Kamagra may interact with other medications, including nitrates, alpha-blockers, antihypertensives, some antifungals, and antibiotics. Sildenafil Citrate works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). This leads to the relaxation of smooth muscles and increased blood flow to the penis, facilitating an erection in response to sexual stimulation. Typically taken orally with water about 30 to 60 minutes before sexual activity. The effects can last for 4 to 6 hours.
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