Generic Viagra: Kamagra

What is Kamagra?
Kamagra is the first significant oral medication for the treatment of Erectile Dysfunction (ED). The medicine was originally developed as a cardiovascular medicine designed to improve blood flow in the vessels of the heart. However, during initial studies the medication was found to have a profound side effect. Individuals began to report a remarkable difference in their ability to achieve and maintain an erection. Further studies were completed and on March 27, 1998, the medication was approved by the FDA for the treatment of (ED), later that fall Kamagra was approved in the European Union and has since been approved by regulatory authorities in over 100 countries around the world.

How does Kamagra work?
Kamagra is dispensed as a pill and ingested orally. Approximately 30-60 minutes later the drug is absorbed in the bloodstream. Kamagra then functions as an inhibitor to an enzyme called phosphodiesterase type (PDE5) which is found primarily in the penis. By inhibiting PDE5, smooth muscle in the penis remains relaxed for a longer period. This allows for increased blood flow into the cavernous tissue of the penis thereby generating an erection. Kamagra is unique in that it increases a natural occurring process, therefore, only through sexual stimulation will an erection occur.

Why is Kamagra sometimes referred to as sildenafil citrate?
Sildenafil Citrate is the generic name for Kamagra pronounced as sill-DEN-uh-fil citrate. The generic name represents the medications nonproprietary or chemical name, whereas, the brand name is the name a pharmaceutical give to a medication for marketing purposes.

What is the appropriate dose?
The standard dose is 50mg one hour prior to sexual activity. However, if you are older than age 65 or have a serious kidney or liver disease some physicians will recommend starting with the minimal dose of 25mg. Kamagra should not be taken more than once per any 24-hour period and doses should not exceed 100mg. The half-life of Kamagra, the time the drug remains effective after ingestion, is approximately four hours.

What about pill splitting?
Kamagra is manufactured in 25mg, 50mg and 100mg tablets. Most physicians would agree that since Kamagra is a lifestyle medication there is no harm in splitting the 100mg tablets into two 50mg doses for a significant cost savings.

What clinical studies have been done?
Kamagra was administered to more than 3000 patients (age 19-87 years) with (ED) of various etiologies (organic, psychogenic or mixed) with a mean duration of 5 years. Kamagra demonstrated statistically significant improvement as compared to a placebo in all studies. In one particular study concerning the frequency of successful penetration during sexual activity and maintaining erection after penetration, 83% of these patients reported an improved erection on Kamagra verses 12% on a placebo medication.

How much time must surpass before Kamagra is effective?
Kamagra is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median time 60 minutes) of oral dosing on an empty stomach. Note: when Kamagra is taken with a high fat content meal, the rate of effectiveness can be significantly diminished.

What happens if there is no sexual stimulation following the ingestion of Kamagra?
Kamagra is naturally eliminated from your body in a few hours.

What are the side effects of Kamagra?
The side effects of Kamagra are relatively few and if they do occur, they are usually short lived. However, some patients have reported the following side effects: Congestion Diarrhea Facial Flushing Headaches Urinary Tract Infections Visual Changes (mild and temporary changes in blue/green colors or increased sensitivity to light)

What are the precautions/warnings concerning Kamagra?
Men who are taking medicines that contain nitrates (Nitroglycerin) of any kind must never use Kamagra. Patients should not take Kamagra even if you only take nitroglycerin medication occasionally. There is also a potential for cardiac risk during sexual activity in patients with preexisting cardiovascular disease. Therefore, Kamagra should not be used in men where sexual activity is inadvisable because of their underlying cardiovascular status. Several medications are known to interact with Kamagra. Therefore, one should inform their physician concerning all medications they are taking, including those medications acquired by a prescription as well as over the counter medicines. The use of Kamagra offers no protection against sexually transmitted diseases, including HIV. Patients should continue to use protective measures necessary to guard against these diseases. In case of an overdose, call your physician immediately.

Can I use Kamagra with other medications?
Yes, it is generally safe to use Kamagra while on other medications, however some medicines may potentate the effects of Kamagra. Individuals should always consult with their healthcare provider prior to taking any medication. Note Kamagra does have one absolute contraindication; individuals who are taking medication-containing nitrate (even intermittently) should not take Kamagra.

Kamagra is absolutely contraindicated in individuals who are taking medications containing nitrates?
Kamagra has been shown to increase the hypotensive effects of nitrates to life threatening levels. Therefore, individuals who are currently using nitrates in any form even intermittently should not take Kamagra. Nitrates are available in many medications; sprays, ointments, skin patches, pastes and tablets dissolved in the mouth. Nitrates are also found in illicit drugs such as amyl nitrate or nitrite "Poppers". If you are unsure if you are currently taking nitrates please value your health and consult with your local physician or pharmacist.

Can I get Kamagra over the counter?
No, Kamagra should only be taken by prescription from a licensed physician. Regulations do not permit Kamagra to be taken without prescription. Secondary to the advent of the internet individuals may now order Kamagra online simply by completing an online medical questionnaire. Subsequently, a licensed physician will review your medical history and patient profile. If approved for a Kamagra prescription, your order shipped discreetly to your home or office in 1-2 business days (order Kamagra online now).

Should I use Kamagra if I have not had sexual intercourse in a long time?
Sexual activity can cause a strain on the cardiovascular system. If you have not had any physical activity or if you have any pre-existing medical conditions you should consult with your local physician prior to using the medication.

For what types of Erectile Dysfunction is Kamagra proving to be especially effective?

Kamagra is showing optimal results in individuals who experience ED secondary to high levels of anxiety (performance anxiety) and individuals with mild ED.

Is Kamagra less effective in treating ED that is secondary to certain underlying medical conditions?
This question is somewhat difficult to answer right now. More data is expected in the near future. Some initial data suggests that men, who have undergone radical prostatectomy (surgical removal of their prostate), using nerve-sparing procedures, are not achieving the same positive results with Kamagra.

Can Kamagra be combined with other treatments for erectile dysfunction?

The use of such combined treatments is not recommended, since no studies have been done to access Kamagra's safety and effectiveness.

What if Kamagra does not produce the desired effects that I anticipated?

If Kamagra does not produce the desired effects do not despair. Kamagra is just one in many treatment options for erectile dysfunction (please see the erectile dysfunction information section).

Is there a potential for Kamagra to be used in the treatment of ED in women?

There are currently several medical research centers that are studying whether Kamagra is a viable oral therapy for woman. Unfortunately, secondary to their anatomy, researchers know less concerning female sexual dysfunction than with the male sexual dysfunction. Historically, research has focused on male sexual dysfunction. Until we have a better understanding of the physiological processes causing sexual dysfunction in women are ability to treat the condition is limited. Although some physicians are prescribing Kamagra to their female patients, it is important to note, the FDA has not approved the medication for the treatment of sexual dysfunction in women.