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Malegra 200mg is the most efficient and reliable treatment for impotence and erectile dysfunction. This medication contains a component called sildenafil, which increases blood flow to the male penis tissues and relaxes the penile muscle. This medication can be used before or after eating. Malegra 200mg has a 4- to 6-hour effect. With this medication, avoid eating fatty foods or drinking cold beverages. Take this medication exactly as prescribed by the doctor.