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Malegra 120 mg is a prescription medication containing Sildenafil Citrate, primarily used to treat erectile dysfunction (ED) in men. Sildenafil Citrate, the active ingredient in Malegra 120 mg, is a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the PDE5 enzyme, which results in increased levels of cyclic guanosine monophosphate (cGMP). Elevated cGMP levels cause the smooth muscles in the penile blood vessels to relax, enhancing blood flow and facilitating an erection in response to sexual stimulation.