Generic Viagra Super Fluox-Force (Sildenafil Citrate/Fluoxetine)

Introduction

Viagra Super Fluox-Force is a fixed-dose oral tablet that combines two well-characterised active ingredients: sildenafil citrate, a phosphodiesterase-type 5 (PDE5) inhibitor, and fluoxetine, a selective serotonin reuptake inhibitor (SSRI). The product is supplied in 100 mg/40 mg and 100 mg/60 mg strengths and is intended for adult patients who require simultaneous management of conditions that are traditionally treated with these agents. Current regulatory agencies have not granted a formal indication for the combination; it is therefore marketed as a therapeutic adjunct rather than a single-indication drug.

The medication belongs to the class of combination oral tablets and is manufactured by an undisclosed pharmaceutical company that distributes the product through licensed international suppliers. Apart from its primary pharmacologic actions, clinicians sometimes consider the combination for off-label purposes such as refractory erectile dysfunction in patients with comorbid depressive symptoms.

What is Viagra Super Fluox-Force?

Viagra Super Fluox-Force is a fixed-dose tablet that contains sildenafil citrate (100 mg) together with fluoxetine (either 40 mg or 60 mg). It is classified as a combination drug product, merging a vasodilatory agent with an antidepressant. The formulation was developed to address the overlapping burden of sexual dysfunction and mood disorders, conditions that frequently co-occur in adult populations. The manufacturer (unnamed in public filings) reports that the tablet uses standard excipients compliant with Good Manufacturing Practice (GMP) standards.

How Viagra Super Fluox-Force Works

Sildenafil citrate blocks the enzyme phosphodiesterase-type 5, which normally degrades cyclic guanosine monophosphate (cG-MP) within the smooth muscle of the corpus cavernosum. By inhibiting PDE5, sildenafil sustains cG-MP levels, leading to smooth-muscle relaxation, increased arterial inflow, and an erection in response to sexual stimulation. The onset of action is typically 30-60 minutes after oral ingestion, with a therapeutic window of up to 4-5 hours.

Fluoxetine selectively inhibits the reuptake of serotonin (5-HT) at the neuronal synapse, thereby increasing synaptic serotonin concentrations. Elevated serotonin enhances mood and alleviates depressive symptoms, with clinical effects emerging after 2-4 weeks of continuous dosing. Fluoxetine has a long elimination half-life (≈ 2-3 days for the parent drug and up to 1-2 weeks for its active metabolite, norfluoxetine), which supports once-daily administration.

When combined, the two agents may provide complementary benefits: sildenafil addresses the physiological component of erectile dysfunction, while fluoxetine treats the psychological component that can diminish sexual desire and performance.

Conditions Treated with Viagra Super Fluox-Force

• Erectile dysfunction (ED) associated with depressive or anxiety disorders - While sildenafil alone is approved for ED, the addition of fluoxetine can help manage underlying mood disturbances that impair sexual function.
• Pulmonary arterial hypertension (PAH) when mood symptoms coexist - Sildenafil is approved for PAH; fluoxetine may be added under specialist supervision to treat concurrent depression.

The drug is not formally approved by the U.S. Food and Drug Administration (FDA) or the European Medicines Agency (EMA) for the combined formulation. Clinicians therefore prescribe it off-label, guided by individual patient assessment and specialist advice.

Off-Label and Investigational Uses of Viagra Super Fluox-Force

• Treatment-resistant sexual dysfunction in patients on SSRI therapy - Some case series have reported that adding sildenafil to an SSRI regimen can mitigate SSRI-induced sexual side effects. The evidence is limited to small open-label studies; larger randomized trials are lacking.
• Depression-related erectile dysfunction in men with cardiovascular disease - Observational data suggest that concurrent use of a PDE5 inhibitor and an SSRI may improve both mood scores and erectile function without compromising cardiovascular safety. These findings remain exploratory.

All off-label uses are not approved by regulatory authorities. Patients should only consider such applications after a thorough risk-benefit discussion with a qualified healthcare provider.

