Malegra 120 mg is a relatively high dose of Sildenafil. For most men, the typical starting dose is 50 mg (and can go up to 100 mg), depending on individual factors like age, overall health, and severity of ED. The 120 mg dose may be unnecessary or too strong for some individuals, which increases the risk of side effects. Consulting a doctor before using Malegra 120 mg (or any Sildenafil-based medication) is essential for your safety and health. The doctor will assess your medical history, current medications, potential drug interactions, and overall health condition to determine if Sildenafil is appropriate for you. They can also guide you in finding the correct dose, monitor for side effects, and offer advice on lifestyle changes to improve erectile dysfunction.