Cenforce 200 mg is a higher-dose variant of Cenforce (which contains Sildenafil Citrate, the active ingredient in Viagra) used to treat erectile dysfunction (ED). While it can be highly effective for some individuals, it also carries a greater risk of side effects, especially when taken at higher doses like 200 mg. Who is Most Likely to Experience Side Effects from Cenforce 200 mg? First-Time Users or Those Unused to Sildenafil: First-time users or people who have not taken Sildenafil-based medications before may experience side effects more commonly.  Cenforce 200 mg doses like 200 mg may lead to stronger reactions because the body is not accustomed to this concentration of the drug. Those with Pre-Existing Health Conditions: Heart Conditions: Men with a history of heart disease (such as angina, heart attack, or arrhythmias) may experience more severe side effects like chest pain, irregular heartbeat, or even heart attacks in rare cases. Sildenafil can cause a slight reduction in blood pressure, which may worsen existing cardiovascular issues. Low Blood Pressure (Hypotension): Those who already have low blood pressure are at higher risk of experiencing dizziness, fainting, or lightheadedness with higher doses like Cenforce 200 mg. Kidney or Liver Disease: People with kidney or liver issues may metabolize the drug more slowly, leading to higher concentrations of Sildenafil in the bloodstream, increasing the likelihood of side effects.