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  Malegra 200 is a high-dose medication used to treat erectile dysfunction (ED). It contains 200 mg of sildenafil citrate, a powerful phosphodiesterase type 5 (PDE5) inhibitor. Sildenafil works by increasing blood flow to the penis, which helps achieve and maintain an erection in response to sexual stimulation.  Do not take more than one tablet in a 24-hour period. Taking more than the recommended dose increases the risk of side effects and does not enhance effectiveness.