Cenforce 200 mg (Black Viagra)

How Cenforce 200 mg Works

Cenforce 200mg belongs to a class of drugs known as PDE 5 inhibitors. It contains sildenafil which inhibits the action of the PDE 5 enzyme. 

1. Normal Erection Process:

When a man is sexually aroused, nitric oxide (NO) is released into his penis. NO helps produce more cyclic guanosine monophosphate (cGMP). cGMP relaxes and dilates blood vessels. The blood vessels within the penis relax and expand. This action makes way for more blood to enter easily and cause an erection. 

2. Decreased Blood Flow:

Sometimes an enzyme called PDE 5 breaks down cGMP too quickly. This slows down the flow of blood. Due to a lack of blood flow, the erection ends abruptly. A weak and soft erection prevents the person from having normal sexual intercourse. 

3. Action of PDE5 Inhibitors:

This medication, being a PDE5 inhibitor, blocks the action of PDE 5 and prevents the breakdown of cGMP. When the cGMP level is high, blood flows easily to the penis. So, the man can get and keep an erection hard enough for sex. 

Uses

Erectile Dysfunction (ED) 

When a man is unable to get or sustain an erection hard enough for sexual intercourse. It is also known as “sexual impotence”.  

Benefits

Cenforce 200 black pills are formulated to provide the following benefits:

• Treat and relieve erection problems, e.g., erections too soft and weak for sexual intercourse. 
• Build sexual confidence in men by making erections harder. 
• Boost psychosocial improvements. Improve self-esteem and relationship satisfaction.
• Improve motivation for engaging in sex. 
• Manage other health problems, e.g., high blood pressure in the lungs by relaxing blood vessels.

Cenforce 200 mg Dosage

The recommended dose of Cenforce 200mg is one tablet per day. Do not take it more than once in 24 hours. You can have it either with food or on an empty stomach. People with ED take it 30 minutes to 1 hour before sexual activity.

Missed Dose

Cenforce is taken on an as-needed basis before sex. So, the chances of missing a dose are less.

Overdose

Ensure safe and proper usage of this medicine for optimal results. Do not take the Cenforce too much, more often or longer than prescribed. An overdose can lead to severe side effects. These include:

• Vomiting 
• Increase in heartbeat
• Diarrhea 
• Swelling of the optic nerve
• Damage to the optic nerve 
• Blurred and distorted vision 
• Blindness
• Priapism or a painful and prolonged penile erection.

If you think an overdose has occurred (e.g., you have taken two tablets together by mistake), get immediate medical attention.

Safety Advice

Alcohol : UNSAFE
It is unsafe to drink alcohol with Cenforce 200mg (sildenafil) Tablets.

Pregnancy : POSSIBLY UNSAFE
This medicine is not approved for use in women. It’s for male sexual health problems (impotence or ED).

Breastfeeding :  POSSIBLY UNSAFE
This medicine is not approved for use in women. Information regarding the use of Cenforce during pregnancy or breastfeeding is not available. Consult your doctor for further information.

Driving : UNSAFE
This drug can make you dizzy or affect your vision. Do not drive or use hazardous machinery until you are fully aware of its effects on you.

Kidney : POSSIBLY SAFE
Sildenafil is not known to impair kidney health. Use caution if you have severe kidney disease. Consult your doctor before taking this medicine.

Liver:  CAUTION
This medication will be processed by your liver, so use caution if you have an existing liver problem. Consult your doctor for further advice. Your doctor will probably adjust the dosage for you. 

Other Precautions

Before taking Cenforce 200mg, make sure you share your full medical history with your doctor. This includes your health status, any medications you are taking, etc.

Let your doctor know:

• If you have allergies to sildenafil citrate or any other medication.
• If you suffer from diabetes or hypertension.
• If you have a heart disease or had it in the past 
• If you have suffered from a stroke, chest pain, or heart attack in the past six months.
• If you have any bleeding disorder.
• If you suffer from an inherited eye problem known as retinitis pigmentosa.

This medicine is approved for treating erection problems in adult men. Women should not take Cenforce pills to improve their sexual functions. 

