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. Hence allowing blood vessels in the penis to relax and increase blood flow. This helps maintain a firmer and longer-lasting erection during sexual arousal.

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. This action makes way for more blood to enter easily and cause an erection.

This action widens the penis’ blood vessels. The relaxation of smooth muscle cells allows for improved blood flow into the spongy tissue of the penis. This tissue is called the corpus cavernosum. The increased blood flow fills the spongy tissue, leading to an erection. These pills do not directly induce an erection. Instead, it enhances the natural erectile response by amplifying penile blood flow upon sexual stimulation.

Uses

It is primarily used to treat erectile dysfunction (ED) in men. It helps improve blood flow to the penis, allowing men to achieve and maintain an erection during sexual activity. Cenforce 200mg is taken when sexual stimulation is expected, as it works only in response to sexual arousal.

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

Take one tablet about 30 minutes to 1 hour before sexual activity. Do not take Cenforce 200mg more than once in 24 hours. You can have it either with food or on an empty stomach. The effects of this medicine last for around 4 to 6 hours. Taking the medication after a high-fat meal, like a cheeseburger and fries, can delay its effectiveness.

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. 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 you have or had:

1. History of stomach ulcers.
2. History of liver problems.
3. History of blood cell issues such as sickle cell anemia, multiple myeloma, or leukemia
4. Low blood pressure
5. Uncontrolled high blood pressure
6. Penis with an unusual shape or Peyronie’s.
7. A prolonged erection lasting more than 4 hours.
8. History of heart surgery in the past 6 months.
9. Pulmonary hypertension.
10. A history of retinitis pigmentosa
11. Bleeding problems.
12. Kidney problems
13. Kidney dialysis.
14. Heart attack
15. Irregular heartbeat
16. Aortic valve narrowing
17. Heart failure
18. Angina (chest pain)
19. Allergy from Sildenafil Citrate or any other medications.
20. A history of stroke, congestive heart failure, etc.
21. Suffer from conditions such as diabetes, high blood cholesterol, high blood pressure, etc.
22. Take nitrates for chest pain.
23. Suffer from epilepsy or seizures.
24. Are pregnant or breastfeeding.
25. Suffer from ischemic heart disease (also known as coronary artery disease).
26. Are an alcoholic or have a history of substance abuse.
    

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:

1. Nitrates
2. Guanylate Cyclase Stimulators such as riociguat (Adempas).
3. Alpha Blockers like Hytrin, Flomax, Cardura, Minipress, Uroxatral, Jalyn, or Rapaflo.
4. HIV Protease Inhibitors such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz).
5. Antifungal Medicines like ketoconazole (Nizoral) and itraconazole (Sporanox).
6. Antibiotics such as clarithromycin (Biaxin), telithromycin (Ketek), or erythromycin.
7. Blood Pressure Medications
8. Other Erectile Dysfunction (ED) Treatments

Cenforce 200mg contains sildenafil, the same active ingredient found in REVATIO. REVATIO is a medication prescribed for treating PAH.  Therefore, do not use these tablets with

1. REVATIO
2. other PAH treatments containing sildenafil
3. other PDE5 inhibitors like Vardenafil or Tadalafil.

This isn’t a complete list of potential drug interactions. Discuss possible drug interactions with your doctor before starting this medicine.

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 juice

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/