MALEGRA 200

In the treatment of erectile dysfunction (ED), a 200 mg dose of Sildenafil is the highest available on the generic market. MALEGRA 200 is a powerful drug intended for men with severe and resistant ED who have not achieved an adequate therapeutic response from the standard maximum dose of 100 mg.

What is MALEGRA 200 and its special features?

MALEGRA 200 is a generic containing 200 mg of Sildenafil Citrate.

ATTENTION: The 200 mg dose of MALEGRA 200 exceeds the standard maximum daily dose (100 mg)recommended by most official health authorities for ED treatment. This medication should be considered only as a last resort and used exclusively under the supervision or recommendation of a doctor.

The drug is intended for those who:

1. Have very severe ED (e.g., after radical prostatectomy).

2. Have problems with the absorption of 100 mg.

3. Have very low sensitivity to Sildenafil.

Mechanism of action of Sildenafil (200 mg)

The mechanism of action of MALEGRA 200 is based on ultra-potent inhibition of the PDE5 enzyme. In the presence of sexual arousal, the drug provides maximum smooth muscle relaxation of blood vessels and blood flow to the corpus cavernosum. The increased dose allows for a higher concentration of Sildenafil in the plasma, which may be necessary to overcome resistance in patients with severe vascular impairments.

Important to remember: Like all PDE5 inhibitors, MALEGRA 200 only causes an erection when sexual stimulation is present.

Instructions for using MALEGRA 200: Precautions

Taking 200 mg of Sildenafil requires maximum caution and monitoring.

1. Dosage: A whole 200 mg tablet is the absolute maximum dose that is forbidden to exceed.

2. Initiating Treatment: It is strictly forbidden to start treatment with 200 mg! Always start with 50 mg, then proceed to 100 mg. Only take the 200 mg dose if 100 mg was well-tolerated but proved ineffective.

3. Method of Administration: Swallow whole with water, 45-60 minutes before sex.

4. Food: Taking it with a fatty meal will slow down and weaken the drug's action. It is recommended to take it on an empty stomach.

Critical contraindications for MALEGRA 200

The risk of side effects and drug interactions at the 200 mg dose is extremely high.

Taking MALEGRA 200 is strictly prohibited if:

• You are taking NITRATES (Nitroglycerin, isosorbide dinitrate, etc.) or nitric oxide donors ("poppers"). This combination is FATALLY DANGEROUS!

• You have severe cardiovascular disease (recent heart attack/stroke, unstable angina, heart failure).

• You have severe liver or kidney failure.

• You have arterial hypotension (blood pressure < 90/50 mmHg).

• You have contraindications to sexual activity due to your health status.

Side effects of MALEGRA 200 (Increased Risk)

At the 200 mg dosage, the probability and severity of side effects increase manifold compared to 50 mg or 100 mg.

• Very Common: Severe headache, pronounced facial flushing, severe nasal congestion, pronounced visual disturbances ("blue haze," light sensitivity, blurred vision).

• Increased Risk of Serious Effects: Priapism (painful erection lasting longer than 4 hours), sudden and irreversible vision or hearing loss, low blood pressure (hypotension).

Professional advice on using MALEGRA 200

1. Pill Splitting is a Necessity: The safest and most economical way to use MALEGRA 200 is by splitting it. By dividing it into four parts, you get four doses of 50 mg, or into two parts – two doses of 100 mg. This reduces the risks to an acceptable level.

2. Alcohol is Taboo: Absolutely avoid alcohol when taking such a high dose. It can cause a critical drop in blood pressure, dizziness, loss of consciousness, and significantly increase the burden on the liver.

3. Vision Monitoring: If you experience severe or prolonged vision disturbances, immediately discontinue use and consult a doctor.