Sildenafil citrate acts as an active ingredient in malegra 200 medicine, these EDs are more effective pills than any other medicine, and these pills are used just like other ED pills. This medicine should be taken with a full glass of water. The pill is taken 1 hour before sex, after which the effect lasts for 36 hours. Take these pills once in 24 hours. The drug is one of the most widely used drugs in ED, helping to treat serious problems such as impotence.