Cenforce 200 is an effective, reversible, selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cyclic guanosine monophosphate (cGMP). When sexual stimulation causes local release of nitric oxide, inhibition of PDE 5 by Cenforce 200 leads to an increase of cGMP levels in the cavernous body of the penis.
It results in the relaxation of arterial smooth muscles and blood flow to the tissues of the penis that causes erections. Cenforce 200 has no effect when sexual stimulation is absent. Cenforce 200 improves erection and let's achieve successful sexual intercourse. The drug acts for 36 hours. If sexual arousal is present the effect appears even after 16 minutes after the medication was taken.
Dosage and direction
The recommended dose of Cenforce 200mg is 200 mg it should be taken at least 16 minutes before the sexual activity. The effect persists for 36 hours. Take Cialis once daily and do not exceed the recommended dose.
Precautions
It is preferable not to use Cenforce 200 Sildenafil Tablet with grapefruit juice, alcoholic beverages, tobacco. If you smoke tobacco and take Cialis concomitantly this may lead to a condition called NAION (sudden optic nerve-related vision loss). Inform your doctor before taking Cenforce 200 if you have abnormal penis, including curved penis and birth defects of the penis, had coronary artery disease, arrhythmia, angina, heart attack or heart failure, hypo- or hypertension, bleeding, stomach ulcers, diabetes, hyperlipidemia (excess of lipids in the blood), sickle-cell anemia, liver or kidney failure in history.
Contraindications
Cenforce 200 is contraindicated in patients who are using any form of organic nitrate, either regularly and/ or intermittently as it is able to potentiate the hypotensive effect of nitrates.
Possible side effects
The most usual side effects of Cenforce 200 are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Cialis was reported.
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