Malegra 200 mg, it contains sildenafil 200 mg. Headache is a known side effect of sildenafil, and it becomes more common as the dose increases. Studies found headache in about 32% of people taking 200 mg, compared with about 23% at 100 mg. P PubMed Central (PMC) More importantly, 200 mg is above the usual maximum recommended sildenafil dose of 100 mg for ED. The standard prescribing information recommends no more than 100 mg once per day. D DailyMed +1 So if you're getting headaches after Malegra 200 mg, don't take another dose or combine it with Tadalista/tadalafil or Filitra/vardenafil without medical advice. If the headache is sudden and extremely severe ("worst headache of your life"), or comes with weakness, confusion, fainting, vision problems, vomiting, or chest pain, seek emergency medical care.