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Malegra 200 mg may cause side effects in some individuals. These side effects can range from mild to severe and may include headaches, dizziness, nausea, flushing, and vision changes. In rare cases, more serious side effects such as priapism (prolonged and painful erections) and sudden vision loss have been reported. If you experience any unusual or severe side effects, it's crucial to seek immediate medical attention. Now that we've covered the basics of Sildenafil, it's time to emphasize the importance of consulting a healthcare professional before considering this medication. Erectile dysfunction can have various underlying causes, including cardiovascular issues, diabetes, and psychological factors.