exactly 10 days. The products we received work great and our sex life has never been better. You sure saved me a lot of money. I didn't know what to expect from generic pills at first, but after trying out some of your products I was pleasantly surprised.

3 buenos votos

Útil para usted esta opinión?

Sheila, Berkeley, on July 7, 2018

I think I have already tried out most of your promotions and I have never felt disappointed. Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that. The delivery system is great! I received my order in exactly 10 days.

2 buenos votos

Útil para usted esta opinión?

Carla, Gresham, on June 21, 2018

My wife and I would like to offer you our sincere thanks. Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. Great service! My order arrived just as advertised.

3 buenos votos

Útil para usted esta opinión?

Jamie, Norwich, on June 13, 2018

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. The products we received work great and our sex life has never been better. Our marriage was saved when I began using some of your anti-impotence solutions. Fortunately I read about generic pills on the internet and decided to give them I try.

3 buenos votos

Útil para usted esta opinión?

Guadalupe, Carrollton, on May 31, 2018

The products we received work great and our sex life has never been better. I appreciate the wide range of ED treatments that your website offers. I had second thoughts before ordering from your website but a friend of mine told me not to worry about it.

2 buenos votos

Útil para usted esta opinión?

Eddie, Pompano Beach, on May 23, 2018

My girlfriend was really surprised to see how long I was able to last in bed and needles to say we had a great weekend trip away from the big city. Cheap and high quality medication will always be my first choice. Thank you! My boyfriend was really grateful when I told him I had ordered some sexual enhancement products for him.

3 buenos votos

Útil para usted esta opinión?

Erica, Elgin, on May 11, 2018

Very prompt delivery! It was worth spending a few extra dollars just for getting the drugs I need on time. Now impotence is just a bad memory and I intend to keep it that way by using your range of ED medication. My friends also agree that you operate one of the best pharmacies online.

3 buenos votos

Útil para usted esta opinión?

Christen, Lancaster, on May 2, 2018

Thank you! I have ordered some of your oral impotence remedies for my husband a few weeks ago and they really helped us improve our sex life. After ordering from several other online pharmacies, I decided to stick with your services. I have been a regular customer of your online pharmacy for a few months now and I am completely satisfied with the services you provide. Thanks to some of your amazing products I have regained my old sexual appetite and I feel like I'm 25 again.

2 buenos votos

Útil para usted esta opinión?

Amber, Joliet, on April 20, 2018

Our sexual activity has seen a slow but sure decline since I was first diagnosed with ED a few years ago. I am a satisfied customer and I will continue to order your products as long as you keep the prices low. I really appreciate the extra pills you include in my every order. Your marketing strategies are great and I really appreciate your promotional offers.

2 buenos votos

Útil para usted esta opinión?

Lindsay, Armstrong, on April 12, 2018

Great customer service! Your operators were patient enough to guide me through the entire ordering process and I am very grateful for that. I will continue to order from your website on a regular basis. Thank you for restoring my youth.

5 buenos votos

Útil para usted esta opinión?

Joann, San Jose, on April 5, 2018

I have already recommended your site to all of my friends and they agree it is a great business. My husband had been struggling in bed but was afraid to do anything about it so as not to upset me.

3 buenos votos

Útil para usted esta opinión?

Charlene, Cambridge, on March 21, 2018

I share a flat with four other people and I didn't want them to know that I had ordered Viagra. The delivery system is great! I received my order in exactly 10 days. The pills actually have the same effects as the brand name ones but at a fraction of the cost.

3 buenos votos

Útil para usted esta opinión?

Patricia, El Paso, on March 12, 2018

I was relieved to see just a plain paper envelope. I was just about to run out of pills and I would have had to refill my prescription at a regular pharmacy. Fortunately I read about generic pills on the internet and decided to give them I try.

2 buenos votos

Útil para usted esta opinión?

Gwendolyn, Camrose, on March 5, 2018

Please let me know if you could send me the same pills every month. I like that my privacy is always respected and I don't have to feel embarrassed when I pick up my parcels. Your pills are also very high quality.

