If you miss a dose of Malegra DXT Plus, it's important to note that this medication is typically taken as needed, rather than on a strict daily schedule. Therefore, missing a dose may not significantly impact its effectiveness. However, if you had planned to engage in sexual activity and missed the dose, you can take it as soon as you remember, provided it's not nearly time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once to make up for a missed dose . Remember, Malegra DXT Plus is intended for use in adult men to treat erectile dysfunction and premature ejaculation. Always follow your healthcare provider's instructions regarding dosage and usage to ensure safety and effectiveness. If you have any concerns or experience side effects, consult your doctor promptly.