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Malegra 200 tablet is used for men with impotence problems. The active ingredient in this medicine is sildenafil citrate which increases blood flow to the penis and relaxes the muscles. This medicine should be taken with water. The effect of this medicine lasts for 30-40 minutes. This medicine is only for men above 18 years of age. The effect of this medicine lasts for about 36 hours. This medicine should be used only on the advice of the doctor. This medicine can be used 1 hour before sexual intercourse and enjoy a strong erection.