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Cenforce 200 is a high-strength sildenafil medicine used for erectile dysfunction (ED) in adult men. It contains a larger dose of sildenafil compared to standard strengths like 50 mg or 100 mg, and it is generally considered only when lower doses are not effective. Sildenafil in Cenforce 200 mg is a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the PDE5 enzyme, which increases cyclic GMP (cGMP) levels in penile tissues. This relaxes blood vessels and improves blood flow during sexual stimulation, helping achieve and maintain an erection.