Kamagra Super: Uses, dosage, side effects, warnings & patient reviews

Kamagra Super: What Is It?

Kamagra Super is a pill some men use. It tackles two common sex life problems at once. What’s in it?

• Sildenafil Citrate (100 mg): This part helps men get and keep erections.
• Dapoxetine (usually 60 mg): This other part helps men not to finish (ejaculate) too quickly.

So, if a man has trouble with both getting hard (that’s erectile dysfunction or ED) and coming too fast (premature ejaculation or PE), Kamagra Super aims to help with both.

How Do These Ingredients Work? It’s a Team Effort.

The sildenafil and dapoxetine in Kamagra Super do different jobs.

• Sildenafil Helps You Get Ready: Think of sildenafil as a helper for your body’s natural erection system. When you’re turned on, your body wants to send more blood to your penis. Sildenafil stops a natural body chemical (an enzyme called PDE5) from shutting this blood flow down too soon. So, more blood can get in, and stay in, making your erection firmer and last longer. You’ll usually find sildenafil starts working within about 30 to 60 minutes. Its effects can last around 4 to 5 hours.
• Dapoxetine Helps You Control Timing: Dapoxetine works differently. It affects chemicals in your brain, especially one called serotonin. Serotonin plays a big role in how quickly you ejaculate. Dapoxetine aims to give you a bit more say over when that happens, helping you last longer during sex. This part usually takes about an hour or two to start working well. Its effects don’t stick around as long as sildenafil’s.

Brand Name or Generic? What’s the Label Say?

People usually see Kamagra Super as a branded generic. It’s a mix of two active drugs. The sildenafil in it? That’s the same stuff found in Viagra®, which many know as an ED helper. The dapoxetine part? That’s the same medicine found in Priligy®, a drug for PE (though Priligy® isn’t available everywhere, like in America). As far as a single big-name brand that first put these two specific drugs together in one pill – that doesn’t really exist. Kamagra Super is its own thing here.

What Kind of Pill Is It?

Kamagra Super comes as regular pills you swallow. You just take them with a glass of water. Each pill has that fixed amount: 100 mg of sildenafil and (most often) 60 mg of dapoxetine. How they look – their color, their shape, any letters on them – can change. It depends on who actually makes them.

Why This Pill? What Makes It Stand Out?

• Two Problems, One Pill: The main idea is convenience. It tries to help with erections AND how long you last, all from a single tablet.
• Working on Both Fronts: It puts sildenafil’s erection support together with dapoxetine’s help for better ejaculation control.
• Maybe Simpler Than Two Pills: If a man has both ED and PE, one pill might feel easier to manage than taking two different ones.
• Take It When It Counts: You don’t generally take Kamagra Super every day. It’s more for when you’re planning to have sex.

How You Should Take Kamagra Super

Swallowing the Pill:

• Take one Kamagra Super tablet with a good-sized glass of water. Just swallow it whole.
• Don’t break it, crush it, or chew it up. The pill is made to work a certain way when you swallow it whole.

What About Food?

• It’s usually best to try and avoid eating a really big or super fatty meal right before you take Kamagra Super. Why? Because a heavy meal can sometimes slow down how quickly the sildenafil part gets into your system and starts working.

When’s the Best Time to Take It?

• Timing is Key (Especially for Lasting Longer): For Kamagra Super to help with both getting an erection AND lasting longer, you’ll want to take your tablet about 1 to 3 hours before you think you’ll be having sex.
  That window gives both the sildenafil and, importantly, the dapoxetine enough time to get working properly in your body.
• How Long the Help Lasts: The sildenafil part can help with erections for up to 36 hours – no, wait, sildenafil is usually about 4-5 hours. So, the sildenafil can help with erections for about 4 to 5 hours. But the dapoxetine part, for lasting longer, works best within that 1 to 3-hour window after you take it. Its effect doesn’t hang around as long.

How Often Can You Take It? The Big Rule.

• Just Once a Day, Max: This is super important. You should never take more than one Kamagra Super tablet in any single 24-hour day. That’s the absolute limit.

Forgot to Take It?

Kamagra Super isn’t a medicine you take every single day like a vitamin. You use it when you’re planning to have sex.

• So, if you meant to take it but forgot? Don’t sweat it. Just skip that time.
• Take your next tablet when you actually need it, but always, always make sure it’s been at least a full 24 hours since you last took one. No doubling up.

