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Malegra 200 mg is a higher-dose version of Sildenafil Citrate, the active ingredient in medications like Viagra, used to treat erectile dysfunction (ED) in men. It works by inhibiting the PDE5 enzyme, which relaxes blood vessels in the penis, increasing blood flow and helping men achieve and sustain an erection when sexually aroused. The 200 mg dose of Malegra is typically prescribed for men with more severe cases of ED or those who have not responded well to lower doses. It generally begins to work within 30 to 60 minutes after ingestion, and its effects can last for 4-6 hours, providing a flexible window for sexual activity.