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Cenforce 200 mg is a high-strength medication used to treat erectile dysfunction (ED) in men who do not respond well to lower doses of sildenafil. It contains sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor that improves blood flow to the penile region, helping achieve and maintain a firm erection during sexual stimulation. Common side effects include headache, facial flushing, nasal congestion, dizziness, indigestion, and mild vision disturbances. Due to the higher strength, these side effects may be more intense. Rare but serious complications include priapism (a prolonged erection lasting more than four hours), sudden vision or hearing loss, chest pain, irregular heartbeat, or fainting, all of which require immediate medical attention.