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If Malegra 25 Mg is not effective, there are several alternatives to consider, depending on the specific situation and underlying health conditions. Here are some options: Different Dosages of Malegra: Sometimes, increasing the dosage of Malegra (which contains sildenafil) may be more effective. Consult with your healthcare provider about adjusting the dose. Other PDE5 Inhibitors: Viagra (sildenafil): Similar to Malegra, but available in different dosages. Cialis (tadalafil): Known for its longer duration of action, which can last up to 36 hours. Levitra (vardenafil): Often effective for those who do not respond well to sildenafil. Stendra (avanafil): A newer option with a faster onset of action. Combination Therapy: In some cases, combining different types of medications or treatments might be beneficial. Malegra 25 Mg should be done under the guidance of a healthcare provider. Non-Prescription Options: Herbal Supplements: Some people find supplements like ginseng or ginkgo biloba helpful, although their efficacy is not universally established. Lifestyle Changes: Improving diet, exercise, and reducing alcohol and smoking can have a positive impact on erectile function. Psychological Counseling: If the issue has psychological roots such as anxiety or stress, counseling or therapy might help. Vacuum Erection Devices: These devices help create an erection by drawing blood into the penis using a vacuum. Penile Injections: Medications such as alprostadil can be injected directly into the penis to induce an erection. Penile Implants: Surgical options may be considered if other treatments are not effective. It’s essential to consult with a healthcare provider to determine the most appropriate alternative based on individual health conditions and needs. They can help identify the underlying cause and recommend the best treatment plan.