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Cenforce 200 mg is not a standard sildenafil dose for routine erectile-dysfunction treatment. Higher doses do not necessarily provide stronger or longer-lasting erections and can increase the likelihood of adverse effects. It should not be taken or repeated without specific medical advice. Possible side effects include headache, flushing, indigestion, nasal congestion, dizziness, and visual disturbances. Serious reactions are uncommon but can include a prolonged erection lasting more than four hours, sudden vision or hearing changes, or severe cardiovascular symptoms. These require prompt medical attention.