Keeping Your Pills Safe (Storage)

• Where to Keep Them: Store your Kamagra Super tablets where it’s cool and dry. That usually means keeping them below 30°C (or 86°F).
• Protect Them from Stuff: It’s best to keep the tablets in their original packet or blister strip until you’re ready to take one. This helps protect them from things like moisture in the air and bright light.
• And of course, always keep them somewhere safe where kids can’t get their hands on them.

When you take Kamagra Super, you’re getting two different medicines (sildenafil and dapoxetine) in one pill. So, there’s a chance you might notice some side effects from either one, or maybe from the mix. Not everyone gets them, though. And often, if they do happen, they’re not too severe.

Common Side Effects:

These are the ones that guys report more often. They’re usually on the mild side and might even lessen as your body gets used to the medicine.

• Feeling Sick (Nausea): This is a big one, often linked to the dapoxetine part.
• Headache: Can happen from both the sildenafil (as blood flow changes) and the dapoxetine. Drinking water might help a bit.
• Dizziness: You might feel a bit lightheaded or unsteady. This is also pretty common with dapoxetine. Good idea to get up slowly if you’ve been sitting or lying down.
• Red Face (Flushing): Your face might get warm or look a bit red. That’s usually the sildenafil doing its vasodilation thing (opening up blood vessels).
• Diarrhea: Loose stools can sometimes happen, and this might be from the dapoxetine.

Less Common Side Effects:

These don’t pop up as much, but they’re still possible.

• Upset Stomach / Indigestion: You might get some discomfort in your tummy, often from the sildenafil.
• Feeling Tired or Worn Out: Dapoxetine can sometimes make you feel unusually tired.
• Trouble Sleeping (Insomnia): Some guys find it hard to fall asleep or stay asleep.
• Achy Back or Muscles: This is usually from the sildenafil. It might show up a few hours after you take the pill and often goes away in a day or two.
• Stuffy Nose: Your nose might feel blocked up. Again, that’s often the sildenafil.
• Blurry Vision: Your eyesight might seem a bit fuzzy for a short while.

Serious Side Effects – Get Help Fast!

These are rare, but they are very important. If any of these happen, stop taking Kamagra Super and get medical help right away – call emergency services or your doctor immediately:

• Erection That Won’t Go Away (Priapism): If your erection lasts for more than 4 hours, whether it’s painful or not. This is an emergency! You need treatment fast to stop permanent damage. (This is linked to sildenafil).
• Sudden Big Change in Your Eyesight: If your vision suddenly gets much worse, or you lose your sight in one or both eyes. (This could be a serious eye problem called NAION, sometimes linked to sildenafil).
• Sudden Hearing Problems: If you suddenly can’t hear as well, or lose your hearing completely. Sometimes this comes with ringing in your ears (tinnitus) or feeling dizzy. (This can be linked to sildenafil).
• Fainting or Severe Dizziness: Especially when you stand up. This feeling of your blood pressure dropping suddenly (orthostatic hypotension) can be made worse by the mix of drugs, or particularly by dapoxetine.
• Serotonin Syndrome: This is rare but very dangerous. It’s linked to dapoxetine, especially if you mix Kamagra Super with other drugs that affect serotonin. Signs include feeling agitated or confused, a very fast heartbeat, high fever, stiff muscles, shaking, or even seizures.
• A Bad Allergic Reaction: Signs can be things like having trouble breathing, bad wheezing, feeling very dizzy, your eyelids, face, lips, or throat swelling up, or breaking out in hives all over your body.
• Big Mood Changes: If you notice serious changes in your mood, feel very down (depressed), or have thoughts about harming yourself. (SSRIs like dapoxetine can rarely cause these).

A Quick Note: If any side effect really bugs you, doesn’t go away, or just plain worries you, talk to your doctor. Don’t just try to change how much you take on your own.

What’s Kamagra Super For?

Alright, so why would a doctor suggest Kamagra Super? Well, it’s for adult men who are dealing with two specific problems at the same time:

1. Erectile Dysfunction (ED): This is when a guy finds it really hard to get an erection, or he can’t keep his erection firm enough to have good sex.
2. Premature Ejaculation (PE): This is when a guy ejaculates (comes) much sooner during sex than he or his partner would like.

So, Kamagra Super tries to help out with both of these issues in one go.

