Indications Kamagra jelly Treatment of erectile dysfunction, which is defined as the inability to achieve and support an erection of the penis necessary for a successful sexual intercourse. Effective sildenafil requires sexual arousal.

Contraindications

The use of sildenafil is contraindicated in patients with known hypersensitivity to the acting or any auxiliary substance. Due to the effect on the exchange of nitric oxide / cGMP, sildenafil enhances the hypotensive effect of nitrates with their one-time or prolonged use, therefore its co-administration with donors of nitric oxide, organic nitrates or organic nitrites in any form is contraindicated continuously or periodically. Drugs for the treatment of erectile dysfunction, including sildenafil, should not be used in patients for whom sexual activity is undesirable (for example, patients with severe forms of cardiovascular disease, such as unstable angina or severe heart failure). The use of sildenafil is contraindicated in patients who lost sight in one eye through non-arterial anterior ischemic optic neuropathy, regardless of whether this occurred through a preliminary intake of the inhibitor of FDE5 or not. The safety of sildenafil has not been studied in such subgroups of patients, therefore the use of the drug is contraindicated for these patients: patients with severe impaired liver function, with arterial hypotension (arterial pressure <90/50 mm Hg), with recent stroke or myocardial infarction and known hereditary degenerative diseases of the retina, such as retinitis pigmentosa (a minority of these patients have a genetic disease of retinal phosphodiesterases). Doses & Uses Kamagr Jelly Kamagra jelly is intended for oral uses.To realize the effect of sildenafil, sexual arousal is necessary. Application by adults. The recommended adult dose is 50 mg, taken as needed approximately 1 hour before sexual activity. Given the effectiveness and tolerability, the dose can be increased to 100 mg. The maximum recommended dose is 100 mg. The maximum recommended frequency of reception is once a day. The activity of sildenafil can be manifested after a longer period with taking with food in comparison with reception on an empty stomach. The use of elderly patients. For elderly patients, a change in dosing is not required. Adverse Reactions Adverse events were transient, mild and moderate. During the studies, the frequency and severity increased with increasing doses. The nature of the side effects in studies with a variable dose that more closely reflects the recommended dosing regimen was similar to a fixed dose study. The most common side effects were headache and hot flashes. Very frequent side effects frequency more than 1/10: From the nervous system - a headache. From the side of the cardiovascular system - vasodilation (tides). Frequent - frequency 1 / 100-1 / 10: From the nervous system - dizziness. From the viewpoint - anomalous vision (blurred vision, increased sensitivity to light), chromatopsy (moderate degree, transient, mainly color vision). From the side of the cardiovascular system: palpitation (palpitation). On the part of the respiratory system - rhinitis (nasal congestion). From the digestive tract - dyspepsia. When using the drug in doses exceeding the recommended, undesirable effects were similar, but occurred more often. The use of sildenafil did not affect the incidence of myocardial infarction and mortality from cardiovascular disease. In the writing period of the development period, atypical or low-resolution reactions were observed when taking the drug: immune system - hypersensitivity reactions (including skin rashes); nervous system - epileptic seizure, relapse of epileptic attack; cardiovascular - tachycardia, arterial hypotension, syncope, nasal bleeding; the digestive tract - vomiting; visual impairment - pain in the eyes, redness of the eyes; reproductive system - prolonged erection and / or priapism. Overdose In studies on healthy volunteers with a single dose of the drug in doses up to 800 mg, the adverse effects were similar to those observed with lower doses of sildenafil, but their incidence and severity increased. In cases of overdose, if necessary, zastosovuvyut symptomatic therapy. It should be noted that dialysis can not accelerate the excretion of the drug, since sildenafil is tightly bound to plasma proteins and is not excreted in the urine. Children Sildenafil is not indicated for use by persons under the age of 18 years. The ability to influence the reaction rate when driving or working with other machinery Studies of the effect of the drug on the ability to drive a car and work with mechanisms have not been carried out.