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