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Cenforce 200 mg contains sildenafil citrate, which belongs to a class of medications called phosphodiesterase type 5 (PDE5) inhibitors. While its primary mechanism of action is to improve blood flow to the penis to help men achieve and maintain an erection, it can also have effects on muscle relaxation throughout the body. Cenforce 200 mg works by inhibiting the enzyme phosphodiesterase type 5, which is involved in the regulation of blood flow in the penis. By inhibiting this enzyme, sildenafil citrate allows the blood vessels in the penis to relax and widen, which increases blood flow to the erectile tissue, leading to an erection. In addition to its effects on blood vessels in the penis, sildenafil citrate can also cause vasodilation (relaxation and widening) of blood vessels in other parts of the body. This can lead to a decrease in blood pressure, which is why sildenafil citrate and other PDE5 inhibitors are not recommended for use in combination with certain medications, such as nitrates, that also lower blood pressure. Combining these medications can result in a significant drop in blood pressure, which can be dangerous. Overall, while sildenafil citrate primarily targets the blood vessels in the penis to facilitate erections, it can also have systemic effects on muscle relaxation and blood pressure regulation throughout the body. It's essential to use Cenforce 200 mg or any medication containing sildenafil citrate under the guidance of a healthcare provider to ensure safe and effective use, especially for individuals with pre-existing cardiovascular conditions or who are taking other medications that may interact with sildenafil citrate.