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Malegra 200mg is a medication that contains sildenafil, which is primarily used to treat erectile dysfunction (ED) in men. Sildenafil works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). This leads to increased levels of a chemical called cyclic guanosine monophosphate (cGMP), which helps relax blood vessels in the penis. This relaxation allows for increased blood flow, facilitating an erection when combined with sexual stimulation. Malegra 200mg typically takes about 30 minutes to 1 hour to start working.