Male sexual issues including erectile dysfunction and impotence are treated with cenforce 200 Tablet. Sildenafil Citrate, a component in this medication, helps men's penis receive more blood flow so they may enjoy sex for longer. This medication takes five hours to take effect. This medication is only for men over the age of 18. This medication can be used either before or after a meal. This medication can be taken with water, but avoid breaking or chewing the tablet. Avoid taking this medication with fatty meals or alcoholic beverages.