How Does It Help with These Two Problems?

• For Getting and Keeping Erections (Thanks to Sildenafil): The sildenafil part of Kamagra Super works by helping the blood vessels in the penis relax and open up when a man is sexually aroused. Think of it like this: when you’re turned on, your body naturally tries to send more blood down there. Sildenafil just makes it easier for that blood to flow in and stay there, which helps create a stronger, longer-lasting erection. It usually helps for about 4 to 5 hours.
• For Lasting Longer (Thanks to Dapoxetine): The dapoxetine part works on the chemicals in your brain, especially one called serotonin. Serotonin plays a role in how quickly you ejaculate. Dapoxetine helps to give you a bit more control over that timing, so you don’t finish too quickly during sex. This effect usually kicks in about 1 to 3 hours after you take the pill and is more focused on that specific timeframe.
• One Pill for Two Jobs: The big idea behind Kamagra Super is to make things simpler. If a guy has both ED and PE, taking one pill that helps with both might be easier than trying to manage two different medicines.
• Timing That Works Together: The pill is designed so that both medicines can be working when you need them. The sildenafil gives you that longer window for getting erections, and the dapoxetine gives you that more immediate help with lasting longer during sex.

Some Really Important Things to Understand

• It Helps Symptoms, It Doesn’t Cure the Cause: Kamagra Super is great for helping with the physical side of ED and PE. But, it’s good to remember it doesn’t fix whatever is causing those problems in the first place. ED and PE can be complicated, with lots of different causes – some physical, some psychological.
• You Still Need to Be Turned On (for Erections): The sildenafil part only works if you’re already sexually stimulated and interested. It’s not like a magic button that just gives you an erection out of nowhere.
• It’s Only for Guys with BOTH Problems: Kamagra Super is specifically for men who have been diagnosed with both erectile dysfunction AND premature ejaculation. It’s not meant for guys who only have one of these issues, or neither!
• A Doctor Needs to Say It’s Okay: Don’t just start taking this on your own. You really need to see a doctor. They’ll do a proper check-up, make sure it’s the right medicine for you, check it won’t cause problems with any other health issues or medicines you have, and make sure the dose is correct.
• Not for Fun or Kicks: This is a real medicine for real medical conditions. It shouldn’t be used just for fun, or by people who don’t actually have both ED and PE.

Big Things to Think About Before Taking Kamagra Super

• Your Heart and Blood Pressure: The sildenafil in Kamagra Super can lower your blood pressure. The dapoxetine part can sometimes make you dizzy or faint, especially when you stand up. If you already have heart problems, or if you take pills for blood pressure, this combo could be risky. And remember, sex itself is a bit of a workout for your heart. So, a doctor needs to make sure your heart is up to it.
• Serotonin Syndrome – A Rare But Serious Risk: Dapoxetine is an SSRI, and it works by changing serotonin levels in your brain. If you take Kamagra Super with other things that also boost serotonin (like some antidepressant pills, certain strong pain meds, an herb called St. John’s Wort, or even some illegal drugs), you could get something called serotonin syndrome. This is rare, but it can be life-threatening. Signs include feeling really agitated, getting a high fever, your heart racing, and your muscles getting stiff or shaky.
• That Long-Lasting Erection (Priapism): It’s not common with sildenafil, but it can happen – an erection that just won’t go away after 4 hours. This is a real medical emergency. If it happens, you need to get to a hospital right away to stop any permanent damage to your penis.
• Dizziness, Fainting, and Mood: The dapoxetine part can sometimes make people feel dizzy, tired, have trouble sleeping, or even faint. Rarely, SSRIs like dapoxetine can affect your mood or cause thoughts you’re not comfortable with. If you’ve had problems with fainting or serious mood issues before, your doctor really needs to know.
• How Your Liver and Kidneys Are Doing: Your body uses your liver and kidneys to get rid of both sildenafil and dapoxetine. If your liver or kidneys aren’t working very well, these drugs could build up in your system. That could mean more side effects, or stronger ones. So, your doctor will need to think about this, and might say Kamagra Super isn’t right for you if these organs are very weak.

