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General • This drug may be taken with or without food. One type is known as congestive heart failure (CHF). Provide supportive care using antiemetic and antidiarrheal medications as Hepatic disorders ranging from abnormal liver function tests to clinical manifestations such as hepatitis and jaundice have been reported after treatment with melphalan kamagra gel. Every effort should be made to retain the enema for at least an hour and preferably, all night.