Malegra 200 mg, be careful: if it contains sildenafil, 200 mg is above the usual maximum recommended sildenafil dose for erectile dysfunction (100 mg once in 24 hours). It is not considered an easy or routine dose to use. Higher-than-recommended doses can increase side effects such as: Headache and flushing Dizziness or low blood pressure Indigestion Nasal congestion Visual disturbances Rapid/irregular heartbeat Do not combine it with other ED medicines such as tadalafil (Tadalista) or Malegra 200 Mg (Filitra), and never combine sildenafil with nitrate medicines such as nitroglycerin. If you have a Malegra 200 mg strip, tell me what active ingredient and strength are printed on it (or upload a photo), and I can help you determine exactly what it contains and whether that dose is appropriate.