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Malegra 100 mg is usually taken about 30–60 minutes before sexual activity, with or without food. High-fat meals may delay the onset of action, so it is recommended to take it on a relatively empty stomach for faster effect. Only one tablet should be taken in 24 hours, and it should not be combined with nitrate medications or excessive alcohol. Common side effects may include headache, flushing, nasal congestion, dizziness, indigestion, or visual disturbances. Most side effects are mild and temporary. Serious side effects, such as prolonged erection (priapism), chest pain, or sudden vision or hearing loss, require immediate medical attention.