Malegra 120 mg contains Sildenafil and is a higher-than-standard strength used for erectile dysfunction. Within the first hour – what happens? After taking Malegra 120 mg: 15–30 minutes: It may start getting absorbed (especially if taken on an empty stomach). 30–60 minutes: This is usually the main effective window, where most men notice improved erection response during ***** stimulation. Peak effect: Around 1 hour after intake, the drug typically reaches its strongest action. Important points about timing It does not create an instant erection—***** stimulation is still required. Heavy meals (especially fatty food) can delay the onset. Alcohol can reduce effectiveness and delay response time. Caution about 120 mg dose 120 mg is not a standard first-line dose (usual doses are 25 mg, 50 mg, 100 mg). Higher doses increase the risk of side effects like headache, flushing, dizziness, vision changes, or low blood pressure. It should only be used if specifically prescribed