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隨著男性性功能障礙（ED）及早洩（PE）治療需求增加，市面上出現多款雙效藥物，其中 威而鋼雙效片（Sildenafil + Dapoxetine） 與 犀利士雙效片（Tadalafil + Dapoxetine） 是最受關注的兩種。許多男性患者會詢問：「哪一種雙效藥更適合我？」作為康樂藥局藥師，我在臨床諮詢中經常遇到這個問題。本文將從藥理機制、效果持續時間、副作用及用藥安全等角度，做全面解析，幫助讀者了解 威而鋼雙效片效果與犀利士雙效片效果差異。 一、威而鋼雙效片 vs 犀利士雙效片 威而鋼雙效片（Sildenafil + Dapoxetine） 西地那非（Sildenafil）：PDE5 抑制劑，可促進陰莖血管擴張，提高勃起硬度與維持時間。 達泊西汀（Dapoxetine）：短效 SSRI，可延長射精反射時間，改善早洩。 犀利士雙效片（Tadalafil + Dapoxetine） 他達拉非（Tadalafil）：PDE5 抑制劑，作用時間較長，勃起維持時間可達 36 小時，被稱為「週末藥」。...

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