Cenforce 200 mg is a high-dose medication that contains Sildenafil citrate, the same active ingredient as Viagra. It is used to treat erectile dysfunction (ED) by increasing blood flow to the penis, making it easier to achieve and maintain an erection during sexual activity. Taking Cenforce 200 mg on an empty stomach may cause it to work more quickly and possibly last a bit longer. However, consuming a high-fat meal before taking it may delay its onset of action and possibly shorten the duration. Individuals with certain health conditions, such as liver or kidney disease, may experience the effects for a longer duration because their body processes the drug more slowly. The peak effect of Cenforce 200 mg is typically around 1 hour after taking the medication.