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Before starting Malegra DXT, consult a healthcare professional. A doctor will evaluate your medical history, current medications, and overall health to determine if Malegra DXT is safe for you. They will also recommend the correct dosage and timing, reducing the risk of side effects. Never self-adjust the dose. Taking more than prescribed increases the risk of severe side effects, while taking less may make the drug ineffective. Typically, Malegra DXT should be taken 30 to 60 minutes before sexual activity, and it is not intended for daily use without medical supervision.