When Kamagra Super is Definitely NOT for You

There are some times when you absolutely should not take Kamagra Super:

• If you’re taking nitrate medicines (for the sildenafil part).
• If you have serious heart problems (like bad heart failure, or if your heart’s rhythm is very unstable).
• If you’ve had fainting spells before (because of the dapoxetine).
• If you’ve had mania or severe depression (also because of dapoxetine).
• If you’re allergic to sildenafil OR dapoxetine.
• If your liver is very badly damaged.
• If you’re taking certain strong medicines that mess with how your body handles sildenafil (like strong CYP3A4 inhibitors) or dapoxetine (like MAO inhibitors). Your doctor will know about these.
• If your kidneys are very badly damaged, it’s usually not recommended.

Super Important Reminders!

• You Need BOTH Problems (ED and PE): Kamagra Super is only for guys who a doctor has said have both erectile dysfunction AND premature ejaculation. It’s not for just one or the other.
• Watch Out for Fakes – Especially Combo Pills: Getting medicines like Kamagra Super from dodgy online places is a big risk. Fake pills might have the wrong amounts of the drugs, or other nasty stuff in them. This can be extra dangerous with a combination pill. Always use a real pharmacy and a doctor’s prescription.
• Don’t Just Stop Suddenly (If You Were Told to Take It Regularly): Kamagra Super is usually an “as-needed” medicine. But, if for some very unusual reason your doctor had you taking it more regularly, stopping an SSRI like dapoxetine suddenly can sometimes cause withdrawal feelings. Always follow what your doctor says about stopping.
• If Bad Symptoms Happen, Get Help: Don’t wait around if you faint, have big mood swings, get symptoms of serotonin syndrome (like fever and confusion), have an erection that lasts too long, or if your eyesight or hearing suddenly goes funny. Get medical help quickly.

Big Warnings from Health Experts About Kamagra Super’s Ingredients

When it comes to the medicines in Kamagra Super – sildenafil and dapoxetine – health groups like the FDA want you to be super careful about a few things:

• Sildenafil and Nitrates – Super Dangerous Mix! This is a huge one. If you take sildenafil with any kind of nitrate drug (often for chest pain), your blood pressure can drop like a rock. It can be life-threatening.
• Sildenafil and Your Heart: Your doctor needs to make sure your heart is healthy enough for sex AND for taking sildenafil, because sildenafil affects your blood flow.
• Sildenafil and Rare Eye Problems (NAION): It doesn’t happen often, but some men taking sildenafil have had a sudden loss of eyesight.
• Dapoxetine and Serotonin Syndrome – Watch Out! If you mix dapoxetine with other medicines that also affect serotonin (like some antidepressants), you could get a serious and possibly fatal condition called serotonin syndrome.
• Dapoxetine and Feeling Dizzy/Fainting: Dapoxetine can make some people feel dizzy or even faint, especially when they stand up. Doctors need to be careful who they give it to. (It’s also good to know that dapoxetine itself isn’t approved by the FDA in the USA, though it’s used in other places).

When You Absolutely, Positively Should NOT Use Kamagra Super (Absolute Contraindications)

There are some times when taking Kamagra Super is just a really bad idea, and you shouldn’t do it at all:

• If you’re using nitrate medicines (like nitroglycerin for chest pain) or “poppers” (recreational drugs).
• If you’re taking or have recently taken (within the last 14 days) medicines called MAO inhibitors (MAOIs). This is because of the dapoxetine and the risk of very bad reactions like serotonin syndrome. You also shouldn’t start MAOIs within 7 days of stopping Kamagra Super.
• If you’re taking certain very strong medicines that block an enzyme called CYP3A4 (like ketoconazole, itraconazole, or ritonavir). These can make the sildenafil part way too strong.
• If you have really serious heart problems (like bad heart failure, certain heart rhythm issues where your heart doesn’t beat right, or if you’ve had a very recent heart attack or stroke).
• If you have a history of fainting spells (syncope), or if you’ve had mania or severe depression. This is mainly because of the dapoxetine.
• If you know you’re allergic to sildenafil OR dapoxetine, or anything else in the Kamagra Super tablet.
• If your liver is very badly damaged.

