The recommended dosage of Malegra 120 mg is usually determined by a healthcare provider based on individual needs, medical history, and tolerance. The medication is taken 30 minutes to 1 hour before sexual activity, and its effects can last for 4–6 hours. It should not be taken more than once a day. Malegra 120 mg is often chosen by men who require a higher dose than the standard 100 mg to achieve desired effectiveness, but the exact dose should always be prescribed by a doctor.