Malegra 200 tablets typically contain 200 mg of sildenafil citrate. This dosage is higher than standard formulations like Malegra 100, making it suitable for men who may require a stronger dose to effectively manage their ED. Common side effects of sildenafil may include headache, facial flushing, indigestion, nasal congestion, dizziness, and visual changes (such as blurred vision or sensitivity to light). These side effects are typically mild and transient. Consult with a healthcare provider before starting Malegra 200, especially if you have any existing health conditions such as heart disease, high blood pressure, liver or kidney problems, or allergies to medications. Avoid using Malegra 200 with nitrate medications, as this combination can cause a sudden and severe drop in blood pressure.