Cenforce 200 mg Side Effects

Some common side effects of Cenforce tablets include: 

• Headaches
• Sleeplessness 
• Dizziness
• Backache or muscle ache 
• Nausea
• Diarrhea 
• Indigestion 
• Flushing
• Nasal congestion 

The common side effects should go away within a couple of hours.

Some people (although very rarely) may experience severe side effects. If such a case arises, discontinue the use of this drug and call your doctor.

• Allergic reactions like swelling of the face, lips, tongue, or throat 
• Trouble breathing
• Chest pain 
• Disturbances or loss of vision 
• Nosebleed 
• Palpitations 
• Buzzing or ringing sensation in the ears
• Painful urination 
• Cloudy and/or bloody urine
• Numbness, tingling, or burning sensation in limbs.
• Sudden loss of hearing
• Priapism or a prolonged painful erection that lasts for more than 4 hours.

If you notice any unusual changes or any side effects for too long, consult a doctor. 

Interactions with Other Drugs

Cenforce 200mg may interact with certain medications that may affect the way it works. Inform your doctor about any prescription, non-prescription, herbal, or OTC supplements you are taking. 

This drug can interact with:

• Clarithromycin
• Ketoconazole
• Atenolol
• Nitroglycerin
• Isoniazid
• ACE inhibitors 
• Amlodipine
• Dexamethasone
• Tamsulosin
• Imatinib mesylate
• Carbamazepine
• Terazosin
• Warfarin

Do not take Cenforce 200mg with other drugs that treat erectile dysfunction.

Interaction with Alcohol

Taking alcohol with this medicine may make you extremely drowsy. It can increase the risk of other side effects as well. Alcohol may affect your ability to overcome erection problems. So, it is not advisable to drink alcohol with sildenafil oral tablets like Cenforce 200mg. 

Interaction with Grapefruit

Taking Cenforce with grapefruit or grapefruit juice is not recommended. Do not consume grapefruit at least 24 hours prior to taking this medication. Grapefruit may affect the metabolism of this drug.

Storage Instructions

• Store Cenforce 200 mg tablets in their original packaging.
• Keep the pills away from direct heat, moisture, and sunlight.
• Keep the tablets away from the reach of children and pets.
• Do not consume the pills past their expiration date.
• Dispose of the tablets safely by following guidelines from your local waste collection authority.

References

1. Loran, O. B., Ströberg, P., Lee, S. W., Park, N. C., Kim, S., Tseng, L., Collins, S., & Stecher, V. J. (2009b). Sildenafil Citrate 100 mg Starting Dose in Men with Erectile Dysfunction in an International, Double-Blind, Placebo-Controlled Study: Effect on the Sexual Experience and Reducing Feelings of Anxiety About the Next Intercourse Attempt. The Journal of Sexual Medicine, 6(10), 2826–2835. https://doi.org/10.1111/j.1743-6109.2009.01428.x
2. Sildenafil: MedlinePlus drug information. (n.d.-b). https://medlineplus.gov/druginfo/meds/a699015.html
3. Hatzimouratidis, K. (2006c). Sildenafil in the treatment of erectile dysfunction: an overview of the clinical evidence. Clinical Interventions in Aging, 1(4), 403–414. https://doi.org/10.2147/ciia.2006.1.4.403
4. Tang, W., Zhuang, X., Ma, L., Hong, K., Zhao, L., Liu, D., Mao, J., Zhang, H., & Jiang, H. (2015). Effect of sildenafil on erectile dysfunction and improvement in the quality of sexual life in China: a multi-center study. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4565360/
5. Kim, S. (2006). Regaining of morning erection and sexual confidence in patients with erectile dysfunction. Asian Journal of Andrology, 8(6), 703–708. https://doi.org/10.1111/j.1745-7262.2006.00216.x
6. Sildenafil Citrate Improves Self-Esteem, Confidence, and Relationships in Men with Erectile Dysfunction: (n.d.). https://ouci.dntb.gov.ua/en/works/4aMpK6Q4/