Super Kamagra can cause back pain as a side effect in some users. Super Kamagra usually contains sildenafil (for erectile dysfunction) and dapoxetine (for premature *****), and back pain is more commonly associated with sildenafil-related effects. Back pain may occur: A few hours after taking the tablet or sometimes the next day. Because PDE5 inhibitors like sildenafil can cause muscle aches, back discomfort, or body pain as the medicine is processed by the body. It is usually mild and temporary and often improves within 24–48 hours. To reduce discomfort: Avoid taking more than the prescribed dose. Stay hydrated. Avoid combining it with excessive alcohol, which may worsen dizziness and discomfort. Rest and use gentle stretching if mild back pain occurs. Contact a healthcare professional if: Back pain is severe, persistent, or worsening. You experience chest pain, severe dizziness, weakness, or other unusual symptoms. You have kidney problems or other medical conditions that may contribute to back pain.