Malegra 120 mg is a prescription erectile‑dysfunction medicine that contains sildenafil, the same active ingredient found in Viagra. It works by increasing blood flow to the ***** to help achieve and maintain an erection during ***** stimulation. For older men, Malegra can be safe and effective if it is prescribed and supervised by a healthcare professional. Doctors often recommend starting at a lower dose and adjusting based on overall health, other medications, and tolerance. However, caution is important because sildenafil can affect blood pressure and heart function. Men with **heart disease, uncontrolled blood pressure, recent heart attack or stroke, severe liver or kidney problems, or those taking nitrate medications (like nitroglycerin) face increased risks and may be advised against using it. Common side effects include headache, flushing, dizziness, indigestion, and nasal congestion; serious but rare effects include sudden vision or hearing changes, chest pain, or prolonged erections.