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Malegra (Sildenafil) Buyer and Patient Handbook in South Africa

What is Malegra?

Malegra is a sildenafil tablet used to treat Erectile Dysfunction (ED). It belongs to the phosphodiesterase-5 (PDE-5) inhibitor class and is approved by both the South African Health Products Regulatory Authority (SAHPRA) and international agencies. The medication is supplied as a 100 mg oral pill designed for convenient once-daily use when needed.

Who Should Use Malegra?

• Men aged 18 years and older
• Individuals diagnosed with erectile dysfunction
• Those who experience occasional difficulty achieving or maintaining an erection
• Patients whose cardiovascular status allows sexual activity (see precautions)

How Does It Work?

Sildenafil increases blood flow to the penis by blocking the enzyme PDE-5, which normally restricts the widening of blood vessels. Think of it as opening a highway for blood to reach the erectile tissue, enabling a firmer response during sexual stimulation. It does not create an erection without sexual arousal and has a low risk of abuse when used as directed.

Why Choose Malegra?

• Proven efficacy: Clinical studies show reliable improvement in erectile function within 30-60 minutes.
• Convenient dosing: A single 100 mg tablet is sufficient for most men, reducing the need for multiple pills.
• Cost-effective: As a branded product, Malegra offers consistent quality; generic sildenafil alternatives are also available for price-sensitive users.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• One 100 mg tablet taken as needed about 30 minutes before sexual activity.
• Do not exceed one tablet per day.

How to Take

• Swallow the tablet whole with a glass of water.
• Take with or without food; a heavy, fatty meal may delay the onset of action.

Missed Dose

• If you forget a dose, do not take it later the same day. Wait until the next occasion when sexual activity is planned.

Overdose

• Seek immediate medical attention if you experience severe chest Pain, sudden vision loss, or a prolonged erection lasting more than 4 hours.

Special Populations

• Elderly (≥65 years): Start with a lower dose (e.g., 50 mg) after consulting a healthcare professional.
• Renal or hepatic impairment: Dose adjustment may be necessary; professional guidance is essential.
• Children: Not approved for use in individuals under 18 years.

Lifestyle & Diet

• Alcohol: Moderate consumption is acceptable; excessive drinking can impair effectiveness.
• Grapefruit: Avoid large amounts, as it can increase sildenafil levels and raise the risk of side effects.

Precautions and Warnings

• Do not use if you have taken nitrate medication (e.g., nitroglycerin) in any form.
• Use caution if you have uncontrolled hypertension, recent Heart Attack, or severe Heart Failure.
• Inform your doctor of any history of vision problems, such as retinal disease.

Drug Interactions

Potential Side Effects

Common Side Effects

• Headache
• Flushing
• Nasal congestion
• Indigestion

Less Common Side Effects

• Dizziness
• Visual colour changes (blue-tinted vision)
• Muscle aches

Serious Side Effects

• Sudden vision loss (non-arteritic anterior ischemic optic neuropathy) - call emergency services
• Prolonged erection lasting > 4 hours (priapism) - seek urgent care
• Chest pain or irregular heartbeat - seek medical help immediately

Who Should Avoid This Medication?

• Men using any nitrate medication (including recreational “poppers”)
• Individuals with severe uncontrolled hypertension or low blood pressure
• Patients with a known allergy to sildenafil or any tablet excipients
• Those with a recent history of stroke or myocardial infarction (within the past 6 weeks)

Storage Instructions

• Keep tablets in the original container, tightly closed.
• Store at 15 °C-30 °C (59 °F-86 °F); protect from excess heat and moisture.
• Keep out of reach of children and pets.

Malegra Alternatives

Frequently Asked Questions

How quickly does Malegra start working?

Malegra typically begins to work within 30-60 minutes after ingestion.

Can I take Malegra with alcohol?

Yes, in moderation. Heavy drinking can blunt the drug’s effect and increase the risk of dizziness.

Is it safe to use Malegra if I have high blood pressure?

If your blood pressure is well-controlled and you are not on nitrate therapy, Malegra can be used safely. Always discuss your cardiovascular status with a healthcare professional.

What should I do if I experience a painful erection lasting more than 4 hours?

This condition, called priapism, requires immediate medical attention to prevent permanent damage.

Can I take Malegra daily?

The recommended use is as needed, not daily. Daily dosing is only appropriate under medical supervision.

Does food affect Malegra’s effectiveness?

A large, high-fat meal may delay absorption, so you might notice a slightly slower onset.

Are there any over-the-counter supplements that interact with Malegra?

Certain herbal products such as ginkgo biloba and yohimbine can affect blood pressure; consult a healthcare professional before combining them.

Is it possible to develop tolerance to Malegra?

Tolerance is uncommon, but some men may notice reduced response over time. Adjusting dose or switching to a different PDE-5 inhibitor may help.

Glossary

• Erectile Dysfunction (ED): Inability to achieve or maintain an erection sufficient for satisfactory sexual performance.
• Phosphodiesterase-5 (PDE-5) Inhibitor: A class of drugs that block the PDE-5 enzyme, enhancing blood flow to the penis.
• Priapism: A prolonged, painful erection lasting more than 4 hours, requiring urgent care.

Disclaimer

The information provided here is for general educational purposes only and does not replace professional medical advice. Malegra should be used only after consulting a qualified healthcare provider who can assess suitability, dosage, and potential interactions. This handbook does not endorse off-label uses. Our online pharmacy platform offers convenient access to approved medications, but the final responsibility for safe and appropriate use rests with the patient and their healthcare team.