Is Viagra Super Fluox-Force the Right Medication for You?

The combination may be appropriate for adult patients who:

• Have a documented diagnosis of erectile dysfunction and an active depressive or anxiety disorder requiring an SSRI.
• Are already stable on fluoxetine and require an additional therapeutic option for sexual function.
• Have no contraindications to either component (see below).

Contraindications include:

• Concomitant use of nitrates or nitric-oxide donors (risk of profound hypotension).
• Severe hepatic impairment (affects fluoxetine metabolism).
• Uncontrolled hypertension or recent cardiovascular events (e.g., myocardial infarction).
• Known hypersensitivity to sildenafil, fluoxetine, or any tablet excipients.

Patients with these conditions should seek alternative therapies.

Risks, Side Effects, and Interactions

Common

• Headache
• Flushing
• Nasal congestion
• Dyspepsia
• Insomnia or mild sleep disturbance (fluoxetine)

Rare

• Visual disturbances (e.g., blurred vision, blue-tinted vision)
• Priapism (prolonged erection lasting > 4 hours)
• Weight gain or appetite changes (fluoxetine)

Serious

• Sudden hypotension, especially with nitrate use
• Cardiovascular events (myocardial infarction, stroke) in high-risk patients
• Severe allergic reactions (anaphylaxis, angio-edema)
• Serotonin syndrome when combined with other serotonergic agents (e.g., MAO inhibitors, tramadol)

Drug-Drug Interactions

• Nitrates (e.g., nitroglycerin) - absolute contraindication.
• Alpha-blockers - may cause additive hypotension; dose titration required.
• CYP3A4 inhibitors (ketoconazole, erythromycin) - increase sildenafil plasma levels.
• CYP2C19 inhibitors (fluconazole, ticlopidine) - increase fluoxetine levels, raising risk of serotonin syndrome.

Drug-Food Interactions

• High-fat meals may delay sildenafil’s onset by up to 30 minutes.
• Grapefruit juice can modestly increase sildenafil exposure; moderate consumption is advised.

Patients should avoid excessive alcohol, as it may impair sexual performance and increase hypotensive risk.

Use: Dosing, Missed Dose, Overdose

Standard dosing (adult males and females):

• Start with one tablet of 100 mg/40 mg taken orally about 30-60 minutes before anticipated sexual activity.
• If tolerated, dose may be increased to 100 mg/60 mg once per 24 hours.
• Fluoxetine component is typically continued once daily; the tablet’s fluoxetine dose aligns with standard therapeutic ranges for depression.

Missed dose:

• Sildenafil’s effect is short-acting; if a dose is missed and sexual activity is not imminent, it can be omitted. Do not take another tablet to “make up” the missed dose.
• Fluoxetine should be taken at the same time each day; if a dose is missed, take it as soon as remembered unless it is near the next scheduled dose, in which case skip and continue with the regular schedule.

Overdose:

• Symptoms of sildenafil overdose may include severe hypotension, dizziness, and prolonged erection.
• Fluoxetine overdose can present with nausea, vomiting, somnolence, and, in rare cases, serotonin syndrome.
• If overdose is suspected, seek emergency medical attention. Activated charcoal may be considered if ingestion occurred within one hour.

Practical precautions:

• Take the tablet with water; food is optional but a moderate-fat meal may delay onset.
• Avoid alcohol excess (> 3 standard drinks) during the active window.
• Refrain from operating heavy machinery or driving until the full effects of the medication are known, especially after the first dose.

FAQ

• What temperature should Viagra Super Fluox-Force be stored at?   The tablet should be stored at controlled room temperature, typically between 20 °C and 25 °C (68 °F-77 °F). Extreme heat or chill can affect the stability of both sildenafil and fluoxetine.

• Can I travel internationally with this medication?   Yes, the tablet is legal for personal use in most countries when carried in its original packaging with a copy of the prescription. However, some jurisdictions require a declaration at customs; checking local regulations before travel is advised.

