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Aprima contains the active ingredient apomorphine hydrochloride and works in a completely different manner to other forms of treatment of erectile dysfunction ( E.D. ). Apomorphine hydrochloride is known as a dopamine agonist and works by enhancing the nerve signals that produce an erection. During sexual stimulation, nerve signals are sent from the brain to the penis. This causes the blood vessels in the penis to widen and relax producing an erection. Apomorphine mimicks the action of dopamine, a naturally occuring chemical neurotransmitter. Neurotransmitters are responsible for sending signals along nerves. Dopamine acts on dopamine receptors in an area of the brain called the hypothalamus causing nerve signals that produce an erection to be sent to the penis. It is the dopamine enhancing effect of apomorphine hydrochloride that makes Aprima a truly unique product. As a result of the enhanced effect of naturally occuring dopamine, nerve signals to the penis are enhanced ultimately causing it to become erect during sexual stimulation. Aprima has certain advantages over traditional treatments of E.D. such as Kamagra. Aprima dissolves under the tongue in under 10 minutes largely bypassing the normal digestive system. Its absorbsion, therefore, is not affected by food or alcohol. This results in much quicker onset of effects, typically in around 15-20 minutes compared to 45-60 minutes for sildenafil citrate ( Kamagra ) tablets making sexual activity more spontaneous and natural. Also,the sublingual absorbsion of the pill is ideal for people who have difficulty swallowing tablets. Side effects tend to be very mild for the majority of users while at the same time remaining a potent and effective treatment of E.D. Cinical trials have demonstrated an improvement in erections in at least 88% of participants.

What should I tell my health care provider before I take Kamagra?

They need to know if you have any of these conditions:




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There are many precautions and warnings for Kamagra to be aware of. For example, among the conditions you should let your healthcare provider know about before you take Kamagra are leukemia, sickle cell anemia, high blood pressure, and liver disease or liver failure. Also, Kamagra can interact with certain other medications (such as alpha blockers), and it does not provide any protection against sexually transmitted diseases. Be sure to talk with your healthcare provider about any Kamagra precautions and warnings that may apply to you.

Side effects of Kamagra.

Kamagra has several side effects of which patients need to be aware. The first problem comes because Kamagra happens to have a spillover effect. It blocks PDE5, but it also has an effect on PDE6. It turns out that PDE6 is used in the cone cells in the retina, so Kamagra can have an effect on color vision. Many people who take Kamagra notice a change in the way they perceive green and blue colors, or they see the world with a bluish tinge for several hours. For this reason, pilots cannot take Kamagra within 12 hours of a flight.
The second problem comes for people who are taking drugs like nitroglycerin for angina. Nitroglycerin works by increasing nitric oxide, and it helps with angina by opening up the arteries that supply the heart with oxygen. If you take nitroglycerin and Kamagra together, the increased nitric oxide plus the blocking of PDE5 can lead to problems.
Other problems with Kamagra can include little things like headaches (the drug, as a side effect in some men, opens up arteries in the brain's lining and causes excess pressure) and big things like heart attacks. The possibility of heart attacks is one reason why Kamagra is a prescription drug rather than an over-the-counter drug like aspirin. A doctor needs to understand your medical history and make sure that Kamagra won't cause a heart attack. Occasional patients who take Kamagra get painful, long-lasting erections and have to see a doctor to solve the problem.
Finally, there is some concern that some men, especially younger men who take Kamagra recreationally and who don't really need it for physical reasons, may end up with a dependency on the drug. That is, they may become unable to maintain an erection without taking Kamagra.

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