Malegra DXT Plus pill is for male sexual problems and other conditions. Sildenafil Citrate 100 Mg and Duloxetine 60 Mg Ingredients play an important role in this medicine. This drug helps to relax the muscles and increase blood flow. This medicine can be taken with food or on an empty stomach. This medicine should not be chewed or broken. Medication will only help you get erection if you are sexually aroused. You should take it an hour before you plan to have sex. The effect of this drug is seen in about 30 minutes depending on the person.