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While generally well-tolerated, Malegra 200 Mg may cause side effects such as headache, flushing, indigestion, and nasal congestion. Serious adverse effects such as prolonged erection (priapism) and sudden loss of vision have been reported rarely and require immediate medical attention. Patients with cardiovascular diseases, liver or kidney impairment, or those taking nitrates should exercise caution and consult with a healthcare professional before using Malegra 200 Mg.