The recommended dose of Cenforce D is 160 mg once or twice daily, preferably before bedtime. It is not known whether sildenafil citrate reduces the risk of stroke and heart attack, but the combination of these two medicines seems to be safe. However, Cenforce may not be suitable for patients who have a history of low blood pressure or high blood pressure. Likewise, patients with a history of heart problems should not take Cenforce. The dosage of sildenafil can be reduced by patients who smoke, have blood thinners, or have an increased heart rate.
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