Super Kamagra is a combination medication containing Sildenafil citrate (usually 100 mg) and Dapoxetine (30 mg). It is used to treat both erectile dysfunction (ED) and premature *****. Because it combines two active drugs, side effects can come from either component. Older adults or people with heart, liver, or kidney conditions need to be especially cautious. Common Side Effects These are usually mild and temporary: Headache Flushing (redness of face or neck) Dizziness or lightheadedness Indigestion or stomach discomfort Nasal congestion Back or muscle pain Side Effects from Dapoxetine (for premature *****) Nausea Diarrhea Insomnia or trouble sleeping Fatigue or tiredness Serious or Rare Side Effects – Seek medical attention immediately if these occur: Chest pain, irregular heartbeat, or shortness of breath (from Sildenafil) Severe dizziness or fainting Prolonged or painful erection lasting more than 4 hours (priapism) Vision changes (blurred vision, blue tinge, or sudden loss of vision) Hearing loss or ringing in the ears Severe allergic reactions: swelling of face, lips, tongue, or throat Precautions Avoid using with nitrates or certain blood pressure medications. Use caution in people with heart disease, liver/kidney problems, or low/high blood pressure. Do not exceed the prescribed dose, usually one tablet in 24 hours. Because it has two active drugs, side effects may be more pronounced than a single PDE-5 inhibitor. Starting at the lowest effective dose and taking it under medical supervision is safest.