--- title: Buy Viagra Super Fluox-Force 100/40mg Pills description: Viagra Super Fluox-Force combines sildenafil and fluoxetine for dual sexual health benefits. 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This dual-formulation addresses both common male sexual health concerns by improving erectile function while delaying ejaculation for enhanced sexual performance and satisfaction. The medication is designed for adult men seeking comprehensive sexual health support. Our pharmacy provides this combination in 100/40mg and 100/60mg pill options. ## Pricing and Options | Dosage | Pack Size | Price (USD) | Price Per Pill | Status | | :--- | :--- | :--- | :--- | :--- | | **100/40mg** | 10 pills | **$43.69** | $4.37 | In Stock | | **100/60mg** | 10 pills | **$45.59** | $4.56 | In Stock | | **100/40mg** | 20 pills | **$56.99** | $2.85 | In Stock | | **100/60mg** | 20 pills | **$57.94** | $2.90 | In Stock | | **100/40mg** | 30 pills | **$67.44** | $2.25 | In Stock | | **100/60mg** | 30 pills | **$72.99** | $2.43 | In Stock | | **100/40mg** | 60 pills | **$110.19** | $1.83 | In Stock | | **100/60mg** | 60 pills | **$130.14** | $2.17 | In Stock | | **100/40mg** | 90 pills | **$156.74** | $1.74 | In Stock | | **100/60mg** | 90 pills | **$174.79** | $1.94 | In Stock | | **100/40mg** | 120 pills | **$198.54** | $1.65 | In Stock | | **100/60mg** | 120 pills | **$219.99** | $1.83 | In Stock | | **100/40mg** | 180 pills | **$261.24** | $1.45 | In Stock | | **100/60mg** | 180 pills | **$282.14** | $1.57 | In Stock | | **100/40mg** | 272 pills | **$348.64** | $1.28 | In Stock | | **100/60mg** | 270 pills | **$399.94** | $1.48 | In Stock | | **100/40mg** | 360 pills | **$427.49** | $1.19 | In Stock | | **100/60mg** | 360 pills | **$496.99** | $1.38 | In Stock | [Buy Now](https://liabilis.com/order-viagra-super-fluox-force-online-en.html) ## Introduction Viagra Super Fluox-Force is a generic oral medication that combines two active compounds-sildenafil citrate and fluoxetine-into a single pill. The product is available in tablet strengths of 100 mg/40 mg and 100 mg/60 mg. Sildenafil citrate belongs to the class of phosphodiesterase-5 (PDE5) inhibitors, while fluoxetine is a selective serotonin reuptake inhibitor (SSRI). Both agents have well-established therapeutic roles, but a fixed-dose combination under the name Viagra Super Fluox-Force has not been formally approved by major regulatory agencies. Consequently, clinical use of this product should be guided by a healthcare professional who can assess the suitability of each component for an individual’s condition. ## Quick Reference Facts **Active Ingredient** : Sildenafil citrate / Fluoxetine **Form** : Pill 100/40 mg | 100/60 mg **Primary Uses** : No officially approved indications for the combined formulation; individual components are used for erectile dysfunction (sildenafil) and depressive disorders (fluoxetine). ## What is Viagra Super Fluox-Force? Viagra Super Fluox-Force is the generic version of a fixed-dose combination containing sildenafil citrate and fluoxetine. As a generic product, it is the bioequivalent of brand-name medications that contain either of these active ingredients, such as Viagra® (sildenafil) and Prozac® (fluoxetine). The combination is manufactured by an undisclosed international supplier and distributed to pharmacies worldwide. Because it is a generic formulation, the product is typically priced lower than the sum of its branded counterparts while delivering the same amount of active drug per tablet. ## How Viagra Super Fluox-Force Works Sildenafil citrate exerts its effect by selectively inhibiting the phosphodiesterase-5 enzyme in smooth-muscle cells of the penile vasculature. This inhibition raises intracellular cyclic guanosine monophosphate (cGMP) levels, leading to relaxation of the smooth muscle, increased blood flow, and the ability to achieve an erection in response to sexual stimulation. The onset of action is usually observed within 30-60 minutes, and the effect can last up to 4 hours. Fluoxetine, an SSRI, blocks the reuptake of serotonin in the central nervous system, thereby increasing synaptic serotonin concentrations. Elevated serotonin improves mood, reduces anxiety, and alleviates depressive symptoms. Fluoxetine has a long half-life (approximately 4-6 days for the parent drug and up to 2 weeks for its active metabolite, norfluoxetine), which supports once-daily dosing and steady-state concentrations after about 1 week of regular use. When combined, the two agents act on distinct physiological pathways-vascular smooth-muscle relaxation and serotonergic neurotransmission. No synergistic interaction has been documented for the specific fixed-dose combination, and the pharmacokinetic profiles of each component remain largely unchanged when co-formulated. ## Conditions Treated with Viagra Super Fluox-Force Specific information about Viagra Super Fluox-Force - its approved indications - is limited in publicly available sources. The individual ingredients have the following well-established uses: - **Erectile Dysfunction (ED)** - Sildenafil citrate improves erectile response by enhancing penile blood flow. It is indicated for men with ED of any etiology. - **Pulmonary Arterial Hypertension (PAH)** - At lower doses, sildenafil is approved to reduce vascular