Malegra 200 mg, which contains a high dose of sildenafil citrate (the same active ingredient as in Viagra), does not produce immediate results — but it typically starts working within a certain time window. How Long Does It Take to Work? Onset Time: 30 to 60 minutes after taking the tablet (It needs time to be absorbed into the bloodstream.) Best Taken On an Empty Stomach: High-fat meals can delay absorption and reduce effectiveness. can vary by individual. Important Notes: Sexual Stimulation Is Required: Malegra 200 Mg does not cause an automatic erection — it works only when you're sexually aroused. 200 mg is a High Dose: This is twice the standard maximum recommended dose of sildenafil (which is 100 mg/day). Taking 200 mg can increase the risk of side effects (e.g., headache, low blood pressure, vision issues, priapism) and should only be used if prescribed by a doctor after lower doses have proven ineffective.
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