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In patients taking certain protease inhibitors (such as for the treatment of HIV), it is recommended to not exceed a maximum single dose of 25 mg of Kamagra in a 48-hour period.Drug Class and MechanismKamagra increases blood flow to the penis, allowing more blood flow into the penis, like happened naturally, when a man is sexually stimulated. With more blood flowing in and less flowing out, the arteries in the penis enlarge, resulting in an erection.Missed DoseIf you miss a dose of this medicine, take it as soon as possible. Do not take 2 doses at a time.StorageKamagra should be stored at room temperature, 15-30 degrees C (59-86 degrees F).Warnings/PrecautionsDo not take Kamagra if you are taking any nitrate-based drug, including nitroglycerin patches (Nitro-Dur, Transderm-Nitro), nitroglycerin ointment (Nitro-Bid, Nitrol), nitroglycerin pills (Nitro-Bid, Nitrostat), and isosorbide pills (Dilatrate-SR, Isordil, Sorbitrate). Combining Kamagra with these drugs can cause a severe drop in blood pressure.If you have heart problems severe enough to make sexual activity a danger, you should avoid using Kamagra. Use it cautiously if you've had a heart attack, stroke, or life-threatening heart irregularities within the past 6 months. Be equally cautious if you have severe high or low blood pressure, heart failure, or unstable angina.If you take Kamagra and develop cardiac symptoms (for example, dizziness, nausea, and chest pain) during sexual activity, do not continue. Alert your doctor to the problem as soon as possible.If you have a condition that might result in long-lasting erections, such as sickle cell anemia, multiple myeloma (a disease of the bone marrow), or leukemia, use Kamagra with caution. Also use cautiously if you have a genital problem or deformity such as Peyronie's disease. If an erection lasts more than 4 hours, seek treatment immediately. Permanent damage and impotence could result.If you have a bleeding disorder, a stomach ulcer, or the inherited eye condition known as retinitis pigmentosa, use Kamagra with caution. Its safety under these circumstances has not yet been studied. Possible Side EffectsIf you experience any of the following serious side effects, stop taking Kamagra and seek emergency medical attention or notify your doctor immediately: * an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); * chest pain or an irregular heartbeat; * swelling of the ankles or legs; * shortness of breath; * prolonged or severe dizziness; * a prolonged (lasting longer than 4 hours) or painful erection; or * dizziness, nausea, or angina (pain, tightness, discomfort, numbness, or tingling in the chest, arms, neck, or jaw).Other, less serious side effects may be more likely to occur. Continue to take Kamagra and talk to your doctor if you experience * flushing; * mild dizziness; * headache; * nasal congestion; * diarrhea; * temporary blue tint in vision or other vision abnormalities; or * itching or a rash.Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.More InformationDrinking alcohol can temporarily impair the ability to get an erection. 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