If Kamagra 50 mg (which contains Sildenafil, similar to Viagra and Manforce) is not working as expected, it could be due to several factors. Symptoms or signs suggesting that Kamagra 50 mg is not effective include:

1. No Improvement in Erectile Function: If you're not experiencing any improvement in your ability to achieve or maintain an erection after taking Kamagra 50 mg, it may not be working for you.

2. Inconsistent Results: If the medication works occasionally but not every time, or if the response varies significantly, it could indicate that Kamagra is not consistently effective.

3. Lack of Firmness: Even with sexual stimulation, if your erection is not firm enough for penetration, this may indicate that the medication is not having the desired effect.

4. Failure to Achieve an Erection: If you’re unable to achieve an erection, despite taking Kamagra as directed and being sexually stimulated, this suggests the medication may not be effective for you.

5. Side Effects Without Effect: If you’re experiencing common side effects like headache, flushing, dizziness, or upset stomach but are not seeing any improvement in erectile function, this might suggest the drug isn't working for its intended purpose.

Possible Reasons for Kamagra Not Working:

• Dosage Issues: The dose might be too low for you. If Kamagra 50 mg doesn't work, your doctor may recommend adjusting the dose.
• Incorrect Timing: Kamagra should be taken about 30 minutes to 1 hour before sexual activity. Taking it too early or too late could affect its efficacy.
• Underlying Health Conditions: Conditions such as diabetes, heart disease, or neurological disorders might impact the effectiveness of Kamagra.
• Alcohol or Drug Interactions: Alcohol, smoking, or the use of certain medications can interfere with Kamagra’s effectiveness.
• Psychological Factors: Anxiety, stress, or relationship issues can sometimes make it difficult for the medication to work, even if it is otherwise effective.

If you're experiencing persistent issues, it is important to consult with your healthcare provider to reassess your treatment plan. They may suggest a different dosage or medication, or investigate underlying causes of erectile dysfunction.