Emergency! Get Help Right Away If These Happen:

If any of these things happen after you take Kamagra Super, stop using it and get medical help straight away:

• An Erection That Lasts Too Long (Priapism): If your erection stays hard for more than 4 hours. This is a real emergency and needs treatment fast to stop lasting damage.
• Sudden Big Change in Your Sight or Hearing: If you suddenly can’t see as well, lose your sight in one or both eyes, or if your hearing suddenly gets a lot worse or you lose it (you might also hear ringing or feel dizzy). Stop the drug and see a doctor ASAP.
• You Faint (Pass Out): If you actually faint after taking the medicine, you need to be checked out by a doctor.
• Signs of Serotonin Syndrome: If you start feeling really agitated or confused, get a high fever, your heart starts racing, you sweat a lot, or your muscles get stiff or start shaking. These could be signs of serotonin syndrome, which needs emergency medical help.
• Bad Heart Symptoms: If you get chest pain, feel very dizzy, or your heart starts beating really irregularly during or after sex. Get medical help quickly.

How Much Kamagra Super to Take, and How

• The Usual Dose: Normally, it’s just one Kamagra Super tablet when you need it. Each tablet has two medicines in it: 100 mg of sildenafil citrate and 60 mg of dapoxetine.
• How to Take It: You swallow this tablet whole. Use a good big glass of water to help it go down. Don’t try to break it, chew it, or crush it up.
• When to Take It for Best Results: You’ll want to take your Kamagra Super tablet about 1 to 3 hours before you plan to have sex. This timing gives both the sildenafil (for erections) and the dapoxetine (for lasting longer) enough time to get into your system and start working properly.
• The Big Daily Limit – Stick to It! This is really important. You should only take one Kamagra Super tablet in any 24-hour day. Don’t take more than that, no matter what.

What If You Have Certain Health Issues? Any Dose Changes?

• If Your Kidneys Aren’t Working at 100%:

  If your kidney problems are mild or just moderate, your doctor might say Kamagra Super is okay, but you’d need to be careful. If your kidney problems are severe (like if your doctor says your eGFR is less than 30 mL/min), then Kamagra Super is usually not recommended. Both medicines in it can build up if your kidneys can’t clear them out well. Always listen to what your doctor says.

• If Your Liver Isn’t Working at 100%:

  If your liver has mild problems, your doctor will need to be very careful if they prescribe Kamagra Super. But, because of the dapoxetine part, if your liver problems are moderate or severe, then Kamagra Super is a definite no-go (contraindicated). You should not use it.

• For Older Gentlemen (65+):

  If you’re an older guy, your body might be more sensitive to both the sildenafil and the dapoxetine in Kamagra Super. You might feel side effects more strongly, like blood pressure changes or feeling dizzy and possibly fainting. So, doctors need to be extra cautious before giving Kamagra Super to older men. They’ll look at your overall health and weigh up the risks and benefits very carefully.

What If You Forget to Take It?

Kamagra Super isn’t a medicine you take every day like clockwork. You use it when you’re planning to have sex. So, you can’t really “miss” a dose in the usual sense. If you were going to take it but forgot, just skip it. Take your next dose when you actually need it. But – and this is a big but – always, always make sure it’s been at least a full 24 hours since you last took one. No doubling up!

If You Accidentally Take Too Much (Overdose)

• What Might Happen If You Take Too Many: Taking more Kamagra Super than you’re supposed to can make the usual side effects much worse, from both the sildenafil and the dapoxetine. You could get a really bad headache, a painful erection that won’t go away (priapism), feel super dizzy or even faint, feel very sick to your stomach or throw up, your heart might race, or you might feel shaky or agitated. You could even get signs of something serious like serotonin syndrome.
• What You Should Do – Get Help Fast! If you think you’ve taken too much Kamagra Super, you need to get emergency medical help straight away. Don’t wait around. Call for an ambulance or go to the nearest emergency room. You can also call a poison control center. They will give you supportive care based on how you’re feeling and what symptoms you have.

How Kamagra Super Mixes (or Doesn’t!) with Other Drugs and Stuff

With Other Medicines – This is Super Important!

