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Cenforce 150 mg works by blocking the PDE-5 enzyme, which normally restricts blood flow in the penile blood vessels. When this enzyme is inhibited, the smooth muscles relax and blood vessels widen, allowing improved circulation during sexual arousal. However, the medicine does not cause an erection on its own—sexual stimulation is required for it to work. This dosage is considered higher than standard strength (commonly 25 mg, 50 mg, or 100 mg). It is usually prescribed only when lower doses are not effective, and it should always be used under medical supervision due to increased risk of side effects.

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