Kamagra Chewable is an innovative oral formulation containing:

• Sildenafil Citrate (100mg): PDE5 inhibitor for erectile dysfunction
• Chewable tablet format for easy administration
• Faster absorption than conventional tablets
• Ideal for patients with swallowing difficulties

Key Features:

• Onset of action: Typically within 30-45 minutes
• Duration: 4-6 hours of effectiveness
• Pleasant flavor options available
• Cost-effective ED treatment solution

Dosage & Administration

• Standard dose: 1 chewable tablet (100mg)
• Optimal timing: 30-60 minutes before sexual activity
• Administration guidelines:
  • Chew thoroughly before swallowing
  • Follow with water
  • Avoid high-fat meals (may delay onset)
  • Maximum frequency: Once per 24 hours
• Special populations:
  • Elderly: Consider lower starting dose
  • Hepatic impairment: Dose adjustment may be needed

Important Safety Information

Absolute Contraindications:

• Nitrate therapy (including recreational poppers)
• Recent cardiovascular events (<6 months)
• Severe hepatic impairment
• Hereditary retinal disorders
• Hypotension (<90/50 mmHg)

Special Precautions:

• Cardiovascular evaluation recommended
• Caution required in patients with:
  • Anatomical penile deformities
  • Conditions predisposing to priapism
  • Active peptic ulcer
  • Bleeding disorders
  • Elderly patients (>65 years)

Potential Adverse Effects

Common (≥1% incidence):

• Headache (16%)
• Facial flushing (10%)
• Nasal congestion (4%)
• Dyspepsia (3%)
• Visual disturbances (3%)

Serious (require immediate medical attention):

• Priapism (>4 hours)
• Sudden vision/hearing loss
• Severe hypotension
• Cardiovascular events
• Allergic reactions

Drug Interactions

Prohibited Combinations:

• All nitrate preparations
• Other PDE5 inhibitors
• Guanylate cyclase stimulators

Require Medical Supervision:

• Alpha-blockers
• Strong CYP3A4 inhibitors
• HIV protease inhibitors
• Grapefruit products

Patient Counseling Points

• Sexual stimulation required for effect
• Does not prevent STDs/pregnancy
• Report any erection >4 hours immediately
• Avoid alcohol consumption
• Discontinue use for:
  • Sudden sensory changes
  • Cardiac symptoms
  • Severe allergic reactions
• Store properly to maintain potency

Storage & Handling

• Temperature: 15-30°C (59-86°F)
• Protection from:
  • Moisture
  • Light
  • Heat
• Keep in original packaging
• Secure from children/pets

Note: This medication requires prescription and medical supervision. Counterfeit products may pose serious health risks - obtain only from licensed pharmacies. Regular follow-up recommended to assess treatment efficacy and safety. Not for use in women or pediatric populations.