Take the tablet with water and with or without food. It should not be crushed, chewed, crushed or dissolved in water. Malegra 200 mg should be taken as prescribed by your doctor. This medicine should be taken about an hour before intercourse, but it may take 30 minutes or even 15 minutes before fully engaging in sex. How much Malegra 200 mg  you need to take depends on how bad your condition is and how well you respond to treatment.