Malegra DXT Plus, it is not a sports-performance or athletic drug. It is marketed for men with erectile dysfunction (ED) and premature ***** (PE). Depending on the specific product/market, Malegra DXT Plus is commonly listed as containing sildenafil 100 mg + duloxetine 60 mg. Sildenafil helps erections by increasing penile blood flow, while duloxetine affects serotonin/norepinephrine and may delay *****. M MedsBase +1 What about athletes? There is no established legitimate athletic use for this combination to improve strength, muscle growth, endurance, or recovery. In fact, taking it for athletic performance can cause problems such as: Dizziness or low blood pressure Headache and flushing Nausea Changes in heart rate Reduced exercise tolerance in some people And because you were asking about Malegra 120 earlier: taking high-dose sildenafil and then adding Malegra DXT Plus could substantially increase your sildenafil exposure and side-effect risk. If you're asking because you've heard athletes use sildenafil/Viagra during training or competition, I can explain why some athletes use it, whether it actually improves performance, and the risks.