Malegra 200 mg tablet is an effective dose of Malegra and is the largest dose of Malegra that people are using to treat a disease called impotence. Malegra 200 is a drug made from a drug called sildenafil. You should choose to take this medicine within 1 hour of sex and you will feel the effect of this medicine for 4 to 6 hours during which you can have long term sex with your partner.