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Malegra 120 mg is typically taken 30–60 minutes before sexual activity. Its effects can last up to 4–6 hours, providing a reliable window for intimacy. Because it is a high dose, it is generally prescribed to men who have previously tried lower doses (such as 50 mg or 100 mg) without sufficient results. The key benefits include enhanced erection quality, increased sexual confidence, and improved overall sexual satisfaction. It is especially helpful for men who experience moderate to severe ED or inconsistent responses to lower-strength sildenafil.