Kamagra Super is a dual-action medication combining:

• Sildenafil Citrate (100mg): PDE5 inhibitor for erectile dysfunction
• Dapoxetine (60mg): SSRI for premature ejaculation

Clinical Benefits:

• Enhances erectile function through increased penile blood flow
• Improves ejaculatory control (3-4x longer duration)
• Rapid onset (30-120 minutes)
• Effective for 4-6 hours post-dose

Dosage & Administration

• Standard dose: 1 tablet as needed
• Optimal timing: 1 hour before sexual activity
• Dose adjustment:
  • May reduce to 50mg (½ tablet) for tolerability
  • Maximum: 100mg/60mg once daily
• Administration guidelines:
  • Take with/without food (avoid high-fat meals)
  • Swallow whole with water
  • Do not combine with other ED medications

Critical Safety Information

Absolute Contraindications:

• Nitrate therapy (including recreational poppers)
• Hypersensitivity to components
• Severe cardiovascular disease
• Concurrent MAOI use
• Hereditary retinal disorders
• Age <18 years

Special Precautions:

• Cardiovascular evaluation recommended
• Caution required in patients with:
  • Hepatic/renal impairment
  • Anatomical penile deformities
  • Psychiatric conditions
  • Bleeding disorders
  • Elderly patients (>65 years)

Potential Adverse Effects

Common (≥1% incidence):

• Headache (18%)
• Flushing (12%)
• Nasal congestion (6%)
• Dyspepsia (5%)
• Dizziness (4%)
• Nausea (3%)

Serious (require immediate medical attention):

• Priapism (>4 hours)
• Sudden vision/hearing loss
• Serotonin syndrome
• Severe hypotension
• Cardiovascular events
• Allergic reactions

Significant Drug Interactions

Prohibited Combinations:

• All nitrate preparations
• Other PDE5 inhibitors
• MAO inhibitors
• Strong CYP3A4 inhibitors

Require Medical Supervision:

• Alpha-blockers
• Antidepressants
• Antihypertensives
• HIV protease inhibitors

Patient Counseling Points

• Sexual stimulation required for effect
• Does not prevent STDs/pregnancy
• Report any erection >4 hours immediately
• Avoid alcohol consumption
• Monitor for mood changes
• Discontinue use for:
  • Sudden sensory changes
  • Cardiac symptoms
  • Severe allergic reactions

Storage & Handling

• Temperature: 15-30°C (59-86°F)
• Protection from:
  • Moisture
  • Light
  • Heat
• Keep in original packaging
• Secure from children/pets

Note: This medication requires prescription and medical supervision. Counterfeit products may pose serious health risks - obtain only from licensed pharmacies. Regular follow-up recommended to assess treatment efficacy and safety. Not for use in women or pediatric populations.