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To become active in bed, the first physiological action is the man attaining stiffness of the organ. As the organ becomes stiff, he is able to penetrate. Due to this, sildenafil citrate in Malegra FXT is the first active ingredient to act. Sildenafil citrate ensures that there is 100 % increase in the circulation of blood as the man becomes sexually excited, leading to engorgement of the organ. As the impotency issue is resolved, Fluoxetine in Malegra FXT begins to act. The latter inhibits the action of serotonin, the main cause of early climax. As this happens, men are able to get rid of the urge to release seminal fluid before time, making them last longer in bed. Fluoxetine is also used as an antidepressant. Thus the drug decreases the stress level in the man. As the man becomes more relaxed, he is able to perform better by having a better penetration and lasting longer in bed using Malegra FXT.
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