Cenforce 200 mg tablets are taken orally with a glass of water. It is usually recommended to take the medication approximately 30 minutes to 1 hour before anticipated sexual activity. The effects of sildenafil citrate typically last for about 4 to 6 hours, but individual responses may vary. Sildenafil citrate works by inhibiting the action of phosphodiesterase type 5 (PDE5), an enzyme that regulates blood flow in the penis. By inhibiting PDE5, sildenafil citrate allows the blood vessels in the penis to relax and widen, promoting increased blood flow. This enhanced blood flow helps to produce and maintain an erection during sexual stimulation.

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