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Malegra, if taken with nitrates, can lead to serious fall down in blood pressure, which is an emergency medical condition. The drug, on oral administration, inhibits the secretion of an enzyme phosphodiesterase-5 (PDE5) in order to produce a chemical called Nitric Oxide.ED, also called impotence, is an intimate disorder in which men frequently fail to get or keep an erection during sexual activity, thereby preventing them from making love. The Food and Drug Administration (FDA) approved this therapeutic agent for men with impotence. Consume whole pill with a glass full of water, without chewing or breaking it.To ensure safety, follow all directions carefully while using Malegra. The pill assimilates well when taken on an empty stomach, while it may lose its efficacy if taken with alcohol or grapefruit juice. Side effects with Malegra are quite rare. Exceeding the dose is unadvisable, because overdose can increase the risk of side effects. It is specially formulated for the treatment of erection disorder that is often called Erectile Dysfunction (ED).Malegra is pharmacologically determined as PDE5-inhibitor. Remember that Malegra will encourage erection only in the presence of sexual excitement. Malegra is medicine with an active ingredient Sildenafil Citrate. Thats because Sildenafil Citrate is not indicated in case of chronic debilitating issues or undergoing treatment with nitrates. Sildenafil Citrate is the active drug composition of this medicine. The main reason behind this debility is poor blood flow and this is mainly due to clogging of blood vessels. Common causes include smoking, diabetes, high blood pressure, stress, anxiety, medicines and rectal surgery.Before using Malegra, it is important that you see your doctor and tell about the medical issues, drug allergy and undergoing treatment, if any. There could be a variety of physical and psychological causes associated with ED. This action mechanism improves overall blood supply, allowing the copulatory organ to receive the amount of blood it requires to achieve an erection. Malegra is extremely effective, safe, reliable and inexpensive. Take the dose at least an hour before sexual activity and not more than once in a day. MD, New York, VT, MO, California, Arkansas, Minneapolis, LA, New Hampshire, Tennessee, TN, AZ, Hawaii, Mesa, Florida, Montana, El Paso, North Carolina, OR, Nebraska, IL, GA, North Dakota, Oregon, MS, Albuquerque, Wisconsin, Milwaukee, Missouri, Pennsylvania, Columbus, Denver, South Dakota, ND, IA, Georgia, Mississippi, Maine, OK, NJ, Boston, Colorado, ME, Illinois, Miami, Detroit, CO, Nashville-Davidson, Oakland, Hempstead, WI, Brookhaven, Houston, Texas, Michigan, Memphis, Fresno, CT, WYHawaii, CA, Seattle, Utah, South Carolina, NM, Nebraska, HI, MN, Illinois, Kansas City, Wyoming, Wisconsin, Virginia, Dallas, Omaha, Florida, Rhode Island, Alaska, Las Vegas, Kentucky, KY, NC, Oregon, Indiana, Oklahoma, SC, Fort Worth, WV, Washington, AR, Baltimore, Sacramento, KS, Delaware, California, West Virginia, New Mexico, Nevada, AK, Arizona, Texas, NE, Colorado, Phoenix, Jacksonville, AL, Virginia Beach, Vermont, Kansas, San Antonio, Long Beach, MA, Missouri, Maryland, IN, Maryland, Honolulu, District of Columbia, Chicago, SD, Idaho, FL, Cleveland, Indianapolis, Austin, New Jersey, New Mexico, Ohio, NH, Tulsa, TX, Charlotte, Washington, ID, Tucson, OH, Louisiana, New York, Connecticut, Nevada, Louisiana, Oklahoma City, Minnesota, Tennessee, Massachusetts, Virginia, Ohio, Indiana, UT, Iowa, MI, San Diego, MT, DC, RI, PA, Pennsylvania, North Carolina, VA, Atlanta, Massachusetts, NV, San Francisco, NY, San Jose, Philadelphia, Michigan, Georgia, Washington, Minnesota, Colorado Springs. Arizona, Oklahoma, NY, DE, Portland, Alabama, New Orleans, WA, District of Columbia, Los Angeles,