Malegra 200 is a medication used to treat erectile dysfunction (ED) in men. It contains 200 mg of Sildenafil Citrate, a PDE5 inhibitor that improves blood flow to the penis. This high-dose formula is meant for men who do not respond well to lower doses. While it can be highly effective for ED, its safety in heart patients is a serious concern. Malegra 200 is not recommended for individuals with serious heart conditions, such as recent heart attacks, unstable angina, severe heart failure, or irregular heartbeats. The high dose increases the risk of complications, including a dangerous drop in blood pressure or strain on the heart during sexual activity. Combining Malegra 200 with nitrates can cause a severe and sudden drop in blood pressure, which may lead to fainting, stroke, or heart attack.