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Kamagra may become less effective with long-term use for several reasons, though this is not always the case for every individual. Here are key factors to consider: 1. Development of Tolerance With prolonged use, the body might build a tolerance to the active ingredient (Sildenafil citrate). Over time, the same dose may produce less noticeable effects, requiring adjustments under medical supervision. 2. Worsening of Underlying Conditions Conditions like diabetes, hypertension, or cardiovascular disease, which can cause erectile dysfunction (ED), may worsen over time. If these conditions are not managed properly, Kamagra's effectiveness might decrease as a result. 3. Psychological Factors Anxiety, stress, or relationship issues can reduce the perceived effectiveness of Kamagra, even if the medication is working biologically. 4. Lifestyle Habits Poor lifestyle choices such as smoking, excessive alcohol consumption, or a lack of exercise can impair blood flow and reduce Kamagra's effectiveness. 5. Interaction with Other Medications Long-term use of certain medications (e.g., for heart conditions or depression) might interact with Kamagra, diminishing its efficacy. 6. Incorrect Usage Taking Kamagra incorrectly (e.g., not allowing sufficient time for it to take effect, using it with heavy meals, or without adequate stimulation) can lead to perceived ineffectiveness over time. How to Address Reduced Effectiveness Consult a Doctor If Kamagra becomes less effective, your doctor can evaluate whether a dosage adjustment or a switch to another medication is needed. Manage Underlying Conditions Treating health issues contributing to ED can enhance the medication's effectiveness. Healthy Lifestyle Improving diet, exercise, and reducing stress can support better outcomes. Kamagra's long-term effectiveness depends on individual health, habits, and the progression of underlying causes of ED. Regular consultation with a healthcare provider is essential to ensure optimal results and adjust treatment as needed.