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Malegra 200 mg is a high-strength medication used to treat erectile dysfunction (ED) in men. Its active ingredient is sildenafil citrate, a PDE5 inhibitor that works by relaxing blood vessels and improving blood flow to the penis, allowing men to achieve and maintain an erection during sexual stimulation. The 200 mg dose is considered very potent and is typically prescribed for men who do not respond adequately to lower doses like 50 mg or 100 mg. Common side effects include headache, flushing, dizziness, nasal congestion, indigestion, and mild vision changes, which are usually mild and temporary.