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Kamagra
Kamagra is a trading name for Sildenafil Citrate, which is exactly the same active ingredient as Viagra, a chemical that assists 80% of men overcome erectile dysfunction.  Kamagra is manufactured by Ajanta Pharma, Mumbai.  You can get more information about Kamagra products from www.ajantapharma.com.

Directions for Use
For most patients the recommended dose is 50 mg taken as needed, approximately 1 hour before sexual activity.  This means that half a tablet should be enough for most people thus giving 8 doses per pack. However, KAMAGRA may be taken anywhere from 4 hours to half an hour before sexual activity.  Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg.  The maximum recommended dosing frequency is once per day.

How Does Kamagra Work?
During normal operation, a man is sexually stimulated and blood flows into the penis with more blood flowing in and less flowing out, the arteries in the penis enlarge and the result is an erection.  If this mechanism is not working properly a man has difficulties in having and keeping en erection.  KAMAGRA increases blood flow to the penis allowing more blood to enter the penis and less to leave resulting in a normal erection again.  Using KAMAGRA, a man can respond to sexual stimulation during a sexual encounter and once it is over the erection goes away.

Mechanics of an Erection
The physiological mechanism of the erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation.  NO then activates the enzyme guanylate cyclase which results in increased levels of cyclic guanosine monophosphate (cGMP) producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood.

Sildenafil
Sildenafil has no direct relaxant effect on isolated human corpus cavernosum but enhances the effect of NO by inhibiting phosphodiesterasa type 5 (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by Sildenafil causes increased levels of cGMP in the corpus cavernosum resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum.  Studies in vitro have shown that Sildenafil is selective for PDE5.  Sildenafil at recommended doses has no effect in the absence of sexual stimulation.  Sildenafil is not an aphrodisiac and does not increase sexual desire or fertility.

Warnings and Precautions
Not recommended for persons allergic to Sildenafil.  Angina patients consuming nitrates and other anti-anginal drugs may use Sildenafil only under Medical supervision and advice.  Medical supervision is also required for patients who are under Cimetidine, Erythromycin, and Ketoconazole.  Persons using any other medical drug must inform the Physician before using Sildenafil.  To be used with caution in people with liver and kidney impairment.

Side Effects
Headache, flushing, dyspepsia, dizziness, nasal congestion and blurring of vision.

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