• Does the tablet contain any allergens such as lactose or gluten?   The standard formulation uses lactose as a filler and does not contain gluten. Patients with severe lactose intolerance should discuss alternative formulations with their clinician.

• How does the combination affect laboratory drug testing?   Fluoxetine can be detected in urine drug screens as a prescribed medication; sildenafil is not typically included in standard occupational drug panels but may be identified in specialized forensic testing.

• Is the 100 mg/60 mg strength more effective for severe depression?   The fluoxetine component (60 mg) aligns with the higher end of the approved dosing range for major depressive disorder, which can be more effective in patients who have not responded to lower doses. Efficacy should be assessed after 4-6 weeks of therapy.

• What is the shelf life of Viagra Super Fluox-Force?   The manufacturer assigns a 24-month shelf life from the date of manufacture, provided the tablets are stored in a dry, cool environment and the packaging remains intact.

• Can the medication be crushed or split for dose adjustment?   No. Both sildenafil and fluoxetine have formulations designed for oral absorption; crushing may alter pharmacokinetics and decrease efficacy. Dose adjustments should be done by prescribing a different strength tablet.

• Does fluoxetine in this product increase the risk of bleeding?   Fluoxetine can inhibit platelet aggregation by affecting serotonin uptake, which may modestly increase bleeding risk, especially when combined with anticoagulants or antiplatelet agents.

• Are there any special considerations for patients over 65 years old?   Older adults often have reduced hepatic metabolism and may experience higher plasma levels of fluoxetine; dose initiation at the lower strength (100 mg/40 mg) and careful monitoring for hypotension are recommended.

• How does the drug’s half-life influence dosing frequency?   Sildenafil’s half-life is about 4 hours, supporting a once-daily dose for ED. Fluoxetine’s long half-life (up to 2 weeks for its metabolite) permits steady-state concentrations with once-daily dosing, reducing the need for multiple daily administrations.

Glossary

Phosphodiesterase-type 5 (PDE5) inhibitor

A class of drugs that block the enzyme PDE5, preventing the breakdown of cG-MP and thereby promoting smooth-muscle relaxation in the penis.

Selective Serotonin Reuptake Inhibitor (SSRI)

A medication that increases serotonin levels in the brain by inhibiting its reabsorption into presynaptic neurons, commonly used to treat depression and anxiety.

Serotonin syndrome

A potentially life-threatening condition caused by excessive serotonergic activity, characterized by agitation, hyperthermia, autonomic instability, and neuromuscular abnormalities.

Hypotension

An abnormally low blood pressure; in the context of sildenafil, it can be precipitated by concurrent nitrate use.

Buying Viagra Super Fluox-Force from Our Online pharmacy

Patients who encounter limited access or high out-of-pocket costs for combination therapies can obtain Viagra Super Fluox-Force through our online pharmacy. Our service offers:

• Cost-effective pricing that approaches manufacturer-level rates, easing financial burden.
• Verified quality sourced exclusively from licensed, GMP-certified overseas pharmacies, ensuring each tablet meets strict potency and purity standards.
• Discreet delivery with secure packaging; standard express shipping arrives within 7 days, while regular airmail takes approximately 3 weeks, both with tracking options.
• Privacy-focused handling, as we operate as a pharmacy-broker service, safeguarding patient identity throughout the ordering process.

By partnering with reputable international suppliers, our online pharmacy provides a reliable, confidential channel for adults seeking this specific combination when conventional pharmacies cannot meet their needs.

Disclaimer

The information presented about Viagra Super Fluox-Force is intended for general educational purposes and does not substitute professional medical advice. Treatment decisions, including those related to off-label applications, must be made under the guidance of a qualified healthcare professional. Readers are presumed to be responsible adults capable of making informed health choices. Our online pharmacy makes this medication available for individuals who may encounter limited access through conventional pharmacies, insurance-based prescription programs, or who seek affordable generic alternatives. Always discuss any medication changes, including initiation, dose adjustments, or discontinuation, with your physician.