2 buenos votos

Útil para usted esta opinión?

Tara, Lichfield, on February 24, 2018

You guys are doing a great job. Because of my age, my sexual performance has slowly but surely diminished and I hate feeling like an old man.

5 buenos votos

Útil para usted esta opinión?

Spencer, Tempe, on February 9, 2018

Very professional service! Thanks for the bonus pills! You've just gained another regular customer. Thank you. You sure saved me a lot of money. The generic ED pills really do work as advertised and have allowed me to save quite a lot of money.

4 buenos votos

Útil para usted esta opinión?

Arlene, Bangor, on January 31, 2018

Thanks to your promotional ED pack I was able to regain some of the vigor that I had when I was in my twenties. I already am a regular customer of your pharmacy and I will continue to be for a long time if you keep offering great products at affordable prices. He is more confident in bed and we feel like a young couple again.

5 buenos votos

Útil para usted esta opinión?

Shelly, Denver, on January 22, 2018

The delivery system is great! I received my order in exactly 10 days. Congratulations and keep up the good work! You guys do a great job in protecting the privacy of your customers. Our marriage was saved when I began using some of your anti-impotence solutions. I can't wait for my next order to arrive.

5 buenos votos

Útil para usted esta opinión?

Margaret, South Bend, on January 13, 2018

Viagra Super Dulox-force (Sildenafil Citrate + Duloxetine)

Sildenafil Citrate and Duloxetine tablet

What is this medicine?

SILDENAFIL; DULOXETINE is a combination treatment of 2 most disturbing problems in men: impotence and premature ejaculation. Antidepressants of the SSRI (selective serotonin and norepinephrine reuptake inhibitors) class including duloxetine have long been used off-label to treat premature ejaculation. Delayed orgasm is a well known effect of such drugs. The product is fairly new and became available in early 2010.

What should my health care professional know before I take this medicine?

They need to know if you have any of these conditions:

  • bipolar disorder or a family history of bipolar disorder
  • eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
  • heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
  • kidney or liver disease
  • narrow- angle glaucoma
  • stroke
  • suicidal thoughts or a previous suicide attempt
  • taken medicines called MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate within 14 days
  • an unusual reaction to sildenafil citrate, duloxetine, other medicines, foods, dyes, or preservatives

How should I use this medicine?

Take this medicine by mouth with a glass of water. The dose is usually taken 1 hour before sexual activity. You should not take the dose more than once per day. Do not take your medicine more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What may interact with this medicine?

Do not take this medicine with any of the following:

  • certain diet drugs like dexfenfluramine, fenfluramine, phentermine, sibutramine
  • cisapride
  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
  • methscopolamine nitrate
  • nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
  • nitroprusside
  • other sildenafil products (Revatio)
  • procarbazine
  • SSRIs like citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline
  • St. John's Wort
  • thioridazine
  • tryptophan
  • venlafaxine

This medicine may also interact with the following:

  • aspirin and aspirin-like medicines
  • certain antibiotics like ciprofloxacin and enoxacin
  • certain drugs for high blood pressure
  • certain drugs for the treatment of HIV infection or AIDS
  • certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole
  • cimetidine
  • erythromycin
  • medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
  • medicines for heart rhythm or blood pressure
  • medicines for mental depression, mania, psychosis, or anxiety
  • NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen
  • rifampin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while taking this medicine?

If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible.

Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.

If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.

Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks. Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help.

This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • changes in hearing
  • changes in vision, blurred vision, trouble telling blue from green color
  • chest pain
  • fast, irregular heartbeat or changes in blood pressure
  • fever
  • prolonged or painful erection (lasting more than 4 hours)
  • seizures
  • stomach flu-like symptoms of diarrhea, vomiting
  • suicidal thoughts or other mood changes
  • unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • blurred vision
  • change in appetite
  • diarrhea
  • flushing
  • headache
  • indigestion
  • nausea
  • stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects.

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from heat and direct light. Do not freeze. Throw away any unused medicine after the expiration date.

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