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Malegra 200 mg is a prescription medication used to treat erectile dysfunction (ED) in men. Its active ingredient is sildenafil citrate, a PDE5 inhibitor that enhances blood flow to the penis during sexual stimulation, helping achieve and maintain a firm erection. Sildenafil works by blocking the PDE5 enzyme, which normally restricts blood flow in the penile tissues. By relaxing blood vessels, it increases circulation to the penis during sexual arousal. Sexual stimulation is required; it does not produce spontaneous erections.