Malegra 200 mg should not be used by people taking nitrate medications (such as nitroglycerin) or riociguat, because combining these medicines with sildenafil can cause a dangerous drop in blood pressure. People with heart disease, recent heart attack or stroke, severe liver or kidney disease, or uncontrolled blood pressure should consult a healthcare professional before taking it. For safe and effective use, Malegra 200 mg should only be taken under medical supervision.
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