Kamagra should be used with caution in some groups of patients with ED.
These groups include patients with hypersensitivity to the drug, males under 18 years of age, older patients (over 65 years of age), those who have serious health conditions such as kidney or liver problems.
The clinical trials of Sildenafil proved that the medication is the same way effective in geriatric patients like in younger men. Still in older patients the reduced clearance of the drug and increases in plasma concentration may increase the risk of side effects development. So onlder patients should be prescribed the lowest effective dose of Kamagra.
The dose selection to patients with hepatic or kidney impairment or cardiac disease should be careful. Patients with severe forms of heart disease or kidney or liver impairment should not be treated with Kamagra.