The higher dosage of 200 mg in Malegra 200 is intended for individuals who may require a higher strength due to factors such as the severity of their erectile dysfunction or their response to lower dosages. It is important to follow the specific instructions provided by your healthcare provider and not exceed the recommended dosage. As with other medications containing Sildenafil Citrate, Malegra 200 may have potential side effects, including headache, dizziness, flushing, nasal congestion, upset stomach, and changes in vision. It is important to consult with a healthcare professional before using Malegra 200, especially if you have any underlying health conditions or are taking other medications.