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If you have questions about side effects, contact your health care provider. Check with your doctor if any of these most common side effects persist or become bothersome: All medicines may cause side effects, but many people have no, or minor, side effects.

Use Cenforce with caution in the elderly; they may be more sensitive to its effects. Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Cenforce. Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION) has been reported in patients who took Cenforce.

Cenforce does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Contact your doctor right away if you have an erection that lasts more than 4 hours. Cenforce may rarely cause a prolonged (eg, more than 4 hours) or painful erection.

Cenforce may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. These effects may be worse if you take it with alcohol or certain medicines. Azole antifungals (eg, itraconazole, ketoconazole), H2 antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin because they may increase the risk of Cenforce’s side effects.

Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure with dizziness, lightheadedness, and fainting may occur. Tell your health care provider if you are taking any other medicines, especially any of the following: Some medicines may interact with Cenforce.

If you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any other condition that may increase the risk of a prolonged erection (priapism)
http://cenforce.org/es/
http://thechart.blogs.cnn.com/2012/04/30/new-ed-drug-may-work-in-15-minutes/
https://hsc.unm.edu/college-of-pharmacy/
http://www.patienteducationcenter.org/articles/what-to-do-about-erectile-dysfunction/
https://www.urmc.rochester.edu/strong-memorial/visiting-information/emergency-room.aspx