Malegra 200 mg does not increase sexual desire. Sexual stimulation is still required for the medicine to work effectively. It supports the natural erection process by relaxing blood vessels and increasing circulation to the penile tissues. This is considered a very high dose of sildenafil, usually prescribed only when lower strengths such as 25 mg, 50 mg, or 100 mg are not effective, and only under strict medical supervision. It is typically taken 30 to 60 minutes before sexual activity, and its effects last for about 4 to 6 hours. https://www.genericday.com/malegra-200-mg.html