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Kamagra for sale in USA contains sildenafil, a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction or ineptitude in men. Sildenafil in Kamagra Chewable tablets 100mg follows up on the erectile tissue of the penis to build blood stream into the penis, which is expected to cause an erection. During sexual incitement nitric oxide is delivered in the erectile tissue of the penis which actuates the chemical guanylate cyclase. This protein builds levels of a substance called cyclic guanosine monophosphate (cGMP), which loosens up the veins in the penis and permits blood to fill the supple erectile tissues to cause an erection. Another compound called phosphodiesterase type 5 (PDE5) separates cGMP forestalling blood stream into the penis, which causes loss of an erection.