• Nitrates – The Absolute No-Go Zone! We have to say this again because it’s so vital. If you take Kamagra Super with any kind of nitrate medicine, it can be extremely, life-threateningly dangerous. Nitrates are often in heart medicines for chest pain (like nitroglycerin pills, sprays, or patches). Also, those “poppers” (amyl nitrite or butyl nitrite) some guys use for fun? They’re nitrates too. Just don’t mix them with Kamagra Super. Ever. Period.
• MAO Inhibitors (MAOIs) – Another Big No! Because Kamagra Super has dapoxetine in it, you absolutely cannot take it if you’re also taking MAOI medicines (these are sometimes used for depression or Parkinson’s). You also can’t take Kamagra Super if you’ve stopped an MAOI in the last 14 days. And you shouldn’t start an MAOI within 7 days of stopping Kamagra Super. Mixing these can cause really serious, even fatal, reactions like serotonin syndrome.
• Other Serotonin-Boosting Drugs – Be Very Careful! Dapoxetine affects serotonin. If you take Kamagra Super with other things that also boost serotonin, you could be at higher risk for serotonin syndrome. What kind of things? Other SSRI or SNRI antidepressants, triptan medicines for migraines, strong painkillers like tramadol, an antibiotic called linezolid, or even lithium. Your doctor needs to know if you take any of these.
• Alpha-Blockers & Blood Pressure Pills: Taking Kamagra Super with alpha-blockers (for prostate issues or high blood pressure) or other blood pressure lowering medicines can make your blood pressure drop too much. You might get dizzy or faint. Your doctor needs to manage this carefully.
• Strong CYP3A4 Inhibitor Drugs: Some medicines really slow down how your body breaks down sildenafil (and maybe dapoxetine too). These are things like ketoconazole, itraconazole (antifungals), or ritonavir (for HIV). Taking these with Kamagra Super can make the sildenafil and dapoxetine levels in your body shoot up, increasing side effect risks. This combo is often a no-go or needs extreme caution from your doctor.
• Thioridazine: This is an antipsychotic medicine. You shouldn’t take dapoxetine (which is in Kamagra Super) with thioridazine because it can cause serious heart rhythm problems. There needs to be a gap between stopping one and starting the other.
• Other ED Meds or Riociguat – Don’t Do It! Using Kamagra Super with other ED treatments (like different sildenafil pills, tadalafil, or vardenafil) or with a lung medicine called riociguat isn’t a good idea. It just ups your chances of side effects, especially low blood pressure.

With Food and Drink

• Big Fatty Meals: If you eat a really heavy, greasy meal right before you take your Kamagra Super, it might take a bit longer for it to kick in, especially the sildenafil part.
• Grapefruit or Grapefruit Juice: Grapefruit can sometimes mess with how your body handles sildenafil and maybe dapoxetine, possibly making their levels in your blood go up. It’s probably best to just limit how much grapefruit you have, or avoid it, when you’re using Kamagra Super.
• Alcohol – Be Sensible! We’ve talked about alcohol before. Mixing it with Kamagra Super isn’t smart. It can make you dizzier, give you a worse headache, mess with your blood pressure (especially making you feel faint when you stand up, thanks to dapoxetine), and let’s be real, too much alcohol doesn’t help with erections or lasting longer anyway.

With Supplements and Herbs

• St. John’s Wort: This is an herbal supplement some people use for mood. But be careful! It can make the sildenafil part of Kamagra Super less effective because it speeds up how your body gets rid of it. Plus, St. John’s Wort also affects serotonin, so mixing it with the dapoxetine in Kamagra Super could increase your risk of serotonin syndrome. It’s usually best to avoid taking them together.
• Supplements That Affect Serotonin or Blood Pressure: If you’re taking any supplements that are known to change serotonin levels (like tryptophan or 5-HTP) or that can lower your blood pressure, be cautious. They might add to the effects of Kamagra Super. Always tell your doctor about all supplements you use.

So, What’s the Bottom Line on Interactions?

When drugs interact with Kamagra Super, a few things can happen. Sometimes, the medicine might not work as well as it should. Other times, you could get more side effects, or the side effects could feel much stronger. And some interactions, like the ones with nitrates or MAOIs, can be really, really dangerous and cause a medical emergency.

Super Important Reminders – Don’t Skip These!

• Your Doctor MUST Know Everything You Take! And I mean everything. Every single prescription drug, every pill you buy over the counter, every vitamin, every herb, and any recreational drugs you might use. This is the only way your doctor can check for really dangerous interactions before you start Kamagra Super. It’s a combo pill, so there’s more to think about!
• Fake Combo Pills Can Be Extra Risky for Interactions! If you get Kamagra Super from some shady website or an unofficial seller, you have no idea what’s truly in those pills. They could have the wrong amounts of sildenafil or dapoxetine, or even totally different, undeclared stuff. This makes the risk of a bad interaction with your other medicines even higher and more unpredictable. Only use real pharmacies and make sure you have a doctor’s prescription.