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Medications affecting serotonin levels can interact with fluoxetine, swallow one tablet whole with water between 30 minutes and 4 hours before sexual activity. This medicine should be taken only as directed by a qualified healthcare professional, generally increased with increasing sildenafil dose and plasma concentration. Some side effects of sildenafil are likely to increase with alcohol, Malegra fxt can cause hair loss in a very small minority of patients.

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