Malegra 200 mg Tablets

What is Malegra 200 mg?

Malegra 200 mg is a prescription medicine for adult men with erectile dysfunction (ED). Each tablet contains Sildenafil Citrate 200 mg, a phosphodiesterase-5 (PDE-5) inhibitor that helps a man achieve and maintain an erection with sexual stimulation. Malegra is a generic sildenafil brand.

How It Works (Mechanism)

Sexual arousal releases nitric oxide in penile tissue, which raises cyclic guanosine monophosphate (cGMP) and relaxes smooth muscle in the corpus cavernosum. Sildenafil inhibits PDE-5, the enzyme that breaks down cGMP. Higher cGMP blood-vessel dilation increased penile blood flow during arousal and improved erection quality. Typical onset is 30–60 minutes; duration of action is up to 4 hours (varies by individual, meal, and dose).

Benefits (What to Expect)

• Helps achieve a firmer erection sufficient for intercourse when sexually stimulated
• May improve erection reliability and sexual confidence
• Works on demand; not intended for continuous daily use unless your clinician says so
• Necessary: Sildenafil does not increase desire and won’t work without arousal

How to Take Malegra 200

• Take one tablet with water 30–60 minutes before planned sex
• With or without food, but heavy/high-fat meals can delay the effect
• Do not take more than one dose in 24 hours
• Avoid alcohol, grapefruit/juice, and recreational drugs (can reduce efficacy or raise risks)
• If you are on sildenafil for pulmonary hypertension, that is a different regimen—do not mix ED and PAH schedules

Strengths and Substitutes

Malegra is sold in multiple strengths (e.g., 25, 50, 100, 120, 150, 200 mg). Your dose should be individualized—many men respond to 50–100 mg; 200 mg is a high dose and should only be used if specifically prescribed. Other sildenafil brands (including Viagra) or different ED medicines (tadalafil, vardenafil, avanafil) may be considered by your clinician based on tolerance, timing preference, and comorbidities.

Possible Side Effects of Malegra 200 mg

Common:

• Headache
• Flushing
• Nasal congestion
• Dizziness
• Dyspepsia/heartburn
• Nausea
• Visual tint or light sensitivity

Less Common/Severe (Seek Urgent Care):

• Chest pain
• Severe dizziness or fainting
• Sudden vision or hearing changes
• Allergic swelling or rash
• Seizures
• Painful or prolonged erection over 4 hours (priapism)

Most mild effects settle as the dose and timing are optimized. If symptoms persist or worsen, contact your doctor.

Safety Advice & Meaningful Interactions

Do NOT use sildenafil with:

• Nitrates (e.g., nitroglycerin, isosorbide) or recreational nitrites (poppers)
• Riociguat (soluble guanylate cyclase stimulator)

Use caution and seek medical advice if you have:

• Recent heart attack or stroke
• Unstable angina
• Severe hypotension or uncontrolled hypertension
• Significant liver or kidney disease
• Retinal disorders (e.g., NAION history)
• Bleeding disorders or active ulcers
• Are taking alpha-blockers, other antihypertensives, potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir), antiarrhythmics, or other ED drugs

Special Populations

• Women / Pregnancy / Breastfeeding: Sildenafil for female sexual dysfunction is not approved in most regions; Malegra is not for women
• Older Adults: May need lower doses; monitor blood pressure and interactions
• Kidney/Liver Impairment: Dose adjustment or alternative therapy may be required.

Storage & Authenticity

Keep in original blister, below 25°C, away from moisture and sunlight, and out of children’s reach. Purchase only from licensed pharmacies; counterfeit PDE-5 products are available online every day.

Malegra 200 vs. Viagra (Sildenafil Brand)

• Active Ingredient: Malegra 200 mg – Sildenafil Citrate 200 mg | Viagra – Sildenafil Citrate typically 25/50/100 mg
• Manufacturer/Brand: Malegra – Generic brand (e.g., Sunrise Remedies in some markets) | Viagra – Pfizer
• Regulatory Status: Malegra – Varies by country; may not be approved in all markets | Viagra – Widely approved/regulated
• Quality/Consistency: Malegra – Depends on local GMP compliance and supply chain | Viagra – Originator brand with global QC systems
• Typical Starting Dose: Malegra – High strength; only if prescribed | Viagra – 50 mg (adjust to 25–100 mg)
• Onset: Both ~30–60 minutes (heavy fat delays)
• Duration: Both up to 4 hours (varies)
• Cost: Malegra – Often lower (generic) | Viagra – Usually higher (brand)
• Key Caution: Malegra – High dose, greater side-effect risk; verify authenticity | Viagra – Same class interactions/contraindications

FAQs

How fast does Malegra 200 mg work, and how long does it last?
Onset ~30–60 minutes; effect may last up to 4 hours. A heavy, high-fat meal can slow the onset.

Can I drink alcohol with Malegra?
Best avoided. Alcohol can weaken erections and increase the risk of dizziness or fainting.

What if I’m on blood pressure medication?
Many men can use sildenafil with careful supervision, but never with nitrates or riociguat. Discuss alpha-blockers and other antihypertensives with your doctor.

What if I get an erection lasting over 4 hours?
That’s priapism—seek emergency care immediately.

Always consult your healthcare professional before taking any medicine.