Malegra 200 mg is a powerful ED medication designed for men with more severe erectile issues. While effective, its high dosage demands careful use and professional medical guidance to ensure safety and avoid complications. Malegra 200 mg is intended for men who have not achieved satisfactory results with lower doses of sildenafil. It works by inhibiting the PDE5 enzyme, which enhances blood flow to the penis during sexual stimulation, leading to a firmer and more sustained erection.