Kamagra Oral Jelly Vol. 2 (Sildenafil Citrate)

Kamagra Oral Jelly Vol. 2 is a prescription medicine for erectile dysfunction.

It treats ED in adult men only.

Each 5 g sachet delivers sildenafil citrate equal to 100 mg sildenafil.

Ajanta Pharma Ltd., India, manufactures the Kamagra range.

The product is a soft, sweet, flavoured gel in a sealed sachet.

Vol. 2 is a second flavour assortment of the same jelly (trade listing).

It is swallowed straight from the sachet. No water is needed.

Sildenafil belongs to the PDE-5 inhibitor drug class.

It helps a man get and keep an erection during sexual stimulation.

It does not cause an erection on its own.

Sexual arousal is always required for the medicine to work.

It is not a hormone, an aphrodisiac, or a fertility treatment.

It is not for women or for anyone under 18 years.

It gives no protection against HIV or other sexually transmitted infections.

Sildenafil citrate is an approved molecule in India, the US, the UK and the EU.

The Kamagra brand itself is licensed in India.

Kamagra 100 is not approved by the US FDA, the EMA, or the UK MHRA.

Counterfeit Kamagra oral jelly is widely reported online. Buy only from a licensed pharmacy.

Sexual stimulation releases nitric oxide (NO) into the penile tissue.

Nitric oxide switches on the enzyme guanylate cyclase.

Guanylate cyclase raises levels of cyclic guanosine monophosphate (cGMP).

cGMP relaxes the smooth muscle of the corpus cavernosum.

Relaxed muscle lets more blood flow into the penis.

The enzyme PDE-5 normally breaks cGMP down and ends the erection.

Sildenafil blocks PDE-5, so cGMP stays higher for longer.

The result is a firmer erection that lasts longer during arousal.

Sildenafil has no direct relaxant effect on penile tissue by itself.

At normal doses it has no effect without sexual stimulation.

Sildenafil is about 4,000 times more selective for PDE-5 than PDE-3.

PDE-3 controls heart muscle contraction. High selectivity limits cardiac effects.

Sildenafil is only about 10 times more selective for PDE-5 than PDE-6.

PDE-6 sits in the retina. This explains temporary blue-green colour changes.

Absorption is rapid. Peak level occurs in 30 to 120 minutes (median 60).

Mean absolute bioavailability is about 41 percent.

Sildenafil and its active metabolite have a half-life of about 4 hours.

The liver clears it, mainly through the enzyme CYP3A4.

About 80 percent leaves in the faeces and about 13 percent in urine.

Confirm your dose and suitability with a registered doctor.

Check the sachet seal and the printed expiry date.

Tear the sachet open along the notched edge.

Squeeze the full contents into your mouth, or onto a spoon.

Swallow the jelly directly. Water is not required.

Take it 30 to 60 minutes before planned sexual activity.

Allow sexual stimulation to occur. Arousal is essential.

Use one sachet only. Discard any unused jelly.

Do not take another dose within 24 hours.

The usual effect window is about 4 hours.

Dosing may be done from 30 minutes up to 4 hours before activity.

An empty stomach gives the fastest onset.

A high-fat meal delays the peak level by about 60 minutes.

A high-fat meal also lowers the peak level by about 29 percent.

This medicine is taken only as needed.

There is no fixed schedule, so there is no missed dose to make up.

Never double a dose for any reason.

If you take too much, go to a hospital emergency department.

Any nitrate medicine, in any form, regular or occasional.

Examples: nitroglycerin, isosorbide mononitrate, isosorbide dinitrate.

Nitric oxide donors such as sodium nitroprusside.

Recreational nitrite ‘poppers’, including amyl nitrite and butyl nitrite.

Guanylate cyclase stimulators such as riociguat.

Known allergy to sildenafil or to any ingredient in the jelly.

Men for whom sexual activity is unsafe due to heart disease.

Use in women, or in anyone under 18 years of age.

Heart attack, stroke, or dangerous irregular heartbeat in the last 6 months.

Angina, heart failure, or heart surgery within the last 6 months.

Narrowing of the aortic valve, or other outflow obstruction.

Low blood pressure, or high blood pressure that is not controlled.

A curved or deformed penis, such as Peyronie’s disease.

Any past erection lasting more than 4 hours.

Sickle cell anaemia, multiple myeloma, or leukaemia.

Retinitis pigmentosa, an inherited eye disease.

Any past severe vision loss, especially NAION.

Bleeding disorders, or an active stomach ulcer.

Liver disease, kidney disease, or dialysis treatment.

All current medicines, including herbal and over-the-counter products.

Avoid grapefruit and grapefruit juice. It may raise sildenafil levels.

Limit alcohol. Alcohol can worsen dizziness and low blood pressure.

Alcohol also reduces erectile response on its own.

Avoid a heavy, high-fat meal in the hour before your dose.

A light meal or an empty stomach is preferred.

Avoid recreational drugs, especially nitrite poppers.

Do I hold a valid prescription from a registered doctor?

Have I confirmed that I take no nitrate medicine of any kind?

Am I free of poppers and other nitric oxide donors?

Has my doctor confirmed my heart can handle sexual activity?

Have I given my doctor a full list of my medicines?

Have I declared any liver, kidney, eye or blood conditions?

Is the sachet sealed, undamaged, and within its expiry date?

Has it been more than 24 hours since my last dose?

Do I know the emergency warning signs in Section 8?

Most common effects are mild and short-lived.

Vision changes are usually mild, temporary, and dose-related.

In trials, only 2.5% of men stopped treatment due to side effects.

The placebo stop rate was 2.3%, which is almost the same.

An erection lasting more than 4 hours. This is priapism.

Untreated priapism can permanently damage penile tissue.

Sudden loss of vision in one or both eyes.

Sudden decrease or loss of hearing, with or without ringing.

Chest pain, pressure, or pain spreading to the arm, neck or jaw.

Chest pain, dizziness or nausea during sex. Stop the activity at once.

Fainting, or severe dizziness on standing.

Slurred speech, facial droop, or one-sided weakness.

Swelling of the lips, tongue, face or throat.

Difficulty breathing or swallowing, or widespread hives.

A seizure.

No water needed. The jelly is swallowed straight from the sachet.

A practical option for men who dislike swallowing tablets.

Vol. 2 offers a different seven-flavour assortment (trade listing).

Single-use sachets are compact, sealed and discreet to carry.

Each sachet is pre-measured, so no dose counting is needed.

Contains sildenafil, the most studied ED molecule since 1998.

In trials, 82% of men on 100 mg reported improved erections.

Only 24% reported improvement on placebo.

Sildenafil also worked in men with diabetes-related ED.

It worked in men after spinal cord injury and radical prostatectomy.

Made by Ajanta Pharma Ltd., a listed Indian pharmaceutical company.

Store at room temperature, 20 °C to 25 °C (68 °F to 77 °F).

Short excursions from 15 °C to 30 °C are acceptable.

Keep each dose in its sealed original sachet until use.

Protect from direct sunlight, heat and moisture.

Do not refrigerate and do not freeze.

Do not store in a bathroom cabinet or a parked car.

Keep out of the sight and reach of children.

Discard any opened or part-used sachet. Do not save it.

Do not use after the printed expiry date.

Dispose of unused medicine through a pharmacy take-back scheme.

Never share this medicine with another person.

This content is for general information only.

It does not replace advice from a qualified doctor or pharmacist.

Sildenafil is a prescription-only medicine.

Do not self-prescribe or change a dose without medical advice.

Product details such as flavour and pack size may vary by batch and market.

Always read the leaflet supplied with the product you receive.