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The most critical interaction is with nitrates, which are used to treat chest pain and heart conditions, as the combination of nitrates and sildenafil can cause a severe and potentially life-threatening drop in blood pressure, and this combination must be avoided entirely. The choice of beverage when taking Kamagra tablets also matters, as grapefruit juice can interact with the liver enzyme that metabolizes sildenafil and increase the concentration of the drug in the blood, potentially intensifying side effects.
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