resistance in the lungs, improving exercise capacity. - **Major Depressive Disorder (MDD)** - Fluoxetine is indicated for the treatment of depression, helping to restore mood balance. - **Obsessive-Compulsive Disorder (OCD)** - Fluoxetine is also approved for reducing compulsive thoughts and behaviors. - **Bulimia Nervosa and Panic Disorder** - Fluoxetine has additional FDA-approved indications for these conditions. Because the combination product itself lacks regulatory approval, clinicians may prescribe the two agents separately to address co-existing ED and depressive disorders, but the fixed-dose tablet should be used only under professional guidance. ## Is Viagra Super Fluox-Force the Right Medication for You? The combined tablet may be appropriate for adults who: - Have both erectile dysfunction and a depressive or anxiety disorder that is effectively managed with fluoxetine. - Seek a simplified regimen that reduces the number of pills taken each day. - Prefer a cost-saving option compared with purchasing two brand-name products separately. Contraindications and cautions include: - **Cardiovascular disease** - Patients with recent myocardial infarction, uncontrolled hypertension, or severe heart failure should avoid sildenafil. - **Nitrate use** - Concurrent use of nitrates (e.g., nitroglycerin) with sildenafil can cause dangerous hypotension. - **Serotonin syndrome risk** - Combining fluoxetine with other serotonergic agents (e.g., MAO inhibitors, tramadol) increases the risk of serotonin syndrome. - **Severe liver impairment** - May alter fluoxetine metabolism, warranting dose adjustment or avoidance. - **Retinitis pigmentosa** - Sildenafil is contraindicated due to potential visual disturbances. A thorough medical evaluation, including cardiovascular assessment and psychiatric review, is essential before initiating this combination. ## Buying Viagra Super Fluox-Force from [our online pharmacy](https://liabilis.com/order-viagra-super-fluox-force-online-en.html) ### Why Choose Our Service? Accessing a combined sildenafil-fluoxetine product can be challenging through conventional pharmacies due to limited stock and higher price points. [our online pharmacy](https://liabilis.com/order-viagra-super-fluox-force-online-en.html) offers a reliable avenue to obtain Viagra Super Fluox-Force at a price close to wholesale cost, helping patients manage both conditions without financial strain. ### Quality & Safety Assurance We partner with licensed international pharmacies to ensure quality and authenticity. All tablets are sourced from manufacturers that comply with Good Manufacturing Practice (GMP) standards and are inspected by third-party laboratories. ### Pricing & Access By offering the generic combination, we provide a cost-effective alternative to purchasing separate brand drugs. Patients can benefit from a single prescription fill, reduced shipping fees, and transparent pricing that reflects the actual production cost. ### Discreet Delivery Orders are packaged in unmarked envelopes and shipped via express courier services, typically arriving within 7 days. Standard airmail delivery takes approximately 3 weeks. All personal information is protected through encrypted channels, guaranteeing privacy throughout the transaction. ## Use: Dosing, Missed Dose, Overdose - **Standard dosing** - The tablet is supplied in two strengths: 100 mg sildenafil / 40 mg fluoxetine and 100 mg sildenafil / 60 mg fluoxetine. The appropriate strength should be selected by a prescriber based on the patient’s clinical profile. Sildenafil is usually taken 30-60 minutes before sexual activity; fluoxetine is taken once daily, preferably in the morning. - **Missed dose** - If a fluoxetine dose is missed, take it as soon as remembered unless it is near the time of the next scheduled dose; then skip the missed tablet and resume the regular schedule. Sildenafil should not be taken if a sexual encounter is not imminent; a missed sildenafil dose simply means no effect for that occasion. - **Overdose** - Signs of sildenafil overdose may include prolonged erections lasting > 4 hours (priapism), severe hypotension, or dizziness. Fluoxetine overdose can present with nausea, vomiting, agitation, seizures, or serotonin syndrome. If overdose is suspected, seek emergency medical care immediately. - **Precautions** - Avoid consuming excessive alcohol, which can potentiate hypotensive effects of sildenafil. Do not operate heavy machinery or drive until you know how the medication affects you. Food does not markedly affect sildenafil absorption, but a high-fat meal may delay onset by 30 minutes. ## Safety Information ### ⚠️ Who Should Not Take Viagra Super Fluox-Force - Patients using nitrates (e.g., nitroglycerin) or nitric oxide donors. - Individuals with severe uncontrolled hypertension (≥ 180/110 mmHg). - Those with known hypersensitivity to sildenafil, fluoxetine, or any tablet excipients. - Patients with a history of non-arteritic anterior ischemic optic neuropathy (NAION) associated with PDE5 inhibitors. - Persons currently on monoamine oxidase inhibitors (MAOIs) or who have taken them within the past 14 days. ### Common Side Effects - **Headache**, **flushing**, **indigestion**, **nasal congestion** - usually mild and transient, related to sildenafil. - **Nausea**, **dry mouth**, **insomnia**, **diarrhea** - commonly associated with fluoxetine and often improve with continued therapy. ### Serious Side Effects (Seek Immediate Medical Help) - **Priapism** lasting > 4 hours - requires urgent urological evaluation. - **Sudden vision loss** or visual disturbances - may indicate NAION. - **Serotonin syndrome** (e.g., agitation, fever, rapid heart rate, tremor) - especially if combined with other serotonergic drugs. - **Severe hypotension** leading to fainting or shock. ### Drug & Food Interactions - **Nitrates** - potentiate vasodilation, causing life-threatening hypotension. - **Alpha-blockers** - may increase the blood-pressure-lowering effect of sildenafil. - **CYP3A4 inhibitors** (e.g., ketoconazole, erythromycin) - can raise sildenafil plasma levels. - **CYP2D6 inhibitors** (e.g., paroxetine, quinidine) - may increase fluoxetine concentrations. - **Alcohol** - can exacerbate hypotensive and central nervous system effects. - **Other serotonergic agents** - raise risk of serotonin syndrome. ## Off-Label and Investigational Uses of Viagra Super Fluox-Force While the fixed-dose tablet itself lacks formal approval, clinicians sometimes consider combined therapy for patients with concurrent erectile dysfunction and major depressive disorder. Small case series have reported improved adherence when both agents are administered together. Nonetheless, the efficacy and safety of the combination have not been established through large-scale randomized trials, and such use should only occur under specialist supervision. ## Storage & Handling - Store tablets at 20 °C ± 5 °C (68 °F ± 9 °F) in a dry place, protected from light and moisture. - Keep the container tightly closed; avoid storing in bathrooms or kitchens. - Do not use after the expiration date printed on the package. - Dispose of unused medication by returning it to a pharmacy or following local hazardous-waste guidelines. ## Frequently Asked Questions **Practical Use & Lifestyle** - **Can I travel internationally with Viagra Super Fluox-Force?** Yes, but ensure you carry the prescription or a doctor’s note, as some countries restrict import of PDE5 inhibitors and SSRIs. Keep the medication in its original packaging to avoid customs issues. - **Will taking the tablet with a high-fat meal affect its performance?** A high-fat meal may delay sildenafil’s onset by up to 30 minutes, but it does not reduce overall effectiveness. Fluoxetine absorption is not significantly impacted by food. - **Is it safe to use this medication while exercising?** Moderate exercise is generally safe. However, vigorous activity combined with sildenafil may increase the risk of hypotension, especially if you feel dizzy or light-headed. **Product & Formulation Details** - **What does a Viagra Super Fluox-Force tablet look like?** The tablet is oval, blue-gray, and imprinted with “VF-100/40” or “VF-100/60” depending on strength. In some batches, slight variations in imprint may occur due to manufacturing tolerances. - **Can the tablet be split to adjust the fluoxetine dose?** The tablet is not scored, and splitting may result in uneven distribution of both active ingredients. Use of the full tablet as prescribed is recommended. **Regulatory & Safety Nuances** - **Will a drug test detect Viagra Super Fluox-Force?** Sildenafil can be identified in urine drug screens used for certain occupational testing, while fluoxetine may appear in specialized panels. Routine employment tests typically do not target these substances. - **Is this medication allowed for athletes under anti-doping rules?** Sildenafil is permitted for therapeutic use with a valid medical exemption, but it is listed under the World Anti-Doping Agency (WADA) prohibited substances if used without clearance. Fluoxetine is not prohibited. - **Does the medication have a pregnancy safety category?** Both sildenafil and fluoxetine are classified as Category B (animal studies show no risk, but there are no adequate studies in pregnant women). Use only if clearly needed and prescribed by a healthcare provider. **Scientific & Clinical Curiosity** - **How was the fixed-dose combination originally developed?** The concept stems from attempts to improve adherence in patients requiring simultaneous treatment for sexual dysfunction and mood disorders, but clinical development halted before regulatory approval. - **Are there any head-to-head trials comparing this combo to separate tablets?** No large-scale comparative studies have been published. Existing evidence consists of small observational reports. ## Glossary **Phosphodiesterase-5 (PDE5) Inhibitor** : A class of drugs that block the PDE5 enzyme, leading to increased cGMP levels and smooth-muscle relaxation in the penis. **Selective Serotonin Reuptake Inhibitor (SSRI)** : A type of antidepressant that prevents the reabsorption of serotonin into neurons, thereby enhancing mood-regulating neurotransmission. **Bioequivalence** : The property whereby a generic drug shows no significant difference in rate and extent of absorption compared with its branded counterpart. ## Disclaimer The information provided about **Viagra Super Fluox-Force** is for general knowledge only. It does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. 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