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Malegra 200 is a higher-strength version of Malegra, typically containing 200 milligrams of sildenafil citrate, the active ingredient used to treat erectile dysfunction (ED) in men. It works similarly to Malegra 100 by increasing blood flow to the penis during sexual stimulation, helping men achieve and sustain an erection. Malegra 200 is designed to be effective for up to 4 to 6 hours after taking it. The onset and duration of action may vary slightly among individuals.