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Malegra 200 mg is a high-strength oral medication used to treat severe erectile dysfunction (ED) in men. It contains Sildenafil Citrate, the same active ingredient found in Viagra, but in a more potent 200 mg dose. As a PDE5 inhibitor, Sildenafil works by relaxing the smooth muscles and increasing blood flow to the penis, making it easier to achieve and maintain a firm erection during sexual stimulation. Common side effects include headaches, facial flushing, nasal congestion, dizziness, and indigestion. In rare cases, it can cause serious effects like vision or hearing changes and prolonged erections.