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Malegra 120 mg is generally considered a higher-than-standard dose, since typical sildenafil doses are 25 mg, 50 mg, or 100 mg. It is usually prescribed only when lower doses do not produce sufficient results and must be used under strict medical supervision. The tablet is usually taken 30 to 60 minutes before sexual activity, and its effects may last about 4 to 6 hours, depending on the individual’s health, metabolism, and food intake. Heavy or fatty meals can delay its effect. Common side effects include headache, flushing, dizziness, nasal congestion, indigestion, and visual disturbances. Because of the higher dose, the risk of side effects may be stronger compared to standard doses.