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Malegra 200 mg is a high-strength medication used to treat erectile dysfunction (ED) in men. It contains sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor that helps increase blood flow to the penis during sexual stimulation, enabling men to achieve and maintain a firm erection. The 200 mg dose is typically prescribed for men who do not achieve satisfactory results with lower doses like 50 mg or 100 mg. Malegra 200 mg usually starts working within 30 to 60 minutes after taking the tablet, with effects lasting approximately 4 to 6 hours.