Kamagra Gold 100 mg should be read by anyone considering taking it, especially because it is marketed as sildenafil 100 mg. Pay particular attention if you: Take nitrates/GTN for chest pain—sildenafil must not be combined with these because of potentially dangerous low blood pressure. D DailyMed +1 Take alpha-blockers or blood-pressure medicines, which can further lower blood pressure. D DailyMed Have significant heart, liver, or kidney problems, or have been advised to avoid ***** activity. Take other ED medicines, such as tadalafil or another sildenafil product. Have previously experienced serious reactions to sildenafil. For ED, the usual sildenafil starting dose is 50 mg, adjusted to 25–100 mg according to response and tolerability; 100 mg is the maximum recommended dose and should not be taken more than once per day. D DailyMed Seek emergency care for an erection lasting more than 4 hours, sudden vision loss, sudden hearing loss, fainting, or severe chest symptoms. D DailyMed