Men who suffer from ED (here and below – erectile dysfunction) usually have two ways to solve their problem if they are going to treat themselves using Viagra. The first one is to buy the original product from the official distributor, and the second is to purchase unknown pills sold under Viagra’s brand name at a cheaper price. Neither option is encouraging because you have to make a choice between a big investment in your health and an even bigger investment in case you buy counterfeit drugs which are not working at all.

Not anyone is aware of the third method to fight impotence off. It is treatment using sildenafil citrate (an active ingredient of Viagra) produced by manufacturers other than Pfizer. Kamagra is among the best of them due to its proven effectiveness and a well-established reputation.

Kamagra Benefits

So what is Kamagra? It is a popular ED medicine created by Ajanta Pharma, a pharmaceutical formation from India. Both Viagra and Kamagra contain the same ingredient – sildenafil, so this remedy has almost the same mechanism of action as the brand Viagra. According to the results of numerous studies, the drug is completely safe for healthy people.

Kamagra is used for the treatment of ED caused by physiological factors. This means that the drug has effects on the actual process of erection maintenance and has no influence on your libido, interest in sex or love for your partner. Its indisputable benefit is an ability to help patients with the most severe forms of impotence, which can’t be cured by penile pumps, herbal supplements, psychological consultations, and other methods which might work in case of mild ED.

Unlike Viagra, this medication is available in two forms: swallowing tablets and oral jelly. People are already used to traditional pills, but the word “jelly” may sound a bit strange. Let’s tell you a little more about this form.

Oral jelly is a small chewable tablet with a gel substance inside. It has 4 substantial benefits in comparison with the tablet form:

1. Oral jellies are flavored, so you can taste them when chewing the tablet. The selection of flavors is wide, but the most popular of them are banana, strawberry, orange and vanilla.
2. Even people who have problems with swallowing (elderly men or patients with some other diseases) can use this drug. You may also prefer it over the tablet if you don’t like swallowing pills or if you would like to diversify your treatment by tasting various flavors.
3. No water is needed. Simply put the oral jelly into your mouth and chew it until the pill turns to liquid.
4. The gel inside the pill has a much higher absorbing ability than a tablet for swallowing. Consider Kamagra in oral jelly if you don’t want to wait a long time.

The obvious benefit of both Kamagra versions is their price. It is much cheaper than popular alternatives – Viagra, Cialis and Levitra.

Effects of Tablets

Kamagra shares the same active ingredient with the well-known Viagra called sildenafil. This substance has been identified by scientists as a PDE5 (phosphodiesterase type 5) inhibitor. What do these chemicals change in a male body? PDE5 inhibitors sustain the activity of PDE5 enzymes. These enzymes interfere with the normal occurrence of erections in men with ED.

How does it work? The substance which is responsible for erections called nitric oxide (NO) can’t be produced when PDE5 enzymes are highly active. That’s why sildenafil blocks them and launches the production of NO, which dilates the vessels in penile tissues and enhances the blood flow to the penis. As a result, a man is able to achieve an erection.

The other benefit which you can get from taking Kamagra is prolonged intercourse. Sildenafil doesn’t let the blood go until a man reaches the climax. You become as durable and confident in bed as your partner can only imagine.

Important tip: the tablet will take effect only if you are sexually aroused. Such psychological disorders as depression, anxiety, loss of interest in sex or decreased libido may be barriers on the way to successful treatment.

How to Take Kamagra?

Kamagra in a tablet form should be taken the same way as Viagra: 50-100 mg (the average starting dose) of the drug should be washed down by sufficient amount of water. If you have an opportunity to consult a doctor, ask him or her how much you should take for your first time. In some cases, the dosage may be increased or decreased according to the patient’s condition.

How to take Kamagra oral jelly? This form of the remedy doesn’t require water for intake. It starts absorbing in your mouth when you chew it. This specific feature of oral jelly speeds up its effect: usually it kicks in faster than Kamagra in pill form. However, they both should be taken 30-60 minutes prior to intercourse to be sure that it will take effect at the right moment. Both forms of the generic are active for 4-6 hours on average.

Also, consider the following tips if you want to maximize the results from your treatment:

1. Refrain from greasy food: this food needs a long time to digest and interferes with the normal absorption of the drug. Try to finish your meal 2-3 hours before taking Kamagra.
2. Avoid alcohol, especially in large amounts. Such beverages are not good for your erections and may cause some unwanted effects or strengthen the side effects of Kamagra like dizziness, nausea, blurred vision, indigestion and so on.
3. Exclude grapefruit from your diet during the treatment. This product contains substances which interact with sildenafil not in the best way, contributing to its accumulation in the body. It can lead to overdose or more pronounced side effects.

Kamagra can’t be taken by children under 18. Also, it will bring no benefits to women, despite the common myth that such drugs may increase libido in both men and women.

When Is It Safe for Me?

Sildenafil is an FDA approved medication for erectile dysfunction and is considered a safe drug for the majority of patients. It is tolerated well by healthy people, and only rarely some men experience mild side effects.

Nevertheless, there are some categories of patients that should be careful and talk with their healthcare provider before starting the treatment. For instance, those who have an allergy to sildenafil should refrain from the drug’s usage at all.

Young and elderly men need lower dosages than average as well as people who suffer from the particular diseases mentioned below:

• blood cell disorders (anemia, leukemia, hemophilia, etc.);
• vision impairments (glaucoma, eye injuries and infections, severe myopia, etc.);
• low or high blood pressure (hypotension, hypertension);
• kidney and liver diseases (hepatitis, cirrhosis, and so on);
• penis injuries or birth defects;
• cardiovascular malfunctions (rheumatic heart disease, congestive heart failure, arrhythmias, etc.);
• recent heart attack or surgery.

The next group of patients is those who take some other medications in addition to Kamagra. Check out the table provided below to get acquainted with the classes of substances the interactions of which with sildenafil may be harmful or even life-threatening for you.

The class of drugs	Some examples of brand medicines	What might happen if I take them together with Kamagra?
Nitrates: nitroglycerin; isosorbide dinitrate; isosorbide mononitrate; alkyl nitrites which are also known as street drugs called “poppers”.	Isosorbide mononitrate: ISMO, Monoket, Imdur. Isosorbide dinitrate: Isordil, Isordil Titradose, Isordil Tembids, Isochron, Sorbitrate, Dilatrate-SR, ISDN. Nitroglycerin: Nitromist, Nitro-Time, Nitrolingual, GoNitro, Nitrostat. Poppers: Super 96, Blue Magnum, Iron Horse, PWD, Jungle Juice.	Nitrates + sildenafil is a very dangerous combination which may lead to the critical decrease in blood pressure. The patient may lose consciousness, experience some heart malfunctions or even suddenly die due to heart failure.
CYP3A4 inhibitors (cytochrome P450 3A4) also known as azole antifungals – clotrimazole, econazole, ketoconazole, etc.	Diflucan, Nizoral, Sporanox, Noxafil.	Azole antifungals slow down the processing of sildenafil by the liver.
Guanylate cyclase (GC) stimulators – riociguat, etc.	Adempas.	Adempas + sildenafil increase side effects of both drugs and decrease blood pressure.
Alpha-blockers or anti-hypertensives – doxazosin, terazosin, prazosin, etc.	Cardura, Uroxatral, Hytrin, Minipress, Flomax, Rapaflo.	Alpha-blockers intake together with Kamagra can lower your blood pressure to a critical level.
Bronchodilators – albuterol, metaproterenol, levalbuterol, etc.	ProAir RespiClick, Ventolin, Proventil HFA, Foradil Aerolizer, Xopenex.	Such combination results in blood pressure fluctuations and breathing problems.
PDE5 inhibitors – tadalafil, vardenafil, avanafil, etc.	Cialis, Spedra, Levitra, Viagra, Stendra and their generics.	Those substances have the same effect on the body, so they may lead to overdose.
Macrolide antibiotics – azithromycin, erythromycin, clarithromycin, etc.	Zithromax, Biaxin, Dificid.	Macrolides inhibit the enzymes which are responsible for metabolizing sildenafil, so its concentration in the blood may reach a critical level.
HIV protease and hepatitis C virus protease inhibitors – tipranavir, atazanavir, indinavir, etc.	Atripla, Stribild, Triumeq, Genvoya, Complera, Truvada.	This combination may cause life-threatening side effects.

The interactions with the majority of other medicines are mild or moderate. It means that the worst thing that may happen is the emergence of one or two unwanted effects. However, it is better to consult a doctor in any case when you are going to mix Kamagra with other potent substances.

What to Do If Kamagra Does Not Work?

There are two problems which you may encounter during your treatment:

1. Kamagra works but with a significant delay and/or the effect is not very pronounced.
2. Kamagra doesn’t work at all.

In the first case, there are three possible reasons:

• you had a meal before taking a pill and your dish included some fatty products;
• you took a pill improperly (for instance, you decided to take a swallowing tablet without water);
• individual features of your body.

The first two issues may be easily resolved by adhering to our recommendations, while the third one may be unchangeable. If you are sure that you take Kamagra properly, make up an individual plan of your treatment and take pills an hour, two hours or whatever you need before intercourse.

It also can happen that a tablet doesn’t kick in at all. Kamagra works in almost all cases and helps patients even with severe ED, so this situation only means that you selected too low a dosage for your needs. Try to increase the dose and see what happens next.

Side Effects of Using Kamagra

Like the rest of drugs, Kamagra may cause side effects in patients regardless of their overall health condition. Don’t be afraid: the most of them don’t interfere with a normal life and occur quite rarely.

You don’t need to call an ambulance if you experience a few of the following symptoms:

• stuffy or runny nose;
• headache;
• tinnitus;
• dizziness;
• blurred vision;
• blushing;
• rash;
• increased heart rate;
• back pain.

Your body simply needs time to get used to the medicine. After you adjust to Kamagra’s effect, those reactions will quickly go away. However, some side effects may be warning signs of overdose.

Here they are:

• critically low level of blood pressure;
• loss of consciousness;
• heart malfunctions (arrhythmia, congestive heart failure, etc.);
• seizures;
• difficulty breathing;
• severe nausea and vomiting.

If you noticed one or two symptoms from the list above, seek medical help as soon as possible or call an ambulance.

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