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Malegra 120 mg is a medication used to treat erectile dysfunction (ED) in adult men. Its active ingredient is Sildenafil citrate — the same basic drug found in many ED treatments. Sildenafil works by inhibiting an enzyme called phosphodiesterase‑5 (PDE‑5), which leads to increased levels of a chemical called cGMP that relaxes blood vessels in the penis — improving blood flow during sexual arousal and helping to achieve or maintain an erection.