It depends on which painkiller you mean. Paracetamol (acetaminophen): No direct interaction with sildenafil has been identified, so it is generally considered compatible. Ibuprofen or other NSAIDs: There is no well-established major interaction with sildenafil, but your other medicines and health conditions still matter. Opioid painkillers such as codeine, dihydrocodeine, or hydrocodone: use caution.   Super kamagra  have been associated with an increased risk of prolonged erections when combined with sildenafil. Also, Super Kamagra may contain sildenafil plus dapoxetine, depending on the specific product, so the exact ingredients should be checked before combining it with another medicine. If you tell me the name and strength of the painkiller (for example, paracetamol 500 mg, ibuprofen 400 mg, or diclofenac 50 mg